[Coroner’s voice breaks as he reads his narrative conclusion] She was failed by the lack of the MHA assessment and an inadequate regime at Milton Park. No-one will ever know how she came to be on the A1 but it was there that she died #JusticeforCol

[Coroner’s voice breaks as he reads his narrative conclusion] She was failed by the lack of the MHA assessment and an inadequate regime at Milton Park. No-one will ever know how she came to be on the A1 but it was there that she died #JusticeforCol