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An independent investigation into the care and treatment of Ms K: Published 7 November 2018

North East and Yorkshire Published 07 Nov 2018 Subject Ms K

This is the report of the independent investigation into the care and treatment of Ms K. Assurance statements and/or reports have been published by:

Report PDF NHS England Source
Jump to 6 recommendations

Acceptance status

Per recommendation
No Response Published
6
Total recommendations
6
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

6 total
1 The Trusts and commissioning groups involved in Ms K’s care at the time No Response Published
Recommendation
The Trusts and commissioning groups involved in Ms K’s care at the time develop robust, collaborative, patient-centred plans, to guide staff who care for individuals presenting with complex needs and who move between geographical, commissioning, or service boundaries on a … Read more
2 Aspire No Response Published
Recommendation
Aspire produce an action plan for commissioners showing how they have implemented and monitored the Early Intervention in Psychosis Access and Waiting Time Standard.
3 LYPFT No Response Published
Recommendation
1. The prescription of sodium valproate by clinicians should follow the recommendations within the British National Formulary, and the guidance from the Medicines and Healthcare Products Regulatory Agency, with respect to women of childbearing age. 2. In the event of … Read more
4 the Trusts involved in Ms K’s care No Response Published
Recommendation
In order to ensure that, in cases where there is a difference of opinion in relation to the decision to admit, a mechanism is developed and implemented by the Trusts involved in Ms K’s care to ensure a multi-disciplinary team … Read more
5 LYPFT and BDCT No Response Published
Recommendation
1. LYPFT and BDCT review their engagement strategies with complex individuals to ensure that a properly formulated analysis and action plan is included when the issue of non-engagement is recognised, particularly in relation to safeguarding. 2. LYPFT and BDCT review … Read more
6 The Trusts involved in Ms K’s care at the time No Response Published
Recommendation
1. The Independent Investigation Team would encourage the Trusts involved in Ms K’s care at the time to consider reviewing the approach which they adopt in providing the families of those involved in incidents such as the death of Mr … Read more