Source · Investigations in the NHS

Independent investigation: Bethany Rae Fields, Huddersfield (2019)

North East and Yorkshire Incident 12 Sep 2019 Subject Bethany Rae Fields

Mentally disordered and coercive man fatally and repeatedly stabs friend. MH staff warned three times previously of his threats to kill

Acceptance status

Per recommendation

No Response Published

Total recommendations

About this data

Acceptance status tracks whether the trust accepted or responded to each recommendation.

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.

Recommendations

4 total

Recommendation

To organise and facilitate an Oxford Model learning event to ensure that the widest reflection and learning is achieved across adult services from this case. Key points to be drawn out are: management of complex service users with personality disorder(s), … Read more

Recommendation

The trust must determine the extent to which there is a gap in service provision for those service users meeting Care Programme Approach criteria, to ensure that it is aware of its risk management position in relation to this gap, … Read more

Recommendation

The revised FIRM model must facilitate the consistent capture and consideration of information relating to the spectrum of domestic abuse (emotional, psychological, financial, physical). This must encompass risk posed by the service user to others, not only risks to the … Read more

Recommendation

A situation must be achieved where working/informal carers providing emotional, physical, or day-to-day living support to a service user are routinely offered a carer’s assessment and are provided with a carer’s passport, in line with the trust’s Family, Friends and … Read more