Source · Investigations in the NHS

Independent investigation: Terrence Anthony Boyn(e)s, Bexley (2004)

London Incident 23 Jul 2004 Subject Terrence Anthony Boyn(e)s

Index summary

Homicide by mentally ill. Ind Inq. 2010

Recommendations

2 total
1 Addressed to: Trust No Response Published

Link to recommendation 1

Recommendation · source text
As per the Trust’s recommendation in the Internal Investigation Report the format of care plans for patients on standard CPA should be developed. However, since the incident subsequent updates have been made to the Trust-wide CPA policy. The Independent Investigation Team reviewed these polices to ensure that they addressed the issues raised in this cases.
2 Addressed to: Trust No Response Published

Link to recommendation 2

Recommendation · source text
Specific aspects of the use of CPA should be examined in future Trust audits. Drawing upon the findings of this Investigation and internal CPA audits, we recommend audit of the following areas:
• Supervision by team managers of the completion of care plans;
•
Timely completion of care plans;
• Recording of details of care coordinator;
• Recording of CPA level;
• Organisation and recording of discharge summaries and multi-
disciplinary CPA meetings.

Acceptance status

Per recommendation
No Response Published
2

Total recommendations
2
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.