People with eating disorders are susceptible to self-harm. However, patients said some workers failed to provide appropriate therapeutic support.
"I was in my room, cutting myself. Staff would come in and see me doing it and walk back out without saying anything," said Abbie, 26, who was an inpatient in 2023.
One evening staff did step in after Abbie deliberately injured her head. She says she was rushed to A&E but the staff member who was meant to be looking after her fell asleep in the waiting room for several hours.
"I was tempted to leg it, but I was in so much pain I couldn't," she said.
The lack of monitoring left vulnerable patients in "unsafe" situations, according to staff whistleblowers, who have asked to remain anonymous because they are worried speaking out will impact their ability to work in the future.
We shared the findings of our investigation with the chair of the Royal College of Psychiatrists' Eating Disorders Faculty, Dr Ashish Kumar.
"I sympathise that sometimes there are staff who are overworked or units that are understaffed," he said. "However, not responding to patients when they're suffering can lead to more serious harm and possibly death."
Schoen said it was unable to comment on individual cases but staff "anticipate and manage the risk" of self-harm through "individualised care plans, enhanced observation where necessary and clinical escalation protocols".
All staff have been "vetted, trained and supervised before working with patients", it added.


