Source · Investigations in the NHS

Independent investigation: Margaret Ford, Templeton, Pembs (2009)

Wales Incident 18 May 2009 Subject Margaret Ford

Paranoid Schizophrenic fatally and repeatedly stabs mother then cuts her throat. Long MH History – Family critical

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

4 total

Recommendation

On a strategic level Hywel Dda Health Board and Pembrokeshire County Council Board should jointly: • Enhance arrangements for joint working at a strategic and joint planning level between mental health services and social services for example, to look at … Read more

Recommendation

In relation to CPA, Hywel Dda Health Board and where appropriate, due to an involvement in the co-ordination and provision of care, Pembrokeshire County Council need to ensure: • Improved clinical team meeting structures to allow for improved review of … Read more

Recommendation

In relation to FACE, Hywel Dda Health Board needs to ensure that: • A thorough evaluation and review of the fitness for purpose of FACE system and thorough training of all staff in its use is undertaken. • Historical paper … Read more

Recommendation

In relation to the function of the CMHT and CRHT, Hywel Dda Health Board and, where appropriate, Pembrokeshire County Council should: • Review the availability and implementation of clinical and managerial supervision to ensure that staff are appropriately supported. • … Read more