The conclusion of the inquest into the death of teenager Amber Peat was heard on Friday, 22 February 2019 at Nottingham Coroners’ Court.
Amber, 13, was found hanged in hedgerow in Mansfield on 2 June 2015. Three days earlier, on 30 May, she had walked out of her home following an argument with her family about chores.
Conclusion of the inquest
Nottinghamshire Assistant Coroner, Laurinda Bower, recorded a narrative conclusion, stating that there was a failure to share information between health, education and social care teams in Nottinghamshire and Derbyshire, meaning that 11 opportunities were missed to provide the right assessment and support to Amber and her family, which could have avoided her death.
The coroner, who also concluded that she was unable to determine whether Amber intended to die, said:
“It is possible, with the right assessment and support, Amber’s life may not have ended when it did.”
“Like all parents, Kelly knows she is not perfect, but she has been, and continues to be, the best parent she can for her children. She has been subjected to intense media and public scrutiny since Amber’s death and has remained silent until now. Some of the things that have been said have been very hurtful not only to Kelly, but her family too, and they have had a huge impact on their wellbeing.
“While Kelly does not agree with all of the coroner’s findings, the coroner’s conclusion was that with the right assessment and support from the education, health and social care agencies involved with Amber and her family, it is possible that Amber’s life may not have ended the way it did and when it did.
“Now the inquest has concluded, Kelly would like to bring the focus back to Amber. She and her family will do all that they can to ensure Amber’s memory is kept alive, and they will forever remember her as a wonderful, loving, clever, kind, inquisitive and beautiful girl. A girl who loved reading, who was quick, clever and a true joker.
“Kelly will always miss her beautiful and thoughtful first-born daughter. She is always thinking about Amber, and what she would be doing now. She doubts the pain of having to live her life without her will ever go away.”