Independent investigation of the care and treatment of Mr N

Midlands
Trust a young man (Mr N) who killed a close relative. The subsequent investigation
Subject Mr N

This document provides an overview of key findings from an independent investigation into the NHS care of a young man (Mr N) who killed a close relative. The subsequent investigation, carried out by Psychological Approaches, identified six recommendations, which are set out in thepublished learning summary. Key findings of the review relate to information sharing and joint working; risk assessment; and care planning. Agencies and teams who might benefit from this bulletin

Acceptance Status
No Response Published 6

Total Recommendations 6
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 (6)

1 The young people’s community service CR&HTT
No Response Published
Recommendation
Within three months. The young people’s community service CR&HTT Standard Operating Procedures should be updated to include a clear requirement to make every attempt to contact all relevant agencies, including police & probation if applicable, for additional information to inform … Read more
2 The young people’s community service CR&HTT
No Response Published
Recommendation
Within three months. The young people’s community service CR&HTT Standard Operating Procedures should be updated to include specific information on safely discharging a patient out of area. This must include ensuring that the professional receiving the patient will actively pick … Read more
3 Trust 2
No Response Published
Recommendation
Within three months. Trust 2 should ensure that Contextual Safeguarding Training provides information for safeguarding both adults and children.
4 The young people’s community service CR&HTT
No Response Published
Recommendation
Within six months. Through the production and implementation of a joint working protocol or similar. The young people’s community service CR&HTT should ensure that treatment pathways for patients with drug and alcohol needs work in coordination with mental health services, … Read more
5 The young people’s community service CR&HTT
No Response Published
Recommendation
Within one month. The young people’s community service CR&HTT should ensure that all patients in its care have an up-to-date care plan incorporating actions from a current risk assessment and based on all the available information, including, from family, the … Read more
6 The young people’s community service CR&HTT
No Response Published
Recommendation
Within three months. The young people’s community service CR&HTT Lone working policy and safety practices for staff should ensure that the safety of their staff is informed by an up-to-date clinical risk assessment and consideration given to a range of … Read more