The family of an obese teenager found dead at home was “let down” by health and social services, a court has heard.

Alun Titford, 45, is accused of the manslaughter of his disabled 16-year-old daughter Kaylea Titford, who weighed 22 stone and 13 lbs, with a body mass index of 70, when she was found dead in October 2020 at her home in Newtown, Powys, lying in soiled clothing and bed linen.

In a closing speech at Mold Crown Court on Friday, David Elias KC, defending, said the jury had heard evidence there should have been more support for Kaylea, who had spina bifida and used a wheelchair.

He said: “Not every family who is let down ends up in the situation we have seen, thank heavens, but it is important evidence, we submit, in the context of this defendant’s behaviour.”

He told the court Kaylea was discharged from physiotherapy in 2017 and the following year was discharged from a dietetics service because her mother, Sarah Lloyd-Jones, did not make a new appointment.

The jury heard that in April 2017 a social worker agreed with Lloyd-Jones there was no role for the children-with-disabilities team.