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Cumberland hospital in Sydney’s West deals with some of the most complex mental health cases in the country. But the number of patients escaping the facility has climbed to almost three times the state's average. There's concern the hospital is at a breaking point, putting public safety at risk.

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00:01A car crash that left two women dead and a public stabbing that killed a man and left
00:07two others fighting for their lives.
00:09In both cases, the accused men were patients at Cumberland Hospital and had absconded within
00:1424 hours of each other.
00:16We are certainly seeing some of the terrible things that could happen in a system that
00:21doesn't look after itself and doesn't look after the people who rely on it.
00:25Dr Anuradha Kataria is a former employee at Cumberland Hospital, the largest mental health
00:30facility in the country, working there for 23 years before she resigned during last year's
00:36wage dispute.
00:37She says she doesn't recall a time when patients who escaped posed the same risk to the public.
00:42The fact that it's happened twice within the same week, certainly patients from the same
00:45hospital is a complete outlier.
00:48They're being investigated to determine exactly what the circumstances were, also what can
00:54be done to prevent an incident like this happening again.
00:57According to NSW Health, patients staying at the hospital are absconding at a higher rate
01:02than other mental health units.
01:04The state average for this financial year has seen one person abscond for every 4,300 days,
01:10whereas at Cumberland Hospital it's every 1,300 days.
01:14The hospital's transfer rate, however, is fractionally better than average.
01:18That data's really concerning and it highlights to me that there is clearly an issue specifically
01:23at the Cumberland Hospital site.
01:26We would be better able to manage, better able to behaviourally de-escalate, communicate
01:31and attend to our patients' needs if we were provided with adequate ratios.
01:36Dr Kataria says shrinking budgets have seen welfare programs cut.
01:40We are taking the highest risk of patients and clumping them together in a small space with
01:44not a lot to do.
01:45The largest mental health facility in the country trying to treat the most vulnerable.
01:53of these drugs in particular there are no issues such as the whole issue of the doctor.
01:54We have to rescue those with legal adults to support us.
01:54We are talking about the health facility, but we can start breathing in the medical side.
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