Source · Investigations in the NHS

Independent investigation: Eddie Thorpe, Dewsbury (2008)

North East and Yorkshire Incident 21 Feb 2008 Subject Eddie Thorpe

Paranoid schzophrenic fatally batters father

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

11 total

Recommendation

In line with current CPA guidance and the Trust’s own current CPA policy the Trust should undertake regular quality audits to ensure: all those referred to its secondary mental health services have a comprehensive assessment of their needs; there is … Read more

Recommendation

The PCT should put in place a system to ensure that there is timely communication between primary care and secondary care services. This should include: a mechanism to ensure that Secondary Services are informed, in a timely manner, who has … Read more

Recommendation

Given that new protocols have now been put in place the local Housing Associations, the Trust and the commissioners of mental health services should institute a monitoring system to ensure that: the proper roles and responsibilities of these organisation are … Read more

Recommendation

Having revised its risk assessment, mangement and training policy the Trust should institute a regular quality audit to ensure: that the formulation of the individual’s problems and needs informs the understanding of his/her risk; that robust and meaningful care plans … Read more

Recommendation

South West Yorkshire Partnership NHS Foundation Trust should review, with its commissioners, the provision of services for individuals with a diagnosis of personality disorder. This review should identify how a comprehensive service, complying with the relevant NICE guidelines, will be … Read more

Recommendation

In line with the recent developments in the provision and delivery of Psychological Therapies in the Trust, together with its commissioners, the Trust should review this provision to ensure that it complies with the recommendations of relevant NICE guidelines. In … Read more

Recommendation

The Trust has identified that progress has been made in the delivery of substance misuse services. It should now put in place a system, including an audit cycle, to assure itself and its commissioners that these developments are realising the … Read more

Recommendation

South West Yorkshire Partnership NHS Foundation Trust should ensure that the aims of its Equality and Diversity policy are translated into practice in the clinical arena by: ensuring that cultural and religious issues are included in the assessment of need … Read more

Recommendation

South West Yorkshire Partnership NHS Foundation Trust should take action to ensure that the Spiritual and Pastoral Care Team, or another suitable resource, is available to raise awareness of cultural and religious issues within the clinical arena and that clinical … Read more

Recommendation

The Trust should assure itself and its Local Authority partners that the Safeguarding policies and procedures which it has put in place and supported with training are being implemented. It should include audits of compliance with its Safeguarding policies in … Read more

Recommendation

Access to appropriate family interventions should be available to services users under the care of the CMHT. CMHT staff should receive training and supervision in appropriate family work and interventions. The Trust should monitor the provision of this service, including … Read more