Source · Investigations in the NHS

Independent investigation: Sergio Marquez, Bournemouth (2012)

South West Incident 17 Jul 2012 Subject Sergio Marquez

Paranoid schizophrenic repeatedly and fatally stabs flatmate and mutilates body. London patient, had absconded from Huntley MH unit months before

Acceptance status

Per recommendation
No Response Published
4

Total recommendations
4
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 Four The Trust No Response Published
Recommendation
In order to comply with its obligation to inform the CQC of unauthorised absences relating to patients who are the subject of detention under the terms of the Mental Health Act 1983, the Independent Investigation Team recommends that the Trust … Read more
Recommendation One The Trust No Response Published
Recommendation
The Trust reviews its policies and procedures in order to ensure that clinicians and staff are aware of the occurrence of, and can act appropriately upon the return to the hospital of, an individual who had been AWOL. In particular, … Read more
Recommendation Three The Trust No Response Published
Recommendation
The Independent Investigation Team recommends that the Trust address the prescribing of Section 17 leave in Mental Health Act training. The Trust must ensure that its staff and clinicians comply with the requirements relating to “leave” as set out in … Read more
Recommendation Two The Trust No Response Published
Recommendation
The Independent Investigation Team recommends that the significance of validating records is highlighted in record-keeping policy, and in training.