Independent investigation: Martin Ellicot, Walthamstow (2006)
LondonHomicide by homeless mentally ill. Indep Inq
Recommendations (5)
1
NHS London
No Response Published
Recommendation
A consistent approach to clinical risk assessment should be developed across London (NB the London Mental Health Trust CEO Group is preparing a two year improvement programme in this area).
2
NHS London
No Response Published
Recommendation
Exemplar practice regarding the procedures, management and governance arrangements of SUIs should be disseminated across the sector, as should wider learning from SUIs.
3
Trust Boards
No Response Published
Recommendation
Trust Boards should take the lead in ensuring that procedures, management and governance arrangements are clear, effective and well resourced.
4
The Trust
No Response Published
Recommendation
The Trust needs to ensure that all internal investigations are completed within 60 days utilising a root cause analyses methodology.
5
NHS London
No Response Published
Recommendation
Senior clinical input must be considered as part of the Multi Agency Public Protection Agency process. This input should take the form of a Consultant Psychiatrist.