Source · Investigations in the NHS

Independent investigation: William Kean, Canning Town (2004)

London Incident 28 Jun 2004 Subject William Kean

MH patient repeatedly and fatally batters grandfather. Ctitical Ind Inq

Acceptance status

Per recommendation

No Response Published

Total recommendations

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

Recommendation

It is recommended that the Trust ensure that all relevant staff are compliant with the training provided by the Trust that takes into account safeguarding both adults and children when assessing risk and planning care. This should remain part of … Read more

Recommendation

Given the recommendation above in relation to Information Sharing, it is recommended that a risk history with details of violent incidents is incorporated in any clinical care planning process. The application of this should be audited as part of the … Read more

Recommendation

It is recommended 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 that all … Read more

Recommendation

It is recommended that the Trust provides Dual Diagnosis training to all clinical staff and that this training is audited as to its effectiveness.

Recommendation

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 with a detailed list of … Read more