Source · Investigations in the NHS

Independent investigation: Faith Lovemore (6 wks), Cambridge (2009)

East of England Incident 17 Jun 2009 Subject Faith Lovemore (6 wks)

Mentally ill woman kills baby. MH History

Acceptance status

Per recommendation

No Response Published

Total recommendations

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

9 total

Recommendation

Where a person has the care of, or regular contact with, a baby or young child and s/he has a mental illness or it is reasonable to assume that their mental illness is likely to recur: • a clear crisis … Read more

Recommendation

Where a service user has fundamental and unusual religious beliefs to which they totally adhere, the clinicians might debate what the delusions and ideation of the parents were, but from a clinical perspective should determine whether the Mental Health Act … Read more

Recommendation

A relapse signature should be identified for all service users as part of their risk assessment: • this should be readily available to all relevant clinical staff; • it should be used routinely in monitoring the individual’s mental health and … Read more

Recommendation

Families or individuals must not be deprived of appropriate clinical services because their beliefs make them difficult to engage. The following must be considered: • the Trust is responsible for ensuring appropriate provision is made to engage those who are … Read more

Recommendation

The Trust must ensure that people who doubt or reject their diagnosis of mental ill health are assertively followed up by community services, especially if they have psychosis and/or are likely to relapse. The following should be considered: • work … Read more

Recommendation

The Trust has a responsibility to ensure that its policies including its Transfer of Cases Policy are being implemented in a consistent and appropriate manner: • the Trust should have in place systems, including both regular and unannounced audit, to … Read more

Recommendation

The Trust needs to help staff to work with the carer of a service user with mental ill health who is viewed as intimidating and who may be unreliable in summoning help should there be a crisis. The Trust must: … Read more

Recommendation

Where a service user does not comply with clinical advice about their mental ill health and their child is subject to a Child Protection Plan formal steps must be taken to ensure the child’s/or childrens’ safety needs are met. The … Read more

Recommendation

The Trust must as a matter of urgency ensure that all staff are aware that, under the remit of the Mental Health Act 1983 (as amended 2007), if there is concern about a service user relapsing they are legitimately able … Read more