Trust learning

View action plans following independent investigations in relation to the care and treatment provided by the trust.

To view some of the full investigation reports, please visit the NHS England independent investigation reports page.

Mr D (2016 )action plan

An independent investigation was carried out on behalf of NHS England in relation to the care and treatment of ‘Mr D’.

The purpose of the investigation was to identify whether there were any aspects of the care Mr D received which could have been predicted or prevented the incident from happening.

We have worked closely with NHS England throughout their investigation and have produced a comprehensive action plan to address lessons learned and to improve patient care and public safety in the future.

To view the full investigation report, please visit the NHS England independent investigation reports page.

Mr D Action Plan

Mr X action plan

An independent investigation was carried out on behalf of NHS England in relation to the care and treatment of ‘Mr X’.

We have worked closely with NHS England throughout their investigation and have produced a comprehensive action plan to address lessons learned and to improve patient care and public safety in the future.

To view the full investigation report, please visit the NHS England independent investigation reports page.

Mr X action plan

Mr D (2019) action plan
Mr S action plan

This action plan has been developed to address the recommendations from an independent review of the internal investigation and associated action planning into the care and treatment provided to a mental health service user, Mr S, in Kent. The quality assurance review was commissioned by NHS England in line with national policy and conducted by NICHE.

Read the action plan for Mr S

Mr J action plan (2018)

This action plan has been developed to address the recommendations from an independent quality assurance review of KMPT’s Root Cause Analysis investigation into the care and treatment provided to Mr J before his index offence in September 2018.

The quality assurance review was commissioned by NHS England in line with national policy and conducted by NICHE, 2021. Mr J was open to KMPT services at the time of the incident.

Mr J report

Mr J action plan