Independent investigation: Enrique Parada- Blanco, Kingsbury (2008)

London
Incident 05 Jan 2008
Subject Enrique Parada- Blanco

Paranoid schizophrenic fatally battered father with claw hammer. Recently released from MH hospital – many failings

Acceptance Status
No Response Published 8

Total Recommendations 8
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 (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.