Source · Investigations in the NHS

Independent investigation: Jonathan Ellison, Brighton (2011)

South East Incident 08 Apr 2011 Subject Jonathan Ellison

Mental Health Patient fatally batters vulnerable man. Long Forensic history, D&A problems, PD

Acceptance status

Per recommendation

No Response Published

Total recommendations

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

Recommendation

The Trust will ensure that all clinical policies and procedures are amended to instruct clinicians of the importance of providing a differential diagnosis where indicated as clinically appropriate. These amendments will also include instructions as to the importance of providing … Read more

Recommendation

The Trust will examine all extant clinical policies and procedures to ensure that NICE guidance is embedded within them. The Trust training and development needs analyses will be constructed to ensure that an explicit link is made to the requirements … Read more

Recommendation

The Trust will conduct a review of the role of Lead Practitioner and Care Coordinator within the Assessment and Treatment Centres in light of the requirements of CPA. This has been raised in Brighton and Hove and is being considered … Read more

Recommendation

The Trust will conduct an audit of its risk assessment processes within six months of the publication of this report to determine: o the compliance of all clinicians in the completion of risk assessments for every service user; o the … Read more

Recommendation

The Trust will conduct an audit in conjunction with Primary Care stakeholders to ascertain the timeliness of referral processes. This audit to be completed within six months of the publication of this report. The Trust will ensure that referral pathways … Read more

Recommendation

The Trust will: o review its vulnerable adults policy to ensure that a scenario such as that presented by Mr. X’s mother is addressed; o review current vulnerable adult training and supervision processes to ensure that the vulnerability of the … Read more

Recommendation

The Trust will: o ensure that all relevant policies and procedures are reviewed, and amended where necessary, to ensure that all clinical staff are advised of the importance of copying in service users to all clinical letters and communications; o … Read more

Recommendation

The Trust will ensure that all relevant policies and procedures are reviewed, and amended where necessary, to ensure that all clinical staff are advised of the importance of recording the clinical decision making process and rationale within each service user’s … Read more