Independent investigation: Beatrice Hughes, Harrow (1997)
LondonMH patient fatally punched kicked & stamped on pensioner during burglary. Ind Inq 2000
Recommendations (26)
1
Harrow & Hillingdon Healthcare NHS Trust and Harrow Social Services
No Response Published
Recommendation
Harrow & Hillingdon Healthcare NHS Trust and Harrow Social Services ensure that any history of alcohol and/or drug misuse is included in all risk assessment processes.
1
Harrow & Hillingdon Healthcare Trust and Harrow Social Services
No Response Published
Recommendation
Individuals who have co-morbidity problems. (i.e. mental illness, substance misuse and criminal behaviour), should receive an enhanced care programme which is based on multi-disciplinary and multi-agency assessment; and care co-ordinators should ensure that joint reviews are undertaken, at least six …
Read more
1
Harrow & Hillingdon Healthcare Trust and Harrow Social Services
No Response Published
Recommendation
Harrow & Hillingdon Healthcare Trust and Harrow Social Services should ensure that quality assurance monitoring is in place and that the statutory provisions relating to the needs of carers, and standards set under the National Standards Framework for Mental Health …
Read more
1
Department of Health
No Response Published
Recommendation
the Department of Health should consider the preparation of national guidance on the care of those mentally diso'rdered offenders who abuse substances.
1
Middlesex Probation Service
No Response Published
Recommendation
Middlesex Probation Service ensure that its staff only propose to Courts the making of a Community Service Order for a person suffering with a mental disorder after consultation with the appropriate specialist medical staff from the mental health services.
Read more
1
Brent & Harrow Health Authority and Harrow Social Services
No Response Published
Recommendation
Brent & Harrow Health Authority and Harrow Social Services review operations to ensure that the co-operation of voluntary agencies with a contribution to make towards people with mental health needs who misuse drugs and alcohol is being sought pursuant to …
Read more
a.
Harrow & Hillingdon Healthcare NHS Trust
No Response Published
Recommendation
Whenever a medical member of a clinical team assesses a person at their and their carer's urgent request for psychiatric hospital admission, (a) a consultant psychiatrist is consulted before a decision not to admit is taken, and (b) there is …
Read more
a.
Brent and Harrow Health Authority and Harrow Council
No Response Published
Recommendation
Brent and Harrow Health Authority and Harrow Council review their joint guidance on the implementation of their duties under Section 117 of the Mental Health Act 1983
a.
Harrow & Hillingdon Healthcare Trust and Harrow Social Services
No Response Published
Recommendation
ensure that Department of Health Circular LAC(93)2 and subsequent central guidance on Drug and alcohol misuse issues relating to community care assessments and service provision are being fully implemented, and that past barriers to service provision identified in this Inquiry …
Read more
a.
Harrow Council
No Response Published
Recommendation
Harrow Council ensure that its Housing Department and all local Social Landlords consult with the mental health services prior to issuing a Notice to Quit to a tenant who has complex needs;
a.
Brent & Harrow Health Authority
No Response Published
Recommendation
Brent & Harrow Health Authority require forensic psychiatric service providers to use the same methods for denoting ethnicity as used by community mental health service providers;
a.
Harrow Council and Brent & Harrow Health Authority
No Response Published
Recommendation
Harrow Council and Brent & Harrow Health Authority give priority to the development of an integrated record and information system across all mental health service sites;
b.
Harrow & Hillingdon Healthcare NHS Trust
No Response Published
Recommendation
Peer review (i.e. request for review by another consultant) should be considered in cases of protracted unresponsive patients particularly those (like WM) who have escalating levels of antisocial/disorganised behaviour in the community.
b.
Brent and Harrow Health Authority and Harrow Council
No Response Published
Recommendation
they should ensure that adequate resources (staffing levels, training and information systems) are made available to support the Modernised Care Programme Approach national policy guidance, and significantly improve implementation performance compared to 1991
Read more
b.
Harrow & Hillingdon Healthcare Trust and Harrow Social Services
No Response Published
Recommendation
ensure that all staff working in specialist mental health services and community Drug and Alcohol Services have access to regular evidence-based training on substance misuse and risk assessment;
b.
Harrow Housing and Social Services, and Harrow & Hillingdon Healthcare Trust
No Response Published
Recommendation
Harrow Housing and Social Services, and Harrow & Hillingdon Healthcare Trust take into account the findings of this Inquiry when producing a joint local Charter for people in need of on-going support and their carers;
b.
Harrow Council, Brent & Harrow Health Authority, and Harrow and Hillingdon Healthcare Trust
No Response Published
Recommendation
Harrow Council, Brent & Harrow Health Authority, and Harrow and Hillingdon Healthcare Trust include evidence from Irish studies in staff training programmes; and
b.
Harrow Council and Harrow & Hillingdon Healthcare Trust
No Response Published
Recommendation
Harrow Council and Harrow & Hillingdon Healthcare Trust ensure that service user consent is encouraged for information sharing between the mental health services and housing services, particularly to facilitate notification of change of personal circumstances;
Read more
c.
Harrow & Hillingdon Healthcare Trust and Harrow Social Services
No Response Published
Recommendation
Harrow & Hillingdon Healthcare Trust and Harrow Social Services should monitor the implementation of National Standards for Mental Health for service users with a serious mental disorder who are substance misusers
c.
Harrow & Hillingdon Healthcare Trust and Harrow Social Services
No Response Published
Recommendation
put in place monitoring of the use of the new powers to deal with Drug offenders;
c.
Harrow Social Services and Harrow & Hillingdon Healthcare Trust
No Response Published
Recommendation
Harrow Social Services and Harrow & Hillingdon Healthcare Trust ensure that housing representation is considered by staff for care programme review meetings.
c.
Harrow Council, Brent & Harrow Health Authority, and Harrow and Hillingdon Healthcare Trust
No Response Published
Recommendation
that quality assurance monitoring reports include analysis of the number of Care Programmes by ethnic classification of service users.
c.
Harrow Council and Harrow & Hillingdon Healthcare Trust
No Response Published
Recommendation
ensure that standards for record keeping are set and that management systems are in place for audit purposes, and
d.
Harrow & Hillingdon Healthcare Trust
No Response Published
Recommendation
Harrow & Hillingdon Healthcare Trust should review the provision of clinics for depot medication in the light of the findings from this Inquiry.
d.
Harrow & Hillingdon Healthcare Trust and Harrow Social Services
No Response Published
Recommendation
develop joint strategies in conjunction with primary care and voluntary agencies to overcome the cycle of short-term in-patient admissions followed by a return to Drug and/or alcohol misuse for certain individuals like WM.
d.
Harrow Council and Harrow & Hillingdon Healthcare Trust
No Response Published
Recommendation
ensure that a quality assurance system is in place for correspondence addresses, particularly appointment letters to service users and reports to GPs.