Jump to 7 Recommendations

Independent investigation: Nigel Yon, Neasden (2015)

London
Incident 16 Mar 2015
Subject Nigel Yon

Paranoid schizophrenic off meds fatally stabs fellow B&B resident. Questionable care before incident

Report PDF Hundred Families
Acceptance Status
No Response Published 7
Total Recommendations 7
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 (7)

1 Commissioners of services and CNWL
No Response Published
Recommendation
The commissioners of services and CNWL should ensure that the care and treatment of people with psychosis is delivered to meet the expectations of NICE guidance ‘Psychosis and schizophrenia in adults: prevention and management’ (CG178) in Brent community teams. Read more
2 CNWL
No Response Published
Recommendation
CNWL must ensure that there are clear standards for the accuracy, quality, and timeliness of discharge letters from Park Royal Centre for Mental Health, and that measures are in place to maintain these standards.
3 CNWL
No Response Published
Recommendation
CNWL must demonstrate that the expectations of the Care Programme Approach (CPA) policy with respect to regular timely documented CPA reviews are met, and there is a system in place to maintain these standards.
4 NHS North West London CCG and CNWL
No Response Published
Recommendation
NHS North West London CCG and CNWL must demonstrate that the guidance in ‘Coexisting severe mental illness and substance misuse: community health and social care services’ (NICE 2016) is implemented in Brent EIS.
5 CNWL
No Response Published
Recommendation
CNWL should provide assurance that the clinical risk assessment policy is applied consistently in community teams and ensure there are systems in place to monitor its application.
6 Commissioners of services (NHS NW London CCG and NHS East Berkshire CCG)
No Response Published
Recommendation
Commissioners of services (NHS NW London CCG and NHS East Berkshire CCG) must ensure that there are clear pathways for the diagnosis, medication prescription and management of ADHD in adults.
7 CNWL
No Response Published
Recommendation
Where there is a question of capacity to consent to treatment, CNWL must ensure there is a structured process used to assess and record capacity, with action plans as appropriate.