Recommendation · source text
Internal Action Plan: The recommendations and action plan to be reviewed to take account oftheexternalinvestigationadditionalfindings.
Source · Investigations in the NHS
Independent investigation: Enrique Parada- Blanco, Kingsbury (2008)
London
Incident 05 Jan 2008
Subject Enrique Parada- Blanco
Index summary
Paranoid schizophrenic fatally battered father with claw hammer. Recently released from MH hospital – many failings
Recommendations
Recommendation · source text
TheTrusttoensurethattheactionplancontinuestobemonitoredanditsprogressreported upwardsviagovernancereportingsystems.
Recommendation · source text
Leadership: Leadership training and within this mentoring should continue to develop to ensurethatallseniorclinicalleadershaveaccesstoleadershipdevelopment.
Recommendation · source text
Ethnicity and Culture: The Trust to continue its strategic approach to address carer involvement, culture, ethnicity and diversity and ensure via audits, monitoring and service userandcarerinvolvementthatculture,ethnicityanddiversityareaddressed.
Recommendation · source text
TheTrusttoensurethatlearningfromtheExternalPanelfindingsissharedacrossitsclinical services.
Recommendation · source text
The Trust to seek clarity on the national status of the series of Policy Implementation Guidancedocuments(PIG)inrelationtotheoptimumwayofdeliveringcareforpeoplewith anacutementalillness.
Recommendation · source text
Reconfigurationofservices:TheTrusttoensurethatcleargovernanceprocessesareinplace toensurethatclinicalcareisnotcompromisedasanoutcomeofreconfiguration.
Recommendation · source text
JADE – Electronic Care Record System: The Trust to address the concerns raised by staff in relationtoenteringqualitativeanddetailedinformationonthesystem.
Acceptance status
No Response Published
8
Total recommendations
8