Independent investigation: Michael Redpath, Swindon (2014)
South WestMentally disordered woman sets house on fire and locks it killing friend
Recommendations (5)
1
Trust
No Response Published
Recommendation
There is an impediment to multi-agency working reported to our team concerning the difficulty that external agencies experience when trying to communicate with Trust employees whose contact details will not be disclosed by the Trust switchboard for reasons of confidentiality. …
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2
Trust
No Response Published
Recommendation
The Personality Disordered Offender Pathway is clear and is operating effectively in Swindon. However, there appears to be a gap in provision for people with Personality Disorder who are not so severe that they meet criteria for inclusion because, like …
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3
Trust
No Response Published
Recommendation
We are concerned that staff working in general mental health services who find themselves with responsibility for patients with personality disorder may not have sufficient training or support to deliver the most effective care. We therefore recommend that work is …
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4
Trust
No Response Published
Recommendation
Whilst access to psychiatric cover by the EIS in an emergency is now provided (as at the time of the index offence) by consultants working in other teams or, depending on where the patient is registered, by the patient’s own …
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5
Swindon Clinical Commissioning Group in partnership with the Trust (the provider)
No Response Published
Recommendation
To ensure that the above recommendations are considered and implemented, we recommend that Swindon Clinical Commissioning Group in partnership with the Trust (the provider) undertake an assurance follow up and review of progress, six months after our report is published.
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