Source · Investigations in the NHS

Independent investigation: Myrna Kirby, Cheshunt (2013)

East of England Incident 11 Jan 2013 Subject Myrna Kirby

Depressed man smothers wife and kills himself

Acceptance status

Per recommendation
No Response Published
5

Total recommendations
5
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
1 The Trust No Response Published
Recommendation
The outcome of primary care referrals should always be communicated back to the service user’s GP, and the GP should be kept informed of plans of care and progress through mental health services.
2 The Trust No Response Published
Recommendation
Adherence to the Observation policy with respect to recording of clinical information and formal reviews should be monitored
3 The Trust No Response Published
Recommendation
An information sharing agreement with Hertfordshire Police should be established.
4 The Trust No Response Published
Recommendation
Information based on third party disclosures should be noted as such, and risk assessments should clearly note whether information is evidenced or not.
5 The Trust No Response Published
Recommendation
The Trust should develop a strategy to ensure the safeguarding policy incorporates domestic abuse, and that staff fully understand and implement the policy .