Source · Investigations in the NHS

Independent investigation: Leonne Weeks, Dinnington (2017)

North East and Yorkshire Incident 15 Jan 2017 Subject Leonne Weeks

Recent psychiatric patient repeatedly and fatally stabs teenage girl. Convicted of murder – Inquiry found failings in care

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

6 total

Recommendation

RDaSH should introduce either training and/or a mentoring programme for their adult mental health practitioners who are required to undertake out-of-hour assessments of young people in Accident and Emergency Departments, to ensure they have the required skills, competencies and knowledge … Read more

Recommendation

When RDaSH practitioners and clinical staff make a significant entry in a patient’s SystmOne records, such as a risk assessment or a change in the treatment plan, they should alert the patient’s primary care service, by email or telephone, that … Read more

Recommendation

RDaSH should undertake a review of the current CAMHS weekly clinical meetings in order to facilitate the attendance of the practitioners and the CAMHS named professional safeguarding children officer. Evidence of a review of the clinical meetings should be provided … Read more

Recommendation

RDaSH should undertake a comprehensive audit of the Rotherham CAMHS FACE assessments and care plans. This audit should be cross-referencing cases to the relevant practitioner’s clinical supervision documentation and, where relevant, the minutes of the weekly clinical meetings and monthly … Read more

Recommendation

RDaSH’s CAMHS should develop an overarching operational policy that includes comprehensive guidelines for completing CAMHS FACE assessments and care plans. Evidence of RDaSH introducing guidelines for completing FACE assessments and care plans within their CAMHS operational policy should be provided … Read more

Recommendation

RDaSH should convene a team risk training event for the Rotherham CAMHS team, which all clinical and managerial members of staff should be required to attend. Evidence that CAMHS team risk assessment training has taken place should be provided to … Read more