Source · Investigations in the NHS

Independent investigation: Melanie Welch (Ms B), Redhill, Surrey (2001)

South East Incident 11 Aug 2001 Subject Melanie Welch (Ms B)

depressive MH patient strangled his partner. Ind Inq 2005

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

7 total

Recommendation

We recommend that Surrey Oaklands NHS Trust reviews its ‘Incident Management Policy’ to ensure that:- A senior manager is designated to provide support and information to families following a serious untoward incident and guidance is provided for anyone undertaking the … Read more

Recommendation

The panel recommends a further dialogue between Surrey Oaklands NHS Trust and the Primary Care Trusts in relation to the provision of mental health services, including: Clarifying the roles and responsibilities of frontline staff; referral processes and access; what the … Read more

Recommendation

The panel recommends a further review of the operation of the Care Programme Approach with particular reference to administrative support, training of staff and audit. It is essential that:- Clear trigger points in the CPA process require staff to discuss … Read more

Recommendation

We recommend that the Trust should develop a domestic violence protocol, in conjunction with relevant local agencies, as part of the national agenda to aid practitioners in deciding how to respond to situations of known or suspected domestic violence. Read more

Recommendation

We recommend:- That the Trust initiates a debate amongst its senior clinicians to review their roles within the organisation and with clinical teams. Part of this review must include workload and numbers of consultants, with reference to the Royal College … Read more

Recommendation

We recommend that the Trust ensures a robust system is in place for staff at the ‘Safe House’ to summon help to this stand alone unit.

Recommendation

We recommend the introduction of a system for reviewing all actions, (taken and proposed), at the end of the duty session with a senior clinician.