Source · Investigations in the NHS

Independent investigation: Janet Frost, Meadowfielsd – County Hospital Durham (1999)

North East and Yorkshire Incident 04 Oct 1999 Subject Janet Frost

Index summary

MH homicide. Ind Inq 2003

Recommendations

10 total
8.1 Addressed to: Social services No Response Published

Link to recommendation 8.1

Recommendation · source text
Social services should review its processes for accepting referrals.
8.2 Addressed to: Social services No Response Published

Link to recommendation 8.2

Recommendation · source text
Social services should review its inter team working.
8.3 Addressed to: Social services No Response Published

Link to recommendation 8.3

Recommendation · source text
Social services should make more use of case review meetings.
8.4 Addressed to: The trust and social services No Response Published

Link to recommendation 8.4

Recommendation · source text
The trust and social services should review the inter relationship of substance misuse services across their organisations.
8.5 Addressed to: The trust and social services No Response Published

Link to recommendation 8.5

Recommendation · source text
The substance misuse team should be more integrated into the care management processes.
8.6 Addressed to: Social services No Response Published

Link to recommendation 8.6

Recommendation · source text
Social services should review its approach to looked after children where their parents have mental health or substance abuse problems.
8.7 Addressed to: Staff in both health and social services No Response Published

Link to recommendation 8.7

Recommendation · source text
Staff in both health and social services should be reminded of the need to take a holistic approach to care, and to work together effectively with partner agencies, including voluntary agencies.
8.8 Addressed to: Management of the trust No Response Published

Link to recommendation 8.8

Recommendation · source text
Management of the trust should ensure that the County Hospital has proper policies and guidance in place on key aspects, including breach of the patient contract, confiscation of alcohol, relationships between patients, contact with families and carers, leave arrangements, risk assessment, professional supervision, and discharge arrangements.
8.9 Addressed to: Management of the trust No Response Published

Link to recommendation 8.9

Recommendation · source text
Management of the trust should ensure that audit and monitoring arrangements are in place to ensure that the policies and guidance are being implemented.
8.10 Addressed to: The trust and social services No Response Published

Link to recommendation 8.10

Recommendation · source text
There should be steps taken to bring about better integration of the Drug and Alcohol team into the care planning processes.

Acceptance status

Per recommendation
No Response Published
10

Total recommendations
10
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.