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Independent investigation into the care and treatment of patient K: November 2015

Midlands
Published 01 Nov 2015
Trust Independent investigation into the care and treatment of patient K: November 2015 Patient K was convicted of the murder of Jane Edwards. At the time of the death patient K was under the care of South Staffordshire Shropshire Healthcare NHS Foundation Trust

Patient K was convicted of the murder of Jane Edwards. At the time of the death patient K was under the care of South Staffordshire Shropshire Healthcare NHS Foundation Trust. The following action plan from South Staffordshire and Shropshire Healthcare NHS Foundation Trust is available.

Report PDF Action Plan NHS England Source
Acceptance Status
Action Plan Published 3
Total Recommendations 3
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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)

Action plan published. Per-recommendation responses have not yet been extracted from the action plan. View action plan
1 the trust
Action Plan Published
Recommendation
In future, the trust should conduct a full case review as part of the transfer of care when it accepts a patient from a high secure setting. This case review should not simply accept the existing diagnosis but should challenge … Read more
2 The trust
Action Plan Published
Recommendation
The trust should finalise the “Recovery: Service Development and Improvement Support Worker Guide for Divisions and Directorates” policy and the planned pilot to evaluate it.
3 The trust
Action Plan Published
Recommendation
The trust should develop a system for monitoring investigation teams to ensure there are adequate resources to conduct the work identified in the Incident, Near Miss and Serious Incident Policy.