Independent Investigation - Hundred Families

Mr. X Investigation Report
14.2.1. Transfer and Referral Processes
14.2.1.1. Context
The Avon and Wiltshire Partnership NHS Trust were not able to locate the policy
documentation in place during 2003 pertinent to this particular section. The Independent
Investigation Team has used clinical witness statements and interview evidence in order to
understand what may have occurred during this period.
Mr. X was referred to the Avon and Wiltshire Partnership NHS Trust Swindon-based services
on three occasions between August 2003 and June 2007.
14.2.1.2. Findings
First Referral
On the 1 August 2003 the Lincoln-based Care Coordinator of Mr. X contacted the
Community Mental Health Team (CMHT) in Swindon. On this occasion Mr. X‟s situation
was discussed over the telephone. The Care Coordinator recorded that the Swindon Team
would discuss Mr. X at their next team meeting and would inform him about how they
wished to proceed. This conversation was held with Swindon Team Leader1.
On the 18 August 2003 the Lincoln-based Care Coordinator telephoned the Swindon CMHT
and told them he wished to hand over Mr. X‟s after-care to them. On this occasion he spoke
to Team Leader 1. The Care Coordinator then wrote to Team Leader 2 at Swindon,
summarising some of the background to Mr. X‟s case and care. This letter referred to the fact
that Mr. X lived most of the time in the Swindon area and also stated that he was eligible for
Section 117 aftercare. The Care Coordinator requested a transfer of Mr. X‟s aftercare and
asked the Swindon Team to inform him of their decision. This letter was copied into both the
Lincolnshire Consultant Psychiatrist and the Lincoln-based GP. At around this time the
Swindon Team had spoken to the GP of Mr. X‟s father asking him to visit Mr. X as he had no
GP of his own. The GP made the visit and reported back that Mr. X was not willing to engage
with him. It was reported that this visit had appeared to raise Mr. X‟s suspicions regarding his
family.
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