Source · Investigations in the NHS

Independent investigation: Shaun O’Neill, Modbury (2013)

South West Incident 19 Jan 2013 Subject Shaun O’Neill

Paranoid schizophrenic fatally strangles then stabs young son. Long MH history, prev. inpatient

Acceptance status

Per recommendation
No Response Published
7

Total recommendations
7
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
1 Adult Services No Response Published
Recommendation
All services engaged primarily with adults to develop practice tools that will assist staff to identify the risks that adults may pose to their children. All agencies working with adults must make their own assessment of risk to children and … Read more
2 Multi-agency No Response Published
Recommendation
Where there is a risk of further illness in the parent that is likely to have an effect on the child/children, a multi-agency meeting should be called. The purpose of this meeting is to jointly assess the potential impact on … Read more
3 GP practices No Response Published
Recommendation
GP practices need to find ways to receive and respond to indicators of risk to children, including incidents of domestic violence. A nominated Senior person within every GP practice is to ensure that there is a recognised and effective system … Read more
4 GP practices No Response Published
Recommendation
A process should be commissioned to enable GP practices to receive police 121A’s.
5 MASH review/MASH Board No Response Published
Recommendation
The findings from this Serious Case Review relating to the MASH should be referred to the current MASH review/MASH Board.
6 MARAC and its member agencies No Response Published
Recommendation
An appropriate representative from all agencies who are signed up to the MARAC operating protocol should ensure regular and effective attendance at all MARAC meetings. Alongside the assessment of risk to the adult victim, the risk to children should be … Read more
7 DSCB No Response Published
Recommendation
The DSCB will receive an annual report from MARAC with specific reference to the identification of risk to children and the appropriate referral of children to the MASH in incidents where the risk meet the threshold for social care intervention.