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Independent investigation into the care and treatment of Mr P: Published 10 June 2016

North West Published 10 Jun 2016 Trust Lancashire and South Cumbria NHS Foundation Trust Subject Mr P

This is the independent investigation into the care and treatment of Mr P , who attacked and killed a 17-year-old man on 1 January 2015. At the time of the death Mr P was receiving mental health services provided by 5 Boroughs Partnership NHS Foundation Trust. The associated action plans have been published by the relevant trusts:

Report PDF Action Plan NHS England Source
Jump to 5 recommendations

Acceptance status

Per recommendation
Action Plan Published
5
Total recommendations
5
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

Action plan published. Per-recommendation responses have not yet been extracted from the action plan. View action plan

1 Lancashire Care NHS Foundation Trust Action Plan Published
Recommendation
Lancashire Care NHS Foundation Trust should ensure that prisoners with known mental health problems are fully reviewed no later than in the first weekly mental health service allocation meeting following their primary care assessment in the prison.
2 Lancashire Care NHS Foundation Trust and Mersey Care NHS Trust Action Plan Published
Recommendation
Lancashire Care NHS Foundation Trust and Mersey Care NHS Trust should review the effectiveness of their systems for receiving information about prisoners from external agencies and entering it into the health care record. The aim should be to ensure that … Read more
3 5 Boroughs Partnership NHS Foundation Trust Action Plan Published
Recommendation
5 Boroughs Partnership NHS Foundation Trust should review the effectiveness of its policies and procedures for working in partnership with other agencies, including probation, where a service user has a known risk of domestic violence.
4 5 Boroughs Partnership NHS Foundation Trust Action Plan Published
Recommendation
Clear procedures should be built into 5 Boroughs Partnership NHS Foundation Trust’s Incident Management Policy to ensure that staff whose practice is subject to criticism have an opportunity to comment before the investigation is finalised. The policy should also provide … Read more
5 5 Boroughs Partnership NHS Foundation Trust Action Plan Published
Recommendation
5 Boroughs Partnership NHS Foundation Trust’s implementation of its Incident Management Policy should ensure that the outcome of an SI investigation is shared where possible and appropriate with all parties to the investigation.