Source · Investigations in the NHS

Independent investigation: Eduardo Mendoza, Hammersmith (2007)

London Incident 17 Jun 2007 Subject Eduardo Mendoza

Mentally ill woman fatally stabbed uncle 111 times. Had attacked him before. (Ind Inq 2012 Verita)

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
R1 The trust No Response Published
Recommendation
The trust should ensure that a transition policy providing guidance on the transition from local authority children‟s services to adult mental health services is produced and sent to all staff that need to know about it.
R2 The trust No Response Published
Recommendation
We recommend that the trust issue guidance to clinical staff that whenever a report is received of a service user subject to CPA attending at a police station a mental health practitioner should always go to the police station to … Read more
R3 The trust, in consultation with its local authority partners No Response Published
Recommendation
The trust, in consultation with its local authority partners, should produce guidance on how NHS and local authority staff in the community mental health teams can have access to the children‟s element of Framework I1 whenever appropriate to their work. Read more
R4 The trust No Response Published
Recommendation
The trust should review whether clinical risk training, with updates at regular intervals, is being delivered to all community staff whatever the professional or clinical background.
R5 The trust No Response Published
Recommendation
The trust should review with social service colleagues how community teams implement the recovery approach and ensure concordance between the board level guidance and the approaches local teams are taking.