Home / Sources / Investigations in the NHS / Independent investigation: David Limb, Wath (2004)
Index live
Source · Investigations in the NHS

Independent investigation: David Limb, Wath (2004)

North East and Yorkshire Incident 13 Mar 2004 Subject David Limb

MH Homicide (+ alcohol). Ind Inq (2004/680) 2008

Report PDF Hundred Families
Jump to 5 recommendations

Acceptance status

Per recommendation
No Response Published
5
Total recommendations
5
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

5 total
1 Rotherham Doncaster and South Humber Mental Health NHS Foundation Trust (RDaSH) No Response Published
Recommendation
The Trust is very aware that it has some work to do, to ensure that clinical records evidence a robust approach to the clinical risk assessment of its service users. Consequence UK has recommended in a previous report that a … Read more
2 Rotherham Doncaster and South Humber Mental Health NHS Foundation Trust (RDaSH) No Response Published
Recommendation
The Trust must develop a detailed and auditable action plan for submission to the SHA, that shows the specific activities it is engaging in to achieve: a uniform approach to risk assessment across all of its services; clarity in understanding … Read more
3 Rotherham Doncaster and South Humber Mental Health NHS Foundation Trust (RDaSH) Governance Committee for Adult Services No Response Published
Recommendation
The governance committee for adult services (inpatient and community) need to consider the current medication safety audits it conducts and whether or not these are sufficient. In particular this group needs to determine whether or not there are medications in … Read more
4 Rotherham Doncaster and South Humber Mental Health NHS Foundation Trust (RDaSH) Alcohol Treatment Service No Response Published
Recommendation
The alcohol treatment service needs to reflect on its own documentation to determine whether by-and-large it is satisfied with its own standards of documentation, and that the documented contacts with its client group adequately reflect the ‘in the moment’ position … Read more
5 Rotherham Doncaster and South Humber Mental Health NHS Foundation Trust (RDaSH) No Response Published
Recommendation
The Trust must provide much more comprehensive and useful guidance to its staff on how to conduct a good investigation. The Trust is encouraged to take note of the information provided on pages 19 -21 of this report in addressing … Read more