Jump to 28 Recommendations

Independent investigation: Anita Bawtree, Southampton (2011)

South East
Incident 19 Apr 2011
Subject Anita Bawtree

Psychotic man fatally and repeatedly stabbed partner. Extensive Drug history. Recently released from MHA

Report PDF Hundred Families
Acceptance Status
No Response Published 28
Total Recommendations 28
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.

Recommendations (28)

1 All services involved in this review
No Response Published
Recommendation
All services involved in this review should ensure relevant staff are fully trained in identifying, assessing and responding to domestic abuse.
10 NHS Southampton (GP)
No Response Published
Recommendation
New patient registration forms to have a detailed section requesting information on the consumption of alcohol, over the counter medications, alternative medication and illicit drugs to facilitate lifestyle assessment and opportunistic signposting to appropriate drug and alcohol services. Read more
11 NHS Southampton (GP)
No Response Published
Recommendation
A greater correlation between the data available in the form of easily identifiable read codes and the information contained in individual patient records. Increase performance management of Primary Care services to ensure practices are complying with this mandatory process in … Read more
12 Southampton University Hospital Trust
No Response Published
Recommendation
Validate the 2011 update of management of domestic abuse guidelines.
13 Southampton University Hospital Trust
No Response Published
Recommendation
Ensure training re: management of domestic abuse is always included on the orientation for Emergency Department nurses and doctors.
14 Southampton University Hospital Trust
No Response Published
Recommendation
Include training re: management of domestic abuse on forthcoming Vulnerable Adult Champions Programme.
15 Southampton University Hospital Trust
No Response Published
Recommendation
Ensure that the record of referral from Emergency Department re: mental health problems is included on the patient’s electronic mental health records by the mental health team receiving the referral, regardless of whether the patient is seen in Emergency Department, … Read more
16 Southampton University Hospital Trust
No Response Published
Recommendation
Disseminate learning from this review at key Trust groups.
17 Southampton University Hospital Trust
No Response Published
Recommendation
Ensure clinical and non clinical staff have easy access to information and resources on all vulnerable adults issues.
18 Southampton University Hospital Trust
No Response Published
Recommendation
Facilitate access to specialist services for victims of domestic abuse when they attended the acute hospital site.
19 Southern Health Foundation Trust
No Response Published
Recommendation
Provide awareness for all staff groups of the recently developed domestic abuse policy including the availability of domestic abuse training throughout the trust.
2 Southampton Safe City Partnership
No Response Published
Recommendation
Southampton Safe City Partnership should ensure that the Pippa (Prevention, Intervention and Public Protection Alliance) project is implemented. This will provide a clear point of contact for workers seeking advice and information about domestic abuse cases and will provide a … Read more
20 The Society of St James
No Response Published
Recommendation
Each service within the Society to ensure that at least one member of staff attends specialist domestic violence training each year, if this is appropriate to the role of the service. This is in order to keep teams up to … Read more
21 Sovereign Kingfisher
No Response Published
Recommendation
Refresher domestic violence training for all Customer Service Advisors and Housing Officers.
22 Sovereign Kingfisher
No Response Published
Recommendation
Improved access to relevant policy and procedures.
23 Sovereign Kingfisher
No Response Published
Recommendation
Review effectiveness of induction process for new starters.
24 Sovereign Kingfisher
No Response Published
Recommendation
Have a specific module within the Sovereign training framework covering domestic abuse.
25 Sovereign Kingfisher
No Response Published
Recommendation
To access Hampshire domestic abuse training programme.
26 Options
No Response Published
Recommendation
Supervisors to attend DASH (Risk Assessment) and MARAC (Multi Agency Risk Assessment Conferences) training course.
27 Options
No Response Published
Recommendation
To ascertain how long client files should be kept before destruction.
28 Options
No Response Published
Recommendation
Refresher training for team on file management and codes of practice.
3 NHS Southampton
No Response Published
Recommendation
NHS Southampton should ensure that the IRIS (Identification and Referral to Improve Safety) project is implemented and sustained in the City to work closely with GP practices to improve identification and referral of domestic abuse cases. The project should involve … Read more
4 Key services including Health and the Local Authority
No Response Published
Recommendation
Key services including Health and the Local Authority should require specific standards in training for providers so that all professionals and practitioners are able to ensure domestic abuse identification, assessment and appropriate referral.
5 The Vulnerable Victims group
No Response Published
Recommendation
The Vulnerable Victims group should consider how agencies can respond more effectively to the cumulative impact of standard and medium risk cases for adults with compounding issues such as mental health and substance misuse as well as domestic abuse. To … Read more
6 Hampshire Constabulary
No Response Published
Recommendation
Force policies and procedures are amended to provide police officers with more guidance when dealing with suspects who have mental health issues.
7 Hampshire Constabulary
No Response Published
Recommendation
Force control room standard operating procedures are amended to provide clear risk based guidance on how to respond to calls from people with mental health issues.
8 NHS Southampton (GP)
No Response Published
Recommendation
Increase GP and practice staff awareness and identification of domestic violence, the potential effects on relationships / families and the service provision available for support and intervention. Develop close working relationships with domestic violence services (e.g. IDVA – Independent Domestic … Read more
9 NHS Southampton (GP)
No Response Published
Recommendation
Increase awareness of GP role and responsibility in Safeguarding Adults with the development and implementation of individual practice Safeguarding Adult Policy. This policy should include recognising and managing Domestic Violence.