Independent care and treatment review into the care and treatment provided to Mr AS

Midlands
Published 01 Oct 2013
Subject Mr A

Patient Mr AS took his life in October 2013 following a long and complex history of mental health illness. The purpose of the review was to fully consider the care and treatment provided to Mr AS and to make recommendations for further action where appropriate.

Acceptance Status
No Response Published 4

Total Recommendations 4
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 (4)

1 Each NHS Trust
No Response Published
Recommendation
Each NHS Trust should review the manner in which it shares patient information with external investigators. Consideration should also be given to the implications of sharing such documentation with other third parties e.g. families and other Trusts. Patient information should … Read more
2 All healthcare professionals
No Response Published
Recommendation
All healthcare professionals should take into consideration the implications of criminal proceedings on a service user as part of any broader assessment of mental health and well-being.
3 Somerset Partnership NHS Foundation Trust and Devon Partnership NHS Trust
No Response Published
Recommendation
Somerset Partnership NHS Foundation Trust and Devon Partnership NHS Trust should review and ratify a Taser policy for their Trust that covers:  Immediate aftercare  Patient monitoring (physical and psychological)  Escalation criteria (e.g. further medical review)  Recognition … Read more
4 Each Trust
No Response Published
Recommendation
Each Trust should set out a programme of evaluation and assessment, revisiting all aspects of their action plan to ensure that changes have been implemented and are monitored. As part of this process we recommend that particular attention be given … Read more