"Chances missed" in Reid-Wentworth case

"Chances missed" in Reid-Wentworth case "Chances missed" in Reid-Wentworth case

Three major opportunities were missed to assess risks posed by a paranoid schizophrenic who repeatedly stabbed a young woman in a supermarket, according to a report published today.

Samuel Reid-Wentworth, who harboured fantasies about killing young women, inflicted around 21 stab wounds on Lucy Yates with a pocket knife six weeks after being discharged from a mental health unit.

After spotting Miss Yates from on board a bus, he alighted and followed her into the Somerfield store at Littlehampton where she was going to buy groceries.

Miss Yates, then 22, survived the attack, in September 2008.

Reid-Wentworth was locked up under the Mental Health Act by a judge at Lewes Crown Court the following February, when he was also 22, for attempted murder and is detained indefinitely at Broadmoor.

Investigators Verita considered the care he had received from Sussex Partnership NHS Foundation Trust.

They said three major opportunities were missed during the treatment of Reid-Wentworth, known in the report as Mr Z.

The first was when he was first admitted to psychiatric services in August 2007, after assaulting two female strangers on the same day, with each occasion involving a weapon.

"The motivation underlying the assaults and the significance of his associated symptoms were never fully explored," the report says.

The second opportunity was when he was transferred to the rehabilitation and recovery unit after five months on the acute admission ward.

The report says: "Assessment of risk was incomplete and the potential seriousness of the two assaults on the women prior to admission was still not fully appreciated."

The third major opportunity was when he was readmitted to the acute mental health ward after the re-emergence of psychotic symptoms including thoughts of killing people.

Dr Tim Ojo, executive medical director for Sussex Partnership said “We welcome the publication of today’s report and I would like to give my assurance that we have listened closely to recommendations of this report.

“We have already taken all the necessary action to implement the lessons that we have learned, both from our own review in 2008 and this report which builds on our conclusions.

We will continue to share what we have learnt widely across the mental healthcare community.”

Comments(9)

Ligand Fields says...
1:01pm Fri 29 Jun 12

"learning lessons" is all very well, but will any of these helth professionals actually face any legal sanction for their negligence?

Birdy1975 says...
2:39pm Fri 29 Jun 12

Ligand Fields wrote:
"learning lessons" is all very well, but will any of these helth professionals actually face any legal sanction for their negligence?
I bet they didn't but they certainly should of done, their incompetence & negligence has left a young womans life ruined & scared for life !!

Goldenwight says...
5:27pm Fri 29 Jun 12

Birdy1975 wrote:
Ligand Fields wrote: "learning lessons" is all very well, but will any of these helth professionals actually face any legal sanction for their negligence?
I bet they didn't but they certainly should of done, their incompetence & negligence has left a young womans life ruined & scared for life !!
With all due respect to those who have posted above, I have a lot of sympathy for the way you feel, but things are rarely as clear cut as we would wish.

Perhaps his junior school teachers should also be castigated for failing to report that he drew (potentially) violent scenes as a six year old? Or maybe the Scout-master who failed to report his keenness to use knives at an early age? The list of those who could be argued to have failed this man (and by extension, society and themselves), should you choose to extend it, is endless.

The real question we should address is twofold. 1. Did the Psychiatric health team do anything wrong, and 2. What can we do to minimize the chances of it re-occurring. The answer to part 1. regrettably appears to be 'yes'. Would sacking them and replacing them with LESS experienced staff address part 2?

Regrettably there will always be some random psychotics out there unless we lock up 100% of the population under the Mental Health Act.

mimseycal says...
7:20am Sat 30 Jun 12

Life does not come with a 100% guarantee.
If mistakes have been made, they are being looked at ... end of story really.

rolivan says...
10:37am Sat 30 Jun 12

mimseycal wrote:
Life does not come with a 100% guarantee.
If mistakes have been made, they are being looked at ... end of story really.
How many mistakes are they allowed to make in your opinion before it becomes necessary for something more than "they are being looked at"to take place.This isn't an isolated incident it is happening all to often and it is not the "end of story really"

fascinator says...
1:16pm Sat 30 Jun 12

'Or maybe the Scout-master who failed to report his keenness to use knives at an early age?'

I shouldn't think this young man ever belonged to the Scouting movement.

mimseycal says...
7:35pm Sat 30 Jun 12

The sad fact is that some people will always slip through some net or other and the brown stuff will at one stage or another hit the fan.

This may sound harsh but when it comes to it, expecting everything to always come up smelling of roses, nothing to ever go wrong and everyone to be caught before they manage to hurt themselves or someone else is unreasonable.

changethesystem says...
10:01pm Sat 30 Jun 12

There have been a lot of serious incidents with Sussex Partnership Trust, and they all have the same themes as in the report just published. Poor risk assessment, not involving carers in care planning, lack of crisis plans , it just goes on, are these things just not fundamental to dealing with people with severe mental illness. The report is quite damming, so although it is not possible to prevent all incidents like this, their was failures, and you have to look at how often this is happening in this trust. Should it be a foundation trust, and should the chief executive not be accountable in some way for these failings, ironically they have just been awarded a CBE.

mimseycal says...
10:18pm Sat 30 Jun 12

The one fundamental mistake most people make is assuming that these organisations work along similar lines as the average reasoned human being.

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