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Independent investigation: Edward Shaw, Ladbroke Grove (2006)

London Incident 01 Oct 2006 Subject Edward Shaw

Mentally ill woman with history of substance abuse repeatedly and fatally stabs friend. History of previous violence

Report PDF Hundred Families
Jump to 4 recommendations

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
Four Central and North West London NHS Foundation Trust No Response Published
Recommendation
It is recommended that the Trust audit the impact of Dual Diagnosis and Personality Disorder Services on the client group held by the CMHTs.
One Central and North West London NHS Foundation Trust No Response Published
Recommendation
It is recommended that following the development of integrated records, and particularly with the imminent implementation of JADE, that regular audits of care plans, summaries and the rationale for decision taking is made. It is particularly important that the information … Read more
Three Central and North West London NHS Foundation Trust No Response Published
Recommendation
In Ms BK’s case there were found to be omissions and misinformation relating to her clinical history. It is recommended that a summary sheet is developed to be sited at the front of patients’ records and updated on a regular … Read more
Two Central and North West London NHS Foundation Trust No Response Published
Recommendation
It is recommended that the Trust follow through their ambition to provide Dual Diagnosis services in-house and training to all staff.