Source · Investigations in the NHS

Independent investigation: Edwin Whatsize, Glen Parva (2019)

Midlands Incident 02 Jul 2019 Subject Edwin Whatsize

Index summary

Mentally disordered man repeatedly and fatally stabs grandfather. Diminished responsibility

Recommendations

3 total
12.1 Addressed to: Leicestershire Partnership NHS Trust and the police No Response Published

Link to recommendation 12.1

Recommendation · source text
Our first recommendation is designed to improve knowledge and practice when NHS and police staff overlap and when operational manners and procedures challenge patients. We urge the Trust and the police to discuss together (for example, in a workshop or a series of seminars focused on best practice) how they might consider developing knowledge, understanding and improve practice when patients need to be taken to the Health Based Place of Safety (HBPOS) under S.136 of the MHA and/or who are already detained under Section of the MHA and need help to be returned to hospital.
12.2 Addressed to: Leicestershire Partnership NHS Trust No Response Published

Link to recommendation 12.2

Recommendation · source text
Our second recommendation concerns the need for Trust clinical teams and leaders to improve learning, awareness, motivation and responsiveness to safeguarding practice. Whilst safeguarding staff, policy and systems exist in the Trust, operational routine practice is not currently embedded. We recommend that the Trust should take action and demonstrate metrics as well as qualitative feedback within six months.
12.3 Addressed to: Leicestershire Partnership NHS Trust No Response Published

Link to recommendation 12.3

Recommendation · source text
Our third recommendation concerns the impact of the community transformation. Our team recommends that the Trust should show how basic care processes (e.g., care planning, risk assessment, and access to outpatient appointments, etc.) are being delivered during the transformation. Our team urges particular special attention to the quality and content of risk assessment, an area of concern in X’s case.

Acceptance status

Per recommendation
No Response Published
3

Total recommendations
3
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.