Source · Investigations in the NHS

Independent investigation: Roy Barber, Chiswick (2006)

London Incident 04 Feb 2006 Subject Roy Barber

Index summary

Schizophrenic fatally and repeatedly stabs care home resident. MH history

Recommendations

3 total
Recommendation One Addressed to: West London Mental Health NHS Trust No Response Published

Link to recommendation Recommendation One

Recommendation · source text
It was found that the criminal records relating to Mr LM were not readily available or known by the care teams involved in his treatment. It is recommended that when an individual is admitted via the police that information regarding criminal activity is requested by the admitting team. To facilitate this it is further recommended that a joint protocol between the police and Trust be developed.
Recommendation Three Addressed to: West London Mental Health NHS Trust No Response Published

Link to recommendation Recommendation Three

Recommendation · source text
In accordance with best practice and to ensure that staff have the opportunity to check that the evidence they have given to internal reviews is accurate and reflects the issues that they wish to raise it is recommended that all interviews undertaken for internal reviews are recorded and transcribed.
Recommendation Two Addressed to: West London Mental Health NHS Trust No Response Published

Link to recommendation Recommendation Two

Recommendation · source text
In Mr LM’s case there were found to be omissions and misinformation relating to his clinical and forensic history. It is recommended that a summary sheet is developed to be sited at the front of patients’ records and updated on a regular basis. This should include:
o Current and Diagnostic History
o Risk History
o Risk Management Plan
o Changing diagnosis if relevant
o What medication worked well and problems with medication including allergic reactions
o Admission history
o Markers for relapse
o Signs of relapse
o Contingency plans to manage relapse
o Current care team and contact details

Acceptance status

Per recommendation
No Response Published
3

Total recommendations
3
About this data

Acceptance status records the published response to each recommendation. Acceptance does not establish that an action has been completed.

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.