Jump to 6 Recommendations

Independent investigation: Christopher Ritchie, Durham (2020)

North East and Yorkshire
Incident 19 Mar 2020
Subject Christopher Ritchie

Paranoid schizophrenic fatally stabbed acquaintance. Diminished responsibility – indefinite hospital order

Report PDF Hundred Families
Acceptance Status
No Response Published 6
Total Recommendations 6
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 (6)

1 The Trust
No Response Published
Recommendation
The Trust must develop its approach to individual investigations and develop a clear process for producing high-quality reports, that is compliant with PSIRF expectations. This should include: • clear guidance on which methodology to use, namely how the structured judgement … Read more
2 The Trust
No Response Published
Recommendation
The Trust must review the assessment process for service users referred to EIP services. This must include: • a requirement to consider all the information provided by the referrer; this includes making direct contact with the referrer to clarify their … Read more
3 The Trust
No Response Published
Recommendation
• As the Trust implements the PSIRF framework, policies and procedures must include identifying all persons who should be offered the opportunity to contribute to an individual case investigation. • The procedure should set out reasonable expectations for making contact … Read more
4 The Integrated Care Board and Trust
No Response Published
Recommendation
The Integrated Care Board and Trust should develop services in line with the requirements of the community mental health framework for adults and older adults20 that avoid patients being subject to repeat referrals, screenings and assessments across multiple services. This … Read more
5 The Trust
No Response Published
Recommendation
The Trust needs to embed the 11 recommendations from the internal investigation into clinical practice. We outline below eight further observations of issues arising from this case that should be included in existing improvement programmes: • The Trust is to … Read more
6 The Integrated Care Board and Trust
No Response Published
Recommendation
The Integrated Care Board and Trust should develop services in line with the requirements of the community mental health framework for adults and older adults and ensure that the proposed care model describes how mental health services will work collaboratively … Read more