An independent investigation into the care and treatment of service user Mr X in Derbyshire
MidlandsThe investigation was prompted by the death of a 34 year-old man in 2017 and was commissioned by NHS England once all related criminal proceedings had been concluded. The purpose of the investigation is to help the NHS and partners understand if there are lessons that could be learned that could prevent something similar happening in the future.
Recommendations (3)
1
NHS Derby & Derbyshire CCG, Derbyshire Healthcare NHS Foundation Trust, Derventio Housing Trust
No Response Published
Recommendation
To implement effective multi-agency management of patients that may present long-term risks.
2
Derbyshire Healthcare NHS Foundation Trust
No Response Published
Recommendation
To review and standardise the role of the Care Co-ordinator.
3
NHS Derby & Derbyshire CCG, NHS England
No Response Published
Recommendation
To consider the need for development of a dedicated community forensic team and high support hostel for the population of Derbyshire.