Deceased
Angela Parragi
Demographics
female
Date of death
2019-08-06
Finding date
2020-09-21
Cause of death
complications of anorexia nervosa
AI-generated summary
Angela Parragi died from complications of anorexia nervosa at Canberra Hospital. She was under a Community Care Order at the time. The coroner found no basis that the quality of care, treatment or supervision under the order contributed to her death. However, the coroner identified a systemic issue: limited access to inpatient specialist beds for severe eating disorders in ACT. The key clinical lesson is the importance of adequate specialist mental health infrastructure for eating disorder management. Improved pathways between ACT and NSW Health for accessing inpatient specialist care are recommended to ensure patients with severe eating disorders receive appropriate level of care when needed.
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Error types
CORONERS COURT OF THE AUSTRALIAN CAPITAL TERRITORY Case Title: INQUEST INTO THE DEATH OF
ANGELA PARRAGI C itation: [2020] ACTCD 10 D ate of Findings: 21 September 2020 Before: Coroner Theakston Counsel Assisting: Sarah Baker-Goldsmith Legislation cited: Coroners Act 1997 (ACT) CD 172 of 2019 File Number:
CORONERS ACT 1997 IN THE CORONERS COURT AT CANBERRA IN THE AUSTRALIAN CAPITAL TERRITORY FINDINGS An INQUEST having been held by me, GLENN SASHA THEAKSTON, a Coroner for the Territory, including a hearing conducted at the Coroner’s Court at Canberra in the Australian Capital Territory into the death of:
ANGELA PARRAGI I find that: Angela Parragi died on 6 August 2019 at the Canberra Hospital, Yamba Drive, Garran in the Australian Capital Territory.
The manner and cause of Ms Parragi’s death was complications of anorexia nervosa.
Police have advised that there are no suspicious circumstances.
No matter of public safety arises in this matter.
There is no basis under section 74 that the quality of care, treatment or supervision of Ms Parragi under her Community Care Order contributed to the cause of her death.
However, in accordance with the expert report of Professor Large, and noting the recent work done and intended to be done by ACT Government in this space, I recommend that ACT Health explore with NSW Health ways of improving access, and pathways, to inpatient specialist public beds for ACT patients with severe eating disorders, where necessary.
DATED September 2020
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