Source · Investigations in the NHS

Independent report into the care of patient T: December 2015

East of England Published 01 Dec 2015 Trust Hertfordshire Partnership University NHS Foundation Trust

Patient T was found hanged at his home in January 2013 and his wife M was found apparently suffocated. At the time Patient T was under the care of Hertfordshire Partnership NHS Foundation Trust (HPFT).

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 Hertfordshire Partnership NHS Foundation Trust Action Plan Published
Recommendation
The outcome of primary care referrals should always be communicated back to the service user’s GP, and the GP should be kept informed of plans of care and progress through mental health services.
2 Hertfordshire Partnership NHS Foundation Trust Action Plan Published
Recommendation
Adherence to the Observation policy with respect to recording of clinical information and formal reviews should be monitored
3 Hertfordshire Partnership NHS Foundation Trust Action Plan Published
Recommendation
An information sharing agreement with Hertfordshire Police should be established.
4 Hertfordshire Partnership NHS Foundation Trust Action Plan Published
Recommendation
Information based on third party disclosures should be noted as such, and risk assessments should clearly note whether information is evidenced or not.
5 Hertfordshire Partnership NHS Foundation Trust Action Plan Published
Recommendation
The Trust should develop a strategy to ensure the safeguarding policy incorporates domestic abuse, and that staff fully understand and implement the policy .