Source · Investigations in the NHS

Independent investigation: John McCarthy, Waterlooville (2009)

South East Incident 02 Jul 2009 Subject John McCarthy

Index summary

Deluded Paranoid Schizophrenic fatally stabbed friend thinking he was on mission to assassinate IRA. Long MH History – recently released from Psych hospital

Recommendations

2 total
Addressed to: HPFT No Response Published

Link to recommendation 1

Recommendation · source text
Following discussions with the SHA and HPFT during our review, it is our recommendation that further work should be undertaken to assist HPFT to identify in more detail the cultural and managerial changes that are required within the AOT in relation to risk assessment and management as well as broader managerial and practice matters. This could take the form of a brief review of current management, custom and practice within the AOT, specifying the potential changes needed to improve management and practice, and to provide focused support to implement those changes including direct work with AOT staff.
Addressed to: SHA and HPFT No Response Published

Link to recommendation 2

Recommendation · source text
We also recommend that the SHA and HPFT liaise with the PCT to consider how best it can engage more fully in the monitoring of the action plan implementation process, and what role it could or should take in any potential future case reviews.

Acceptance status

Per recommendation
No Response Published
2

Total recommendations
2
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.