Independent investigation: Liam Pennick, Derby (2017)

Midlands
Incident 02 Mar 2017
Subject Liam Pennick

Mentally ill man fatally stabs flatmate. Convicted of Manslaughter by diminished responsibility

Acceptance Status
No Response Published 3

Total Recommendations 3
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 (3)

1 NHS Derby & Derbyshire CCG, Derbyshire Healthcare NHS Foundation Trust, Derventio Housing Trust, other organisations with a stake in housing service users
No Response Published
Recommendation
To implement effective multi-agency management of patients that may present long-term risks. The legal framework of a Community Treatment Order exists to support patients who are discharged from hospital and living in the community. In this case the principal responsibilities … Read more
2 Derbyshire Healthcare NHS Foundation Trust
No Response Published
Recommendation
To review and standardise the role of the Care Co-ordinator. A quality improvement programme around this role should be developed to promote good practice. The following should be included: • An analysis of systemic factors impacting on the care co-ordinator … Read more
3 NHS England, NHS Derby & Derbyshire CCG, Derbyshire Healthcare NHS Foundation Trust
No Response Published
Recommendation
To consider the need for development of a dedicated community forensic team and high support hostel for the population of Derbyshire. This would be informed by a needs analysis of the current Derbyshire patient population in secure mental health services … Read more