Source · Investigations in the NHS

*Mental health homicide investigation legacy report into the care and treatment of Mrs G

South East Published 01 Jul 2014 Subject Mrs G

This is the report of the independent investigation into the care and treatment of Mrs G . At the time of the homicide (2010) Mrs G received care and treatment from Surrey & Borders Partnership Foundation Trust. 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.

Acceptance status

Per recommendation
No Response Published
8

Total recommendations
8
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

8 total
1 Surrey and Borders Partnership Foundation Trust No Response Published
Recommendation
Internal review terms of reference involving serious incidents to have an objective to compare clinical practice against national and local policies
2 Surrey and Borders Partnership Foundation Trust No Response Published
Recommendation
The recommendation in relation to Carer assessments to be expanded to ensure Carers are included in all aspects of clinical assessments and care planning.
3 Surrey and Borders Partnership Foundation Trust No Response Published
Recommendation
The recommendation in relation to staff attending safeguarding meetings should be expanded to ensure clear and effective communication systems for all services involved in the care of a patient and where appropriate significant others.
4 Surrey and Borders Partnership Foundation Trust No Response Published
Recommendation
A further safeguarding recommendation to ensure staff are actively involved in all relevant aspects of the safeguarding process
5 Surrey and Borders Partnership Foundation Trust No Response Published
Recommendation
Police Liaison Policies, Procedures and staff compliance to be reviewed.
6 Surrey and Borders Partnership Foundation Trust No Response Published
Recommendation
Clinical Leadership to be reviewed to ensure it is effective and accessible to all relevant staff.
7 Surrey and Borders Partnership Foundation Trust No Response Published
Recommendation
A review to be carried out to assess clinical staff understanding and management of both alcohol misuse and self harm behaviour and management.
8 Surrey and Borders Partnership Foundation Trust No Response Published
Recommendation
The internal action plan to continue to be monitored to ensure the Trust is satisfied that all actions are evidenced as completed.