Source · Investigations in the NHS

An independent investigation into the care and treatment of Mr M. Published May 2021

North East and Yorkshire Published 01 May 2021 Subject Mr M

Index summary

This is the executive summary of an independent investigation into the care and treatment of Mr M.

Recommendations

5 total
1 Addressed to: TEWV No Response Published

Link to recommendation 1

Recommendation · source text
In order to obtain assurance that the improvements in risk assessments are fully embedded within the affective disorder service that a quality assurances audit is undertaken. TEWV should provide evidence at Sancus Solutions’ quality assurance review that this recommendation has been implemented.
2 Addressed to: TEWV No Response Published

Link to recommendation 2

Recommendation · source text
TEWV needs to undertake an audit of the affective disorder service to review compliance with its Care Programme Approach and Standard Care Policy. TEWV should provide evidence at Sancus Solutions’ quality assurance review that this recommendation has been implemented.
3 Addressed to: TEWV No Response Published

Link to recommendation 3

Recommendation · source text
An audit of the affective disorder service’s patient records should be undertaken to ascertain if there have been improvements in multi-agency communication, information sharing and record keeping. TEWV should provide evidence at Sancus Solutions’ quality assurance review that this recommendation has been implemented.
4 Addressed to: TEWV No Response Published

Link to recommendation 4

Recommendation · source text
TEWV should report the progress they have made on implementing their Domestic Homicide Review’s recommendations at Sancus Solutions’ quality assurance review.
5 Addressed to: TEWV No Response Published

Link to recommendation 5

Recommendation · source text
TEWV should hold a learning event for the involved practitioners and operational managers to discuss the findings of the trust’s submitted individual management review and the Domestic Homicide Review.

Acceptance status

Per recommendation
No Response Published
5

Total recommendations
5
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.