Source · Investigations in the NHS

Independent investigation: Beata Slomiana, Finchley (2010)

London Incident 08 Sep 2010 Subject Beata Slomiana

Index summary

Paranoid schizophrenic kills girlfriend by putting plastic bag over her head. MH history – not taking meds

Recommendations

4 total
R1 Addressed to: The trust No Response Published

Link to recommendation R1

Recommendation · source text
The trust should ensure that guidelines for the use of opt-in forms should set out when additional processes such as phone follow-up are needed to effectively assess a person’s willingness to engage with the service. Opt-in forms must be clearly written and available in other relevant languages.
R2 Addressed to: The trust No Response Published

Link to recommendation R2

Recommendation · source text
The trust should use the facts of this investigation to run a multi-professional learning event to examine what ethical, professional and legal issues arise if a patient who is a suspect in a criminal case could incriminate himself or herself by answering staff questions.
R3 Addressed to: The trust No Response Published

Link to recommendation R3

Recommendation · source text
The trust should examine whether a route for direct consultation by GPs with consultants is needed and whether this can be offered without undermining the general referral processes.
R4 Addressed to: Trust managers No Response Published

Link to recommendation R4

Recommendation · source text
Trust managers must ensure that all trust court diversion services are effectively organised, resourced and subject to suitable agreements with the court. There must also be effective management and governance arrangements in place, whether the court diversion service is commissioned or not. If the Hendon court diversion service cannot be so organised it must not continue to be provided.

Acceptance status

Per recommendation
No Response Published
4

Total recommendations
4
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.