Source · Investigations in the NHS

Independent investigation: Carol Trethewey (Mrs S), St Austell, Cornwall (2000)

South West Incident 28 Apr 2000 Subject Carol Trethewey (Mrs S)

Depressive repeatedly and fatally stabbed wife. Ind Inq 2003, failings in care,got 3 yrs probation

Acceptance status

Per recommendation
No Response Published
4

Total recommendations
4
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
1 CPT and general practices in Cornwall No Response Published
Recommendation
The CPT and general practices in Cornwall should review the effectiveness of communication between GPs and CMHTs.
2 CPT No Response Published
Recommendation
The CPT should within six months: a. review the drafting and implementation of its CPA policy and b. ensure regular and effective audit of its use to reinforce the need for comprehensive and systematic review of all patients under the … Read more
3 CPT No Response Published
Recommendation
The CPT’s clinical supervision arrangements must include checks on the degree of autonomy being exercised by individual practitioners and the balance struck between this autonomy and multi-disciplinary and multi-agency working.
4 CPT No Response Published
Recommendation
The CPT should put in place new arrangements, within six months, to ensure staff are able to access relevant and timely in-service training, identified via supervision and appraisal, and that a practitioner's skill levels are appropriate to their caseload. Read more