Independent investigation: Stefan Melnyk, Acton (2020)

London
Incident 22 Mar 2020
Subject Stefan Melnyk

Paranoid schizophrenic fatally runs a man over and seriously wounds another with a knife. Long history of mental illness

Acceptance Status
No Response Published 3

Total Recommendations 3
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 (3)

1 WLT
No Response Published
Recommendation
WLT should examine the question as to whether a service user similar in presentation to AB might still fall into a gap between services. That is, the non-urgent pathway of care between the GP, MINT, IAPT and any other relevant … Read more
2 WLT
No Response Published
Recommendation
WLT already have a CQC action plan in place that covers patient safety concerns in relation to non-urgent waiting times and access to MINT services. We are content for WLT to avoid duplication, and to reference progress against the relevant … Read more
3 ESS, WLT
No Response Published
Recommendation
ESS should work in partnership with WLT to ensure that information sharing and communication between the two agencies is robust, particularly in terms of ESS staff being confident in when and how to communicate concerns.