Independent investigation: Magdalena Welna, Ilford (2014)
LondonMentally ill man fatally stabbed woman before killing himself. Previous history of violence
Recommendations (6)
1
The Trust
No Response Published
Recommendation
The Trust must provide assurance that Section 117 aftercare arrangements are carried out, and that there are structured arrangements in place to ensure that the administration and monitoring of CTOs is carried out to meet best practice guidelines.
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2
The Trust
No Response Published
Recommendation
The Trust should provide assurance that the Health Records policy is being implemented in community teams.
3
The Trust and NHS Newham CCG
No Response Published
Recommendation
The Trust and NHS Newham CCG should develop guidelines for the integrated care and treatment of bipolar disorder across primary health and secondary mental health services, which includes guidance for GP’s action with regards to uncollected prescriptions in patients under …
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4
The Trust
No Response Published
Recommendation
The Trust should ensure that NICE guidance ‘Bipolar disorder: assessment and management’ is implemented and monitored.
5
The Trust
No Response Published
Recommendation
The Trust should provide assurance that the clinical risk assessment policy is applied consistently in community teams, and ensure there are systems to in place to monitor its application.
6
The Trust
No Response Published
Recommendation
The Trust should provide evidence that spiritual and cultural issues are effectively considered, assessed and incorporated into care plans.