Source · Investigations in the NHS

Independent investigation: Kelly Franklin, Hartlepool (2018)

North East and Yorkshire Incident 03 Aug 2018 Subject Kelly Franklin

Index summary

Mentally disordered man repeatedly and fatally stabs ex-partner. Considered so risky female staff told not to see him alone – convicted of murder

Recommendations

5 total
1 Addressed to: TEWV No Response Published

Link to recommendation 1

Recommendation · source text
In order to obtain assurance that the improvements in risk assessments are fully embedded within the affective disorder service that a quality assurances audit is undertaken. TEWV should provide evidence at Sancus Solutions’ quality assurance review that this recommendation has been implemented.
2 Addressed to: TEWV No Response Published

Link to recommendation 2

Recommendation · source text
TEWV needs to undertake an audit of the affective disorder service to review compliance with its Care Programme Approach and Standard Care Policy. TEWV should provide evidence at Sancus Solutions’ quality assurance review that this recommendation has been implemented.
3 Addressed to: TEWV No Response Published

Link to recommendation 3

Recommendation · source text
An audit of the affective disorder service’s patient records should be undertaken to ascertain if there have been improvements in multi-agency communication, information sharing and record keeping. TEWV should provide evidence at Sancus Solutions’ quality assurance review that this recommendation has been implemented.
4 Addressed to: TEWV No Response Published

Link to recommendation 4

Recommendation · source text
TEWV should report the progress they have made on implementing their Domestic Homicide Review’s recommendations at Sancus Solutions’ quality assurance review.
5 Addressed to: TEWV No Response Published

Link to recommendation 5

Recommendation · source text
TEWV should hold a learning event for the involved practitioners and operational managers to discuss the findings of the trust’s submitted individual management review and the Domestic Homicide Review.

Acceptance status

Per recommendation
No Response Published
5

Total recommendations
5
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.