Source · Investigations in the NHS

Combined Serious Case Review and NHS England Mental Health Homicide Review – Child D: Published October 2017

North West Published 01 Oct 2017 Trust Pennine Care NHS Foundation Trust Investigator Verita

Index summary

This is the Independent Review undertaken on behalf of Stockport Safeguarding Children Board and NHS England in to the death of Child D. The Chair of Stockport Safeguarding Children Board took the decision to convene a serious case review in Sept 2015 and commissioned an independent author. NHS England, North Region commissioned an independent review into the care and treatment of the Child D’s father. The Verita team authored Chapter 11 of this report.

Recommendations

4 total

1 Addressed to: Pennine Care NHS Foundation Trust No Response Published

Link to recommendation 1

Recommendation · source text

Pennine Care NHS Foundation Trust should ensure that all staff keep accurate contemporaneous records in line with Pennine Care NHS Foundation Trust record management policy to ensure that all relevant information is seen and shared when necessary.

2 Addressed to: Pennine Care NHS Foundation Trust No Response Published

Link to recommendation 2

Recommendation · source text

Pennine Care NHS Foundation Trust should ensure that all staff working for Pennine Care NHS Foundation Trust (including agency staff) are competent in safeguarding so they are able to fulfil their responsibilities under the statutory framework.

3 Addressed to: Pennine Care NHS Foundation Trust No Response Published

Link to recommendation 3

Recommendation · source text

Pennine Care NHS Foundation Trust should use existing systems and processes within Pennine Care NHS Foundation Trust such as induction, probation periods, supervision and annual appraisal systems to provide assurance that staff are competent in safeguarding.

4 Addressed to: Pennine Care NHS Foundation Trust No Response Published

Link to recommendation 4

Recommendation · source text

Pennine Care NHS Foundation Trust should ensure that all carers are offered a carer’s needs assessment in line with Trust and local authority policy.

Acceptance status

Per recommendation

No Response Published

Total recommendations

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.