Source · Investigations in the NHS

Independent investigation: Elizabeth Cook, Langley, Berks (2006)

South East Incident 23 Apr 2006 Subject Elizabeth Cook

Index summary

Paranoid schizophrenic fatally stabs mother. Ind Inq 2006

Recommendations

4 total
1 Addressed to: Managers (Berkshire Healthcare NHS Trust) No Response Published

Link to recommendation 1

Recommendation · source text
Standard CPA cases should be reviewed to identify any cases where the service user lives with a family member and has a history including psychotic episodes and risky behaviour; where this applies, consideration should be given to reviewing whether the CPA level is appropriate and whether there has been adequate communication with family members.
2 Addressed to: Managers (Berkshire Healthcare NHS Trust) No Response Published

Link to recommendation 2

Recommendation · source text
Steps should be taken to ensure that family members in close contact with a service user on standard CPA are made aware of the existence of the Crisis Resolution Service, and how to access it.
3 Addressed to: Managers (Berkshire Healthcare NHS Trust) No Response Published

Link to recommendation 3

Recommendation · source text
Recording practice in the Access Team should be checked.
4 Addressed to: Managers (Berkshire Healthcare NHS Trust) No Response Published

Link to recommendation 4

Recommendation · source text
The deficiencies apparent during Mark’s second admission to Wexham Park Hospital should be brought to the attention of the hospital clinical team so that the risk of recurrence of can be evaluated and addressed if appropriate.

Acceptance status

Per recommendation
No Response Published
4

Total recommendations
4
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.