Report of the Independent Investigation into the care and treatment of Mr SN. The South West Strategic Health Authority published today

The Following is fron the web site of AWP

"Mr SN was convicted of the murder of Mr Philip Hendy, whom he had fatally stabbed on 29 April 2007.

Mr SN received a life sentence with a minimum term of 16 years. Mr SN had been in receipt of mental health services, latterly provided by Avon and Wiltshire Mental Health Partnership NHS Trust since 1990.

The report states: “We do not consider that responsibility for the homicide can be attributed to the failings of any individual, but we do make a number of findings and recommendations aimed at improving clinical practice and case management. We express particular concern about record keeping, the lack of diagnostic formulation, risk assessment, and the sharing of information between agencies. We make strong recommendations about the care of the bereaved families of victims, and we propose a review of the Independent Investigation process to reduce delay and duplication”.


Hazel Watson, the Trust's Director of Nursing said: “We deeply regret the tragic death of Mr Philip Hendy and once again offer our deepest sympathy to his family and to all those who have been touched by his untimely death. “We accept the criticisms of some of the procedures which existed in parts of the Trust in 2007.

Significant improvements have already been made.”


I like many will have grave concerns that to many of these system failures seam to be taking place , we seam to have lots of reports lots of sugested action but no improvement ?