Independent investigation: Gary Miller, Plymouth (2016)

South West
Incident 17 Dec 2016
Subject Gary Miller

Mentally ill man fatally batters friend around the head

Acceptance Status
No Response Published 9

Total Recommendations 9
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 (9)

Recommendation 1 Livewell Southwest
No Response Published
Recommendation
Livewell Southwest should ensure that all staff are aware of and adhere to the Care Programme Approach Policy, particularly in relation to the allocation of a care coordinator within ten working days of assessment and the requirement to complete a … Read more
Recommendation 2 Livewell Southwest
No Response Published
Recommendation
Livewell Southwest should ensure that all staff are aware of and adhere to the Care Programme Approach Policy, particularly in relation to the completion of care plans and crisis/contingency plans for all patients on Care Programme Approach.
Recommendation 3 Livewell Southwest
No Response Published
Recommendation
Livewell Southwest should ensure that all staff are aware of and adhere to the Care Programme Approach Policy, particularly in relation to the completion of risk assessments for all patients on Care Programme Approach.
Recommendation 4 Livewell Southwest
No Response Published
Recommendation
Livewell Southwest should ensure that all staff are aware of and adhere to the Care Programme Approach Policy, particularly in relation to the transfer of patients from Care Programme Approach to Standard Care.
Recommendation 5 Livewell Southwest
No Response Published
Recommendation
Livewell Southwest should ensure that all staff are aware of and adhere to the Care Programme Approach Policy, particularly in relation to the management of patients with dual diagnosis.
Recommendation 6 Livewell Southwest
No Response Published
Recommendation
Livewell Southwest should ensure that all staff are aware of and adhere to the NICE guidance for the prevention and management of psychosis and schizophrenia in adults: prevention and management – clinical guideline (CG178).
Recommendation 7 Livewell Southwest
No Response Published
Recommendation
Livewell Southwest should ensure that all staff are aware of and adhere to the NICE guidance for post-traumatic stress disorder – clinical guideline (NG116).
Recommendation 8 Livewell Southwest
No Response Published
Recommendation
Livewell Southwest should ensure that all staff are aware of and adhere to the Duty of Candour Regulation 20, particularly in relation to the provision of a written apology and a description of what further enquiries the provider believes are … Read more
Recommendation 9 NHS Devon Clinical Commissioning Group
No Response Published
Recommendation
NHS Devon Clinical Commissioning Group should ensure that there is robust oversight of the implementation of action plans arising from serious incident investigations.