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[warning: death, heartbreaking story] This is appalling. How could it have happened?

157 replies

TraumaQuestions · 21/07/2025 17:48

A dying woman called 999 and asked for an ambulance, giving her address. No ambulance was dispatched. Nobody checked up on her. Her profoundly disabled daughter, who depended on her totally, also died. Nobody noticed for weeks or months.

https://www.bbc.co.uk/news/articles/cm2z36yzzdlo

Alphonsine Dijako Leuga and her daughter Loraine Choulla came to the UK in 2014 from Italy

Mum and daughter found dead at home months after 999 plea

Alphonsine Dijako Leuga and her daughter were found three months after the call, an inquest hears.

https://www.bbc.co.uk/news/articles/cm2z36yzzdlo

OP posts:
Mirabai · 21/07/2025 20:02

YesHonestly · 21/07/2025 19:55

I can’t read the whole article, who made the decision to close the call - the call handler, or a manager?

I am truly saddened by this story but sadly, working in social care I am not surprised.

Services are on their knees, the safety net that everyone assumes is there just isn’t anymore. Social services and the NHS are completely broken, they work from different systems, the multi agency work that should be happening isn’t. Services have been cut to the absolute bone and this is the result.

Her daughter may have been known to social care, but it would most likely have been on a voluntary basis - possibly section 17 due to disability, and if she was transitioning to adult services due to her age it is possible she slipped through the cracks.

Our services are not working and there is no longer a sense of community in many areas.

It’s just utterly senseless and so very sad.

I mean all it actually took was a different choice by the call handler and a welfare check triggered by the GP.

BerryTwister · 21/07/2025 20:09

Redburnett · 21/07/2025 19:23

This is what happens with a fragmented NHS. There is no joining up of pieces of information and it leaves each individual involved able to pass the buck to someone else. I blame the GP as much as the call handler, saying they were 'unable to contact her' when advised by the hospital that she missed hospital appointments is not acceptable given the circumstances - what did they think had happened to a sick woman with responsibility for a disabled child? Primary care in this country is appalling since Covid, any excuse not to actually see a patient.

@Redburnett if you could spend a day in a GP surgery you would see how very very wrong you are.

ChaToilLeam · 21/07/2025 20:11

Dontthink · 21/07/2025 19:59

So saying what isn’t being said. The daughter starved to death after the mum died.
She had no food in her stomach and her bladder was empty, she must’ve suffered deeply for days.

Saying sorry is not enough, this is neglect which has led to manslaugher.

Someone needs to be charged.

Absolutely; maybe Alphonse could not have been saved but Loraine could have.

Just terrible. But no doubt we will hear the same tired litany - mistakes were made, lessons have been learned, etc.

Elasticareboot · 21/07/2025 20:13

What kind of a broken down place are we living in that we let sole carers of high needs family discharge themselves when very sick themselves with no support?

these things are always the same, many failures stacked together, nobody taking responsibility and no proper care.

Elasticareboot · 21/07/2025 20:13

Oh yes another check box will get added for a form…

YesHonestly · 21/07/2025 20:18

Mirabai · 21/07/2025 20:02

I mean all it actually took was a different choice by the call handler and a welfare check triggered by the GP.

I may be wrong, but I believe it was the manager that closed the call? I suppose it’s irrelevant who made the decision, it was the wrong one and an ambulance or first response car should have been dispatched.

I am not disagreeing with you, but who would have carried out the welfare check? ALL services are broken, and while it should have been referred for a welfare check, someone should have attended, I’m sure there are many people who don’t return to hospital or miss appointments and ultimately adults have the right to make unwise decisions. I can’t excuse it, but I can understand why this wasn’t treated with the urgency it should been.

BorgQueen · 21/07/2025 20:19

I hope whoever closed the call down never has a decent nights sleep ever again. I hope the death of these two Women haunts him or her forever. All they needed to do was send an ambulance, it’s shameful.

tunainatin · 21/07/2025 20:27

This is so awful, it doesn't bear thinking about what they went through. It's confusing that the call handler was asking what language they spoke, and yet it was clear from the transcript that she described her symptoms and asked for an ambulance in English.

DoYouReally · 21/07/2025 20:29

This is heartbreaking.

So many failures.

She clearly needed hospital treatment but was discharged. Surely there should be some support in place for a person who needs to be in hospital but needs support with their caring responsibilities while they are there. Social services, respite card, foster placement etc.

Further failure, when she was a no show at the hospital. Why is there no welfare check or follow up?

The Ambulance Services - she had given them an address and said she needed help.
Unbelievable...it couldn't any clearer.

Needless traders but as always it's met with meaningless apologies and the lessons will be learnt line which means nothing ever changes.

GreenClock · 21/07/2025 20:30

“Service fell short on this occasion”

Bloody hell, that sounds like a complaint team’s response to a cancelled train or a refund that was £25 less than it should’ve been.

It is obvious that no one will take responsibility for this.

Confuuzed · 21/07/2025 20:33

SaintGermain · 21/07/2025 19:01

Failings occurred long before the 999 call.

‘The inquest was told that Ms Leuga was admitted to hospital for a blood transfusion in late January last year as she was critically ill with very low iron levels and was given a “pragmatic” discharge linked to her daughter’s care needs.’

Who looked after the daughter whilst her mother was in hospital? Alphonsine herself should have ensured that in the event of her being unwell again of which there was a high chance that procedures were in place to make sure her daughter was attended to and cared for.

I would have thought when she was discharged that the hospital spoke to her about her responsibilities towards her daughter and social services or other agencies involved to help Alphonsine put a plan of action in place should she fall ill again.

It seems like she was discharged and left to fend for herself and didn’t know or understand who she could ask to step in and help again.

I am not sure if you understand just how little help there is for families of disabled children. I mean... This woman was as desperate as it is possible to be, and she still couldn't get help.

I couldn't imagine being so devoid of empathy that i would blame the mother in this scenario.

TroysMammy · 21/07/2025 20:38

Unfortunately Primary Care is so stretched GPs are not able to carry out welfare checks and don't do them on those discharged from hospital either. GPs can barely make medical checks for the housebound either advising A&E/999 or if lucky they have a Paramedic linked to the surgery (shared with other surgeries). Social Services should have been alerted to their vulnerability but if the Mother was of sound mind their help could have been refused.

Weepixie · 21/07/2025 20:40

In loving memory of a mum and her darling girl. I wish it could have been so different for both of you. ❤️

ChillWith · 21/07/2025 20:40

It's so utterly sad. They were completely failed.

Christwosheds · 21/07/2025 20:42

PersephoneSmith · 21/07/2025 17:52

Oh my fucking God, I cannot believe what I have just read. Those poor women.

This. It’s just unbelievable. It’s absolutely tragic and totally avoidable. How could they have been neglected like this ? A very unwell woman and a teenager with a learning disability? I’m so shocked.

Mirabai · 21/07/2025 20:44

YesHonestly · 21/07/2025 20:18

I may be wrong, but I believe it was the manager that closed the call? I suppose it’s irrelevant who made the decision, it was the wrong one and an ambulance or first response car should have been dispatched.

I am not disagreeing with you, but who would have carried out the welfare check? ALL services are broken, and while it should have been referred for a welfare check, someone should have attended, I’m sure there are many people who don’t return to hospital or miss appointments and ultimately adults have the right to make unwise decisions. I can’t excuse it, but I can understand why this wasn’t treated with the urgency it should been.

Edited

The handler interpreted the call as having been ‘abandoned’ and callbacks were unsuccessful.

I’m not surprised the hospital didn’t follow up - people fail to return all the time, but I’m surprised the GP didn’t follow up with a welfare check when they failed to get hold of Alphonsine.

captureitrememberit · 21/07/2025 20:46

RIP Alphonsine and Loraine. How horrific and completely unacceptable

SunnyBloom · 21/07/2025 20:46

So awfully sad. There are no words. Her daughter must have suffered so so much. Seeing her mum die then dying herself. A tragedy. Rest in Peace. I like many others here simply cannot understand why they decided not to send an ambulance.

HauntedMarshmallow · 21/07/2025 21:14

CagneyNYPD1 · 21/07/2025 19:35

You’re right. As a white woman, living in a nice house in a nice town in the Home Counties, I know down to my bones that you are right.

Another black woman not treated seriously by medical providers in this country with the most awful consequences.

Shameful, utterly shameful. Shame on all of us in a society that this happens. A desperate mother who discharges herself from hospital because she needs to be there for her dd. No safety net for either of them. No police welfare check was sought. The follow up call from the GP. Awful.

This.

Its mind boggling that things like this are still happening in this day and age.

Doyouthinktheyknow · 21/07/2025 21:16

SolidarityCone · 21/07/2025 18:35

Out and out racism, leading to two deaths. Disgusting. I bet you if the same words had been said by a someone with a Home Counties accent and a naice address an ambulance would have been dispatched.

This was my first thought sadly as well. They had the address and the symptoms, it should have raised more concerns when the call was terminated, not less! It’s a genuinely horrific story.

One can only wonder what else went on and why there was no referral to social care at any point or maybe there was. I guess more will come out! I know services are stretched, I work in urgent mental health care which is on its knees but we all still have a duty of care and it doesn’t feel like enough was done to follow up with Alphonsine and Lorraine at all.

StMarie4me · 21/07/2025 21:25

i live in the same City. I live with my disabled daughter. When this happened it hit home so hard. I drive past their house sometimes. Heartbreaking. Where was the GP? Social Services? These women were let down by the whole of society and it’s only going to get worse.

Jellycatspyjamas · 21/07/2025 21:29

It’s very easy to see how this tragedy could happen if you’re any way involved in public service. The ambulance service has been on its knees for years, GP services more so, social care is barely existent and decent social work practically impossible.

That creates an environment where people are making decisions under enormous pressure, with little ongoing training. Do you send your one ambulance to the person you know is having a heart attack or the call that got abandoned. Add in some Reform thinking about race and immigration (which has seeped into every area of our lives) and the decision becomes easier because on a subconscious level there’s a rhetoric of British services for British people.

And so the decision (and the blame) comes to the individual who made the decision, not the financial, political and social systems they operate in.

It happens because people want every service under the sun, but don’t want to pay for them. Reduce your working hours and claim universal credit, top up your pension to avoid the next tax band, work cash in hand - the tax man takes too much anyway, campaign for more subsided childcare, create hell if there’s any talk to a benefits restructure, and for God’s sake don’t touch the winter fuel allowance. Immigrants should get nothing from the UK purse, send them back where they came from, people in small boats, let them drown. It all influences the day to day resources available, and the mindsets of the people deploying those resources.

People really don’t make the link to tragedies that then follow, ambulances not sent, services not doing welfare checks, children being left in squalor. And then the public, with scant information about the circumstances, the pressures of the job, the balancing that these workers do every single day, spout about how they hope those workers never sleep well again.

We get what we’re prepared to pay for, and these lovely, desperate people paid the price. That’s how it can happen.

WalkingaroundJardine · 21/07/2025 21:39

Really sad and shocked they were let down in such an awful way. But also unsurprised for the reasons others have already mentioned in this thread.

JudgeBread · 21/07/2025 21:41

Oh that is appalling, those poor women. The system is so so broken if a woman can die in her home having called for help, and her poor child die of starvation or dehydration. I can't imagine how that poor young woman must've suffered, it makes me feel ill. That's just not the sort of thing that should be happening.

excelledyourself · 21/07/2025 21:43

Beyond awful.

Poor Loraine must have been so confused and scared.

Alphonsine spends her entire life prioritising her daughter and taking care of her, only for Loraine to die because multiple people didn’t care enough for her poor mother.

The ambulance service literally made every mother’s worst nightmare come true.

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