Recommendation · source text
Internal review terms of reference involving serious incidents to have an objective to compare clinical practice against national and local policies
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
Index summary
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.
Recommendations
Recommendation · source text
The recommendation in relation to Carer assessments to be expanded to ensure Carers are included in all aspects of clinical assessments and care planning.
Recommendation · source text
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.
Recommendation · source text
A further safeguarding recommendation to ensure staff are actively involved in all relevant aspects of the safeguarding process
Recommendation · source text
Police Liaison Policies, Procedures and staff compliance to be reviewed.
Recommendation · source text
Clinical Leadership to be reviewed to ensure it is effective and accessible to all relevant staff.
Recommendation · source text
A review to be carried out to assess clinical staff understanding and management of both alcohol misuse and self harm behaviour and management.
Recommendation · source text
The internal action plan to continue to be monitored to ensure the Trust is satisfied that all actions are evidenced as completed.
Acceptance status
No Response Published
8
Total recommendations
8