Independent investigation: Enrique Parada- Blanco, Kingsbury (2008)
LondonParanoid schizophrenic fatally battered father with claw hammer. Recently released from MH hospital – many failings
Recommendations (8)
1
The Trust
No Response Published
Recommendation
Internal Action Plan: The recommendations and action plan to be reviewed to take account oftheexternalinvestigationadditionalfindings.
2
The Trust
No Response Published
Recommendation
TheTrusttoensurethattheactionplancontinuestobemonitoredanditsprogressreported upwardsviagovernancereportingsystems.
3
The Trust
No Response Published
Recommendation
Leadership: Leadership training and within this mentoring should continue to develop to ensurethatallseniorclinicalleadershaveaccesstoleadershipdevelopment.
4
The Trust
No Response Published
Recommendation
Ethnicity and Culture: The Trust to continue its strategic approach to address carer involvement, culture, ethnicity and diversity and ensure via audits, monitoring and service userandcarerinvolvementthatculture,ethnicityanddiversityareaddressed.
5
The Trust
No Response Published
Recommendation
TheTrusttoensurethatlearningfromtheExternalPanelfindingsissharedacrossitsclinical services.
6
The Trust
No Response Published
Recommendation
The Trust to seek clarity on the national status of the series of Policy Implementation Guidancedocuments(PIG)inrelationtotheoptimumwayofdeliveringcareforpeoplewith anacutementalillness.
7
The Trust
No Response Published
Recommendation
Reconfigurationofservices:TheTrusttoensurethatcleargovernanceprocessesareinplace toensurethatclinicalcareisnotcompromisedasanoutcomeofreconfiguration.
8
The Trust
No Response Published
Recommendation
JADE – Electronic Care Record System: The Trust to address the concerns raised by staff in relationtoenteringqualitativeanddetailedinformationonthesystem.