Source · Investigations in the NHS

Independent investigation: Jane Edwards, Hanwood, Shrewsbury (2010)

Midlands Incident 14 Dec 2010 Subject Jane Edwards

Index summary

Psychotic man (who killed sister in 1985) fatally and stabs friend 50 times. Stopped Meds – Long MH history – released 2002

Recommendations

3 total
1 Addressed to: South Staffordshire and Shropshire Healthcare NHS Foundation Trust No Response Published

Link to recommendation 1

Recommendation · source text
In future, the trust should conduct a full case review as part of the transfer of care when it accepts a patient from a high secure setting. This case review should not simply accept the existing diagnosis but should challenge and review the diagnosis, treatment plans and the need for on-going forensic input.
2 Addressed to: South Staffordshire and Shropshire Healthcare NHS Foundation Trust No Response Published

Link to recommendation 2

Recommendation · source text
The trust should finalise the “Recovery: Service Development and Improvement Support Worker Guide for Divisions and Directorates” policy and the planned pilot to evaluate it.
3 Addressed to: South Staffordshire and Shropshire Healthcare NHS Foundation Trust No Response Published

Link to recommendation 3

Recommendation · source text
The trust should develop a system for monitoring investigation teams to ensure there are adequate resources to conduct the work identified in the Incident, Near Miss and Serious Incident Policy.

Acceptance status

Per recommendation
No Response Published
3

Total recommendations
3
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.