Source · Investigations in the NHS

Independent care and treatment review into the care and treatment provided to Mr AS

Midlands Published 01 May 2019 Subject Mr A

Patient Mr AS took his life in October 2013 following a long and complex history of mental health illness. The purpose of the review was to fully consider the care and treatment provided to Mr AS and to make recommendations for further action where appropriate.

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

4 total

Recommendation

Each NHS Trust should review the manner in which it shares patient information with external investigators. Consideration should also be given to the implications of sharing such documentation with other third parties e.g. families and other Trusts. Patient information should … Read more

Recommendation

All healthcare professionals should take into consideration the implications of criminal proceedings on a service user as part of any broader assessment of mental health and well-being.

Recommendation

Somerset Partnership NHS Foundation Trust and Devon Partnership NHS Trust should review and ratify a Taser policy for their Trust that covers:  Immediate aftercare  Patient monitoring (physical and psychological)  Escalation criteria (e.g. further medical review)  Recognition … Read more

Recommendation

Each Trust should set out a programme of evaluation and assessment, revisiting all aspects of their action plan to ensure that changes have been implemented and are monitored. As part of this process we recommend that particular attention be given … Read more