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

Index summary

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.

Recommendations

3 total

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

1 Addressed to: NHS Derby & Derbyshire CCG, Derbyshire Healthcare NHS Foundation Trust, Derventio Housing Trust Action Plan Published

Link to recommendation 1

Recommendation · source text
To implement effective multi-agency management of patients that may present long-term risks.
2 Addressed to: Derbyshire Healthcare NHS Foundation Trust Action Plan Published

Link to recommendation 2

Recommendation · source text
To review and standardise the role of the Care Co-ordinator.
3 Addressed to: NHS Derby & Derbyshire CCG, NHS England Action Plan Published

Link to recommendation 3

Recommendation · source text
To consider the need for development of a dedicated community forensic team and high support hostel for the population of Derbyshire.

Acceptance status

Per recommendation
Action Plan 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.