Source · Investigations in the NHS
An independent investigation into the care and treatment of service user Mr X in Derbyshire
Midlands
Published 01 Feb 2022
Subject Mr X
The investigation was prompted by the death of a 34 year-old man in 2017 and was commissioned by NHS England once all related criminal proceedings had been concluded. The purpose of the investigation is to help the NHS and partners understand if there are lessons that could be learned that could prevent something similar happening in the future.
Acceptance status
Action Plan Published
3
Total recommendations
3
About this investigation
Recommendations
Action plan published. Per-recommendation responses have not yet been extracted from the action plan. View action plan
1
NHS Derby & Derbyshire CCG, Derbyshire Healthcare NHS Foundation Trust, Derventio Housing Trust
Action Plan Published
Recommendation
To implement effective multi-agency management of patients that may present long-term risks.
2
Derbyshire Healthcare NHS Foundation Trust
Action Plan Published
Recommendation
To review and standardise the role of the Care Co-ordinator.
3
NHS Derby & Derbyshire CCG, NHS England
Action Plan Published
Recommendation
To consider the need for development of a dedicated community forensic team and high support hostel for the population of Derbyshire.