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Independent investigation: Leslie Brown, Warrington (2006)

North West Incident 28 Sep 2006 Subject Leslie Brown

Paranoid Schizophrenic fatally stabs neighbour after failing to take meds

Report PDF Hundred Families
Jump to 2 recommendations

Acceptance status

Per recommendation
No Response Published
2
Total recommendations
2
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

2 total
1 5 Boroughs Partnership NHS Foundation Trust No Response Published
Recommendation
It is recommended that 5 Boroughs Partnership NHS Foundation Trust commissions an audit across its adult services to determine the reliability with which service users are monitored appropriately following a change from depot anti-psychotic medication to an oral equivalent. The … Read more
2 the Trust‟s Clinical Governance and Clinical Risk Committee No Response Published
Recommendation
In this case even though Mr M‟s consultant psychiatrist had reviewed all his records, that were available to her, before changing his medication she did not identify that Mr M was a known potential risk of harm to others when … Read more