Source · Investigations in the NHS

An independent investigation into the care and treatment of a mental health service user James in Essex – November 2020

East of England Published 01 Nov 2020

The findings of an independent investigation into the circumstances surrounding the care and treatment of James are published on this webpage. James killed his long-term girlfriend in December 2017. He had been a patient of North Essex Partnership Trust (NEPT), now Essex Partnership University Trust (EPUT) since 2000. A joint Independent Investigation and Domestic Homicide Review has taken place and both reports are available below: Essex Partnership University Trust, which is cited in the indep

Acceptance status

Per recommendation

Action Plan Published

Total recommendations

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

7 total

Action plan published. Per-recommendation responses have not yet been extracted from the action plan. View action plan

Recommendation

The Trust must ensure that NICE guidance for the care and treatment of patients with psychosis is adhered to, including specific reference to structured family education.

Recommendation

The Trust must revise their clozapine administration guidance to include the education of patients and families, and the management of risk if clozapine is stopped suddenly.

Recommendation

The Trust must ensure that community teams have structures and processes to ensure that the CPA policy is adhered to, and systems in place to monitor compliance.

Recommendation

The Trust must provide clarity about protocols and responsibilities with respect to responding to increased need for interventions, zoning, and the process for considering and effecting inpatient admissions from the community.

Recommendation

Standards for note keeping must be monitored by the Trust, to include how medical consultations are recorded.

Recommendation

When going through large-scale service changes, the Trust must ensure that risks to patient care are assessed, documented and mitigated.

Recommendation

Serious incident investigation reports must meet the timeliness standards expected by NHS England guidance.