Recommendation · source text
A consistent approach to clinical risk assessment should be developed across London (NB the London Mental Health Trust CEO Group is preparing a two year improvement programme in this area).
Source · Investigations in the NHS
Independent investigation: Martin Ellicot, Walthamstow (2006)
London
Incident 10 Mar 2006
Subject Martin Ellicot
Index summary
Homicide by homeless mentally ill. Indep Inq
Recommendations
Recommendation · source text
Exemplar practice regarding the procedures, management and governance arrangements of SUIs should be disseminated across the sector, as should wider learning from SUIs.
Recommendation · source text
Trust Boards should take the lead in ensuring that procedures, management and governance arrangements are clear, effective and well resourced.
Recommendation · source text
The Trust needs to ensure that all internal investigations are completed within 60 days utilising a root cause analyses methodology.
Recommendation · source text
Senior clinical input must be considered as part of the Multi Agency Public Protection Agency process. This input should take the form of a Consultant Psychiatrist.
Acceptance status
No Response Published
5
Total recommendations
5