Independent investigation: Keith Drummond, Perivale (2010)
LondonParanoid schizophrenic fatally stabbed and battered his father. Long MH history, not taking meds, mother tried to get help in vain
Recommendations (3)
R1
The PCT
No Response Published
Recommendation
The PCT should review Mr Z’s former GP’s training and management systems to ensure that his frontline administrative staff understand when to escalate issues to him and how to communicate with patients and relatives and other professionals appropriately.
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R2
The trust and local authority
No Response Published
Recommendation
The trust and local authority must ensure that their human resources policies include processes setting out how immediate action can be taken to deal with clinical or social work staff who are reported as posing a risk to patient/client safety. …
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R3
The trust
No Response Published
Recommendation
The trust should provide evidence to the PCT that the lessons learned as a result of the internal trust investigation are carried forward to the operational policies in the new team structures.