Independent investigation: Mark Murphy, Streatham (2006)

It is recommended that Terms of Reference direct the investigation to complete a detailed chronology/timeline or events to enable the investigation to consider an appropriate length of time to capture key elements of the person’s care.

It is recommended that a transfer procedure is developed to be included in the ePJS system and kept up to date in line with policy. This should include: o Current and Diagnostic History o Risk History with a detailed list … Read more It is recommended that a transfer procedure is developed to be included in the ePJS system and kept up to date in line with policy. This should include: o Current and Diagnostic History o Risk History with a detailed list of all violent incidents and any link to abnormal mental state o Risk Management Plan o Changing diagnosis if relevant o What medication worked well and problems with medication including allergic reactions o Admission history o Markers for relapse o Signs of relapse o Contingency plans to manage relapse o Current care team and contact details Show less

It is recommended that a Carers Assessment should be offered to all informal carers such as Ms PG’s mother and recorded in the individual notes whether this has been undertaken or refused.