Jump to 5 Recommendations

Independent investigation: Emily Jones, Bolton (2020)

North West
Incident 22 Mar 2020
Subject Emily Jones

Paranoid schizophrenic woman off meds & known to be a danger to children,fatally attacks young girl. Sec 45a Hybrid order

Report PDF Hundred Families
Acceptance Status
No Response Published 5
Total Recommendations 5
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 (5)

R1 The trust
No Response Published
Recommendation
The trust should review its risk policy to ensure that static risks are identified, and realistically assessed, and unnecessary weight is not given to dynamic factors.
R2 The trust
No Response Published
Recommendation
When the trust has updated its risk policy, it should ensure that staff have a clear understanding of how to assess risk accurately.
R3 The trust
No Response Published
Recommendation
The trust should ensure that a concise summary of the risks of each patient to themselves and others is prominently displayed on the patient record.
R4 NHS England
No Response Published
Recommendation
If there are not good examples of other trusts displaying concise summaries of risks prominently on patient records, NHS England should examine how it can support trusts to do this.
R5 The trust
No Response Published
Recommendation
The trust should continue to review zoning and multi-disciplinary team meetings to ensure that they promote a positive discursive atmosphere where staff challenge and support each other.