Jump to 4 Recommendations

Independent Review into the NHS Care and Treatment Provided to Mr O – January 2018

East of England
Published 01 Jan 2018
Trust Hertfordshire Partnership University NHS Foundation Trust
Subject Mr O

Patient Mr O killed Ms M and was convicted of her murder. He was in contact with mental health services delivered by Hertfordshire Partnership University NHS Foundation Trust and was previously a patient of Avon and Wiltshire Mental Health Partnership NHS Trust. This independent review was undertaken alongside aMulti Agency Partnership Reviewinto the death of Ms M in December 2015 which was commissioned by the Hertfordshire Adult Safeguarding Board. In 2019, NHS England commissioned an assurance

Report PDF NHS England Source
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)

5.2.1 HPFT
No Response Published
Recommendation
Risk assessment and management We recommend that in the light of this report within 6 months current practice in HPFT for assessing risk be thoroughly reviewed and in the light of that a plan be developed. Over the following 12 … Read more
5.2.2 HPFT
No Response Published
Recommendation
Communication We recommend that in the next 6 months the in service training programme is reviewed, alongside staff access to HPFT policy documentation, to ensure that HPFT relevant policies relating to inter-agency communication are implemented fully such that: • Staff … Read more
5.2.3 HPFT
No Response Published
Recommendation
Mental Health Treatment Requirement training We recommend that in the next 6 months changes be made to the in service training programme so all staff are made aware of the use of Mental Health Treatment Requirements (MHTR) that may be … Read more
5.2.4 HPFT
No Response Published
Recommendation
Discharge process We recommend that HPFT further strengthens its practice in relation to patient discharge to build on and extend good practice extant in HPFT to: • Ensure discharge meetings always occur • Ensure there is a full discharge CPA … Read more