Source · Investigations in the NHS

An independent inquiry into the care and treatment of Mr S: September 2014

South West Published 01 Sep 2014 Trust Somerset Partnership NHS Foundation Trust Subject Mr S

This is the report of the independent investigation into the care and treatment of Mr S . At the time of the homicide (2011) Mr S was receiving care and treatment from Somerset Partnership NHS Foundation Trust. This is the independent assurance report on actions following publication of the original review.

Acceptance status

Per recommendation
No Response Published
5

Total recommendations
5
About this data

Acceptance status tracks whether the trust accepted or responded to each recommendation.

Independent health investigation reports and reviews commissioned by government or NHS England.

About this investigation

Source & metadata

Independent investigation report. Recommendations and any published response are extracted below.

Recommendations

5 total
R1 The trust No Response Published
Recommendation
The trust should put steps in place to ensure that all relevant information about a service user is shared (even if consent is not granted) with someone who is a known risk from that service user.
R2 The trust No Response Published
Recommendation
The trust should ensure that there are steps in place so that relevant staff in older person’s services are able to gain advice and guidance from forensic services when needed.
R3 The trust No Response Published
Recommendation
The trust should put steps in place to ensure that a discussion with the person using mental health services takes place to find out if they want their family, carers or friends to be involved in their care. Such discussions … Read more
R4 The trust No Response Published
Recommendation
The trust should carry out an audit to ensure that accurate records are kept of all clinical reviews including the people present, the discussions and the outcomes of reviews.
R5 The trust No Response Published
Recommendation
The trust should have a clear process in place to ensure that the victims of serious incidents and their families are supported and involved in the trust internal investigation. As a minimum the trust should ensure that the victim’s family: … Read more