Source · Investigations in the NHS

Independent investigation: Colin Johnson, Sunderland (2004)

North East and Yorkshire Incident 17 Jan 2004 Subject Colin Johnson

Index summary

Paranoid schizophrenic kills former school friend with an axe.. long history of increasing MH problems. Family asked MH for help 83 times before incident.

Recommendations

2 total
1 Addressed to: North East Strategic Health Authority; South of Tyne & Wearside Mental Health NHS Trust No Response Published

Link to recommendation 1

Recommendation · source text
The panel recommends that the SHA should require the Trust to establish a service improvement team, with appropriate external representation, to bring about a fundamental change of attitude in the Sunderland area, to modernise mental health services in line with the eleven principles for reform contained in the MHNSF and to ensure that there is commitment to such reform at all levels. The actions of this team and the responses of professionals to it will need to be monitored in such a way as to assure the Trust Board and SHA that effective action has been taken.
2 Addressed to: All forensic mental health services; Local secondary care mental health services; General Practitioners No Response Published

Link to recommendation 2

Recommendation · source text
The panel recommends that when the care of patients is transferred from forensic services to local secondary care mental health services, a transfer summary should accompany them and be copied to the GP. The summary should detail the outcome of the assessment by the forensic services and include, as a minimum, sections on diagnosis, risk assessment and advice on future management.

Acceptance status

Per recommendation
No Response Published
2

Total recommendations
2
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.