Independent Investigations
On Tuesday, 28 July 2020, NHS England published a mental health homicide review report into the care and treatment of a mental health service user, Mr P, in Dorset. The individuals involved in this case were known to Dorset HealthCare, and tragically Ryan Merna lost his life. Following an independent investigation by Niche Health and Social Care Consulting, recommendations were made from the learning identified. We have developed and fully implemented an action plan in response to these recommendations, to ensure that we strengthen training, procedures and links with partner organisations to improve patient care.
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- Independent Investigation into the Care and Treatment Provided to Ms A by the Dorset HealthCare University NHS Foundation Trust, Bournemouth Local Authority Social Services and Knightstone Housing Association
- Independent Investigation into the Care and Treatment Provided to Ms A by the Dorset HealthCare University NHS Foundation Trust, Bournemouth Local Authority Social Services and Knightstone Housing Association Executive Summary
- Independent investigation into the care and treatment of Mr X, Ms Y and Mr Z
On 21 September 2016 NHS England published a homicide report into the care and treatment of Mr X, Ms Y and Mr Z. The individuals involved in this case were known to Dorset HealthCare and tragically Mr X lost his life. Following the full investigation by the Health and Social Care Advisory Service (HASCAS) recommendations were made from the learning identified.
The recommendations concern the development of improved care pathways and better sharing of information between health organisations and other service providers. An action plan has been developed and we have been working together to address the shortcomings and will continue to do so to ensure that future patient care is improved.