Source · Investigations in the NHS

Independent investigation: Enrique Parada- Blanco, Kingsbury (2008)

London Incident 05 Jan 2008 Subject Enrique Parada- Blanco

Paranoid schizophrenic fatally battered father with claw hammer. Recently released from MH hospital – many failings

Acceptance status

Per recommendation
No Response Published
8

Total recommendations
8
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

8 total
1 The Trust No Response Published
Recommendation
Internal Action Plan: The recommendations and action plan to be reviewed to take account oftheexternalinvestigationadditionalfindings.
2 The Trust No Response Published
Recommendation
TheTrusttoensurethattheactionplancontinuestobemonitoredanditsprogressreported upwardsviagovernancereportingsystems.
3 The Trust No Response Published
Recommendation
Leadership: Leadership training and within this mentoring should continue to develop to ensurethatallseniorclinicalleadershaveaccesstoleadershipdevelopment.
4 The Trust No Response Published
Recommendation
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.
5 The Trust No Response Published
Recommendation
TheTrusttoensurethatlearningfromtheExternalPanelfindingsissharedacrossitsclinical services.
6 The Trust No Response Published
Recommendation
The Trust to seek clarity on the national status of the series of Policy Implementation Guidancedocuments(PIG)inrelationtotheoptimumwayofdeliveringcareforpeoplewith anacutementalillness.
7 The Trust No Response Published
Recommendation
Reconfigurationofservices:TheTrusttoensurethatcleargovernanceprocessesareinplace toensurethatclinicalcareisnotcompromisedasanoutcomeofreconfiguration.
8 The Trust No Response Published
Recommendation
JADE – Electronic Care Record System: The Trust to address the concerns raised by staff in relationtoenteringqualitativeanddetailedinformationonthesystem.