JS 

An independent investigation into the care and treatment of a mental health service user Mr S in Tees, Esk and Wear Valleys NHS Foundation Trust and Berkshire HealthCare NHS Foundation Trust.

This is the associated action plan.

 

F and Maureen

This is the independent investigation into the care and treatment of mental health service users (F and Maureen) in County Durham.   F and Maureen were patients on Picktree Ward, a mental health service for older people (MHSOP) ward in the Bowes Lyon Unit at Lanchester Road Hospital, County Durham, provided by Tees Esk and Wear Valleys NHS Foundation Trust.

On 19 May 2015, an incident occurred between Maureen and F which resulted in F pushing Maureen from behind resulting in her falling to the ground.  Maureen subsequently died on 25 May 2015.

The associated action plan has been published by Tees Esk and Wear Valleys NHS Foundation Trust.

 

MR

This is the independent investigation into the care and treatment of MR, who was involved in an incident with another resident at a care home. MR was in receipt of mental health services provided by Tees, Esk and Wear Valleys NHS Foundation Trust.

TEWV action plan

 

Ms A

An independent investigation into the care and treatment received by Ms A.

TEWV action plan.

Final report.

 

Mr F

This is the independent investigation into the care and treatment of Mr F, who was found guilty of two murders and received two life sentences with a minimum term of 37 years.

At the time of the murders, Mr F was receiving mental health services provided by TEWV.

Mrs Chris Stanbury, director of nursing and governance at Tees, Esk and Wear Valleys NHS Foundation Trust, said: “Our thoughts are with the families of the victims at this distressing time.

“Sadly, we cannot change what happened three years ago and, as the report concludes, we may not have been able to prevent it.

“However, there were things that those involved in Mr F’s care could and should have done differently and we would like to apologise for our failings.

“It’s important that we learn from these tragic deaths so that we can help prevent something similar happening again.

“We have already made a number of changes to the way we work and will make sure any outstanding recommendations are actioned.”

Action plan 10630. 

 

Patient  2009 3245  16 01 14

Final Independent Investigation Report Patient 2009 3245 16 01 14

Completed Action Plan 2009-3245