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

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 … Read more 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. Show less

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.

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.