Source · Investigations in the NHS

Independent investigation: Arthur Lingard, Grimsby (2004)

North East and Yorkshire Incident 28 Feb 2004 Subject Arthur Lingard

Index summary

Paranoid schizophrenic fatally batters stepfather. Critical Ind Inq (2004/487) 2008 -Few notes, inexperienced staff, warnings by family

Recommendations

3 total
1 Addressed to: North East Lincolnshire Partnership Care Trust No Response Published

Link to recommendation 1

Recommendation · source text
To reconsider the practice of employing inexperienced social workers in positions that carry care coordination responsibility for service users with complex mental health needs. If the Trust feels that such appointments are appropriate, then it must ensure that such individuals receive effective supervision both professionally and from a case management perspective.
2 Addressed to: North East Lincolnshire Partnership Care Trust No Response Published

Link to recommendation 2

Recommendation · source text
To make amendments to the design of the current medical records tracer card in use,
3 Addressed to: North East Lincolnshire Partnership Care Trust No Response Published

Link to recommendation 3

Recommendation · source text
To ensure that all qualified mental health workers, including medical staff, understand the process set out by and their obligations with regards to Section 117 aftercare as set out in the Mental Health Act. (see glossary p75)

Acceptance status

Per recommendation
No Response 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.