Source · Investigations in the NHS

An independent investigation into the care and treatment of mental health service user Ben: Published February 2023

North West Published 01 Feb 2023 Trust Mersey Care NHS Foundation Trust

Index summary

These are the Executive Summary report and a Lessons Learnt bulletin of the independent investigation report into the care and treatment of service user Ben. Executive Summary report Lessons Learned bulletin Ben was convicted of manslaughter in January 2019. At the time of the homicide Ben was receiving care and treatment provided by Mersey Care NHS Foundation Trust. These documents have also been published by:

Recommendations

3 total
1 Addressed to: The Trust No Response Published

Link to recommendation 1

Recommendation · source text
The Trust must ensure that mechanisms are in place and used by staff to use preferred methods of communicating with patients, particularly when the preference is linked to a known disability.
2 Addressed to: The Trust No Response Published

Link to recommendation 2

Recommendation · source text
The Trust must ensure that risk assessments include all known risks and that they are completed in accordance with Trust policy.
3 Addressed to: The Trust No Response Published

Link to recommendation 3

Recommendation · source text
The Trust must develop and implement a structured process to monitor the implementation of action plans and ensure that robust evidence is available to demonstrate effective progress. The Trust must also take urgent action to address Recommendation 4 from the internal investigation report.

Acceptance status

Per recommendation
No Response Published
3

Total recommendations
3
About this data

Acceptance status records the published response to each recommendation. Acceptance does not establish that an action has been completed.

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.