{"id":593517,"date":"2026-05-20T01:19:19","date_gmt":"2026-05-20T01:19:19","guid":{"rendered":"https:\/\/www.newsbeep.com\/uk\/593517\/"},"modified":"2026-05-20T01:19:19","modified_gmt":"2026-05-20T01:19:19","slug":"nhs-trust-missed-opportunity-to-learn-from-incidents-before-attacks","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/uk\/593517\/","title":{"rendered":"NHS trust missed opportunity to learn from incidents before attacks"},"content":{"rendered":"<p class=\"ssrcss-1q0x1qg-Paragraph e1jhz7w10\">After the attacks of June 2023, a series of work was done to understand the incident, including a thematic review of homicides and attempted homicides, the inquiry heard. <\/p>\n<p class=\"ssrcss-1q0x1qg-Paragraph e1jhz7w10\">Recommendations made as a result of that review included rewriting policy around serious incidents, and an audit designed to identify patients who had been discharged following disengagement. <\/p>\n<p class=\"ssrcss-1q0x1qg-Paragraph e1jhz7w10\">Devlin accepted those were steps that should have been taken earlier. <\/p>\n<p class=\"ssrcss-1q0x1qg-Paragraph e1jhz7w10\">Inquiry barrister James Weston said: &#8220;The trust were aware, and the board were aware of the concerns with risk assessments, potential issues with discharge by September 2022 <\/p>\n<p class=\"ssrcss-1q0x1qg-Paragraph e1jhz7w10\">&#8220;You&#8217;ve said these policies should have bene reviewed. Had that opportunity been taken, these policies would have been in place, or some learning would have been in place long before June of 2023.&#8221;<\/p>\n<p class=\"ssrcss-1q0x1qg-Paragraph e1jhz7w10\">&#8220;Yes, some learning would&#8217;ve been,&#8221; Devlin said. <\/p>\n<p class=\"ssrcss-1q0x1qg-Paragraph e1jhz7w10\">Weston said: &#8220;If there&#8217;d been an audit of unsafe discharges \u2013 as I think you would agree should have happened in 2022 \u2013 that process would have picked up VC&#8217;s case wouldn&#8217;t it?&#8221;<\/p>\n<p class=\"ssrcss-1q0x1qg-Paragraph e1jhz7w10\">&#8220;Yes, I expect it would have done,&#8221; Devlin replied. <\/p>\n<p class=\"ssrcss-1q0x1qg-Paragraph e1jhz7w10\">Weston said: &#8220;And steps taken, to avoid the attacks in June of 2023?&#8221; <\/p>\n<p class=\"ssrcss-1q0x1qg-Paragraph e1jhz7w10\">&#8220;It may be the case, yes,&#8221; Devlin replied. <\/p>\n","protected":false},"excerpt":{"rendered":"After the attacks of June 2023, a series of work was done to understand the incident, including a&hellip;\n","protected":false},"author":2,"featured_media":593518,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[59,57,58,50,56,54,55],"class_list":["post-593517","post","type-post","status-publish","format-standard","has-post-thumbnail","category-united-kingdom","tag-gb","tag-great-britain","tag-greatbritain","tag-news","tag-uk","tag-united-kingdom","tag-unitedkingdom"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/posts\/593517","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/comments?post=593517"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/posts\/593517\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/media\/593518"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/media?parent=593517"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/categories?post=593517"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/tags?post=593517"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}