Source · Investigations in the NHS

Independent investigation: Harry Upton, Culcheth, Warrington (2002)

North West Incident 29 May 2002 Subject Harry Upton

Former MH patient fatally stabs pensioner during burglary. Ind Inq 2005

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 PCT Board No Response Published
Recommendation
It is recommended that the Board notes the report.
2 PCT Board No Response Published
Recommendation
It is recommended that the Board monitors the actions identified for 5 Boroughs Partnership and requests confirmation that they are completed.
3 PCT Board No Response Published
Recommendation
It is recommended that the Board notes the report.
4 PCT Board No Response Published
Recommendation
It is recommended that the Board monitors the actions identified for 5 Boroughs Partnership and requests confirmation that they are completed.
9.1 5 Boroughs Partnership NHS Trust No Response Published
Recommendation
The Trust should consider the delivery of a more responsive CAMH Service to patient’s such as DC. The RCA team recommends that a review is conducted by the Trust of the demands and resources within CAMHS to ensure they are … Read more
9.2 5 Boroughs Partnership NHS Trust No Response Published
Recommendation
A system of clear and effective care co-ordination should be introduced similar to that found with the adult CPA process whereby there is effective communication and care management via a keyworker between the various agencies involved in a young person’s … Read more
9.3 5 Boroughs Partnership NHS Trust No Response Published
Recommendation
A system of clear and standardised risk assessment should be included in a young person’s care plan. Risk assessment should then be carried out at regular intervals at locations that are appropriate and the process documented as such in order … Read more
9.4 5 Boroughs Partnership NHS Trust No Response Published
Recommendation
The RCA team recommends that the Trust conducts a review of its referral process to assess whether the ‘opt in’ system is the most appropriate arrangement for both new and existing service user populations. It should consider whether non-attendance is … Read more