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
Index summary
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).
Recommendations
Action plan published. Per-recommendation responses have not yet been extracted from the action plan. View action plan
Recommendation · source text
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.
Recommendation · source text
Adherence to the Observation policy with respect to recording of clinical information and formal reviews should be monitored
Recommendation · source text
An information sharing agreement with Hertfordshire Police should be established.
Recommendation · source text
Information based on third party disclosures should be noted as such, and risk assessments should clearly note whether information is evidenced or not.
Recommendation · source text
The Trust should develop a strategy to ensure the safeguarding policy incorporates domestic abuse, and that staff fully understand and implement the policy .
Acceptance status
Action Plan Published
5
Total recommendations
5