Source · Investigations in the NHS

*Mental health homicide investigation legacy report into the care and treatment of Mr Y: May 2008

South East Published 01 May 2008 Trust Sussex Partnership NHS Trust Subject Mr Y

Index summary

This is the report of the independent investigation into the care and treatment of Mr Y . Mr Y had received care and treatment at Sussex Partnership NHS Foundation Trust and the Priory. There is also an executive summary available. Note: NHS England’s south region has published a mental health homicide legacy report. This was commissioned by the former strategic health authority, but not published before that organisation was abolished on 31 March 2013.

Recommendations

4 total
Four Addressed to: Sussex Partnership NHS Foundation Trust No Response Published

Link to recommendation Four

Recommendation · source text
The Trust should audit all new processes for effectiveness within six months of the publication of this report. The audit should ensure that Trust personnel attend MARAC meetings on a regular basis and should also serve to review how many cases have been referred to the police by the Trust and the consequent outcomes and lessons for learning.
One Addressed to: Sussex Partnership NHS Foundation Trust No Response Published

Link to recommendation One

Recommendation · source text
The Trust will ensure that all clinical policies and procedures are amended to instruct clinicians of the importance of providing a differential diagnosis where indicated as clinically appropriate. These amendments will also include instructions as to the importance of providing a clear formulation and the guidance for doing so.
Three Addressed to: Sussex Partnership NHS Foundation Trust No Response Published

Link to recommendation Three

Recommendation · source text
The Trust will conduct an audit to ascertain the effectiveness of its new arrangements.
These audits should be conducted within six months of the publication of this report and be developed in collaboration with commissioners. The Trust should:
 audit all referrals made to the forensic service over the past 18 months to ascertain service response against the new protocol;
 review all complaints about accessing forensic services with a particular focus on those referred to Clinical Director level;
 ascertain the success of the ‘ageless’ service approach by surveying service users and consulting with primary care.
Two Addressed to: Sussex Partnership NHS Foundation Trust No Response Published

Link to recommendation Two

Recommendation · source text
The Trust will conduct an audit of its risk assessment processes within six months of the publication of this report to determine:
 the compliance of all clinicians in the completion of risk assessments for every service user;
 the compliance of all clinicians in the development of risk management plans;
 the compliance of all clinicians in completing all risk assessment documentation and not using drafts in place of comprehensive records.

Acceptance status

Per recommendation
No Response Published
4

Total recommendations
4
About this data

Acceptance status records the published response to each recommendation. Acceptance does not establish that an action has been completed.

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.