Source · Investigations in the NHS

Independent investigation: Lynda Lovatt, South Shields (2004)

North East and Yorkshire Incident 18 Jun 2004 Subject Lynda Lovatt

MH patient fatally stabbed partner 40 times.. Parents had taken him to be sectioned hours earlier but released.

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

5 total

Recommendation

The alcohol issue There was evidence that two GPs in one practice in South Tyneside and a number of clinicians working in South Tyneside failed to understand the significance of alcohol dependency or misuse in the assessment and treatment of … Read more

Recommendation

Evidence based practice Primary care services for mental health patients are relatively new. The inquiry considers that it is vitally important that the patient receives the most appropriate treatment available. This should be evidence based. In Craig Sexton’s case, when … Read more

Recommendation

Recording and communication issues Record keeping by most agencies was good. The manual handwritten nature of the GP records could be considerably improved and should be with the benefit of computer technology. Practitioners should be more prepared to pick up … Read more

Recommendation

Crisis assessment and treatment service The inquiry was impressed with the crisis assessment and treatment service as and its clinical competence. The inquiry was concerned about some aspects of the prescribing policy whereby doctors could prescribe medication without having seen … Read more

Recommendation

Personal advisors service The quality of records and level of supervision in the personal advisors service was not up to expected standard. The strategic health authority is recommended to ensure that supervision arrangements are reviewed for personal advisors service trainees … Read more