[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-213990-en":3,"doc-seo-213990-105":31,"detail-sidebar-cat-0-en-105":97},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":4,"category_id":11,"category_name":12,"doc_title":13,"doc_description":14,"doc_content":15,"file_id":16,"file_url":17,"file_type":18,"file_size":19,"view_count":20,"is_deleted":4,"is_public":21,"is_downloadable":21,"audit_status":21,"page_count":22,"language":23,"language_code":24,"site_id":25,"html_lang":24,"table_of_contents":26,"faqs":27,"seo_title":28,"seo_description":14,"update_tm":29,"read_time":30},213990,2336464648322,"Aria","https://ap-avatar.wpscdn.com/avatar/2200025388227c56fec?_k=1778556882303663488",8,"Research & Report","Inquiry into the death of David Bennett","Independent inquiry set up under HSG(94)27 following the death of Mr David Bennett at The Norvic Clinic on 30 October 1998. The inquiry examined the care and treatment provided at the time of the incident, including planning and management, medication, physical health issues, dental care, and ethnicity. It also assessed compliance with statutory obligations and national and local policies on aggression prevention and management, resuscitation readiness, reporting of deaths, response to racist abuse, staffing levels, and access to urgent medical assistance, alongside communications and family involvement.","Independent Inquiry into the death of David Bennett  \nDavid ‘Rocky’ Bennett  \n1960 - 1998  \nDecember 2003  \nAn Independent Inquiry set up under HSG(94)27  \nCONTENTS  \nIntroduction 2  \nTerms of Reference 3  \nPanel Membership 4  \nPART I  \nThe history of David Bennett and his psychiatric care to October 1998 7  \nFindings on David Bennett’s mental illness 12  \nLast months of David Bennett’s mental illness 13  \nNorfolk Mental Health Care NHS Trust and the Norvic Clinic 15  \nEvents of 30/31 October 1998 16  \nFindings 23  \nThe Inquest 35  \nDevelopments at the Clinic since David Bennett’s death 36  \nPART II  \nPreface 41  \nRacism 43  \nDiagnosis 46  \nContact with Family 47  \nSecure Accommodation 48  \nMedication 49  \nManaging Challenging Behaviour 50  \nResuscitation 55  \nAvailability of Doctors 55  \nSecond Opinion Approved Doctor (SOAD) 55  \nSpecial Projects 56  \nThe Way Ahead 58  \nInquiries 62  \nRECOMMENDATIONS 67  \nAPPENDICES  \nAppendix I: Witnesses referred to in Part II of the report 71  \nAppendix II: Witnesses referred to in Part I of the report 73  \nAppendix III: Abbreviations used in both parts of the Inquiry report 74  \nAppendix IV: Documents/Papers studied by the Inquiry Panel 75  \nInquiry into the death of David Bennett 1  \nINTRODUCTION  \nT  \nHIS is an Inquiry set up under HSG(94)27 by the Norfolk, Suffolk and Cambridgeshire Strategic Health Authority after consultation  \nwith the Department of Health as a result of the death of Mr David Bennett at The Norvic Clinic on 30 October 1998.  \nAt the Department’s request, the Inquiry has also examined some broader mental health issues. It was also required to inform the developing black and minority ethnic mental health strategy. But we only had the limited powers provided by HSG(94)27 .  \nThe terms of reference were formulated after careful consideration of all relevant factors, including the views expressed by Dr Joanna Bennett, the sister of the deceased and the recommendations made by the Coroner at the conclusion of the Inquest.  \nMr David Bennett was an African-Caribbean. He suffered from schizophrenia.  \nHe had been receiving treatment for his mental illness for some eighteen years before the date of his death. On that evening Mr David Bennett had been in an  \nincident with another patient who was white. During that incident each man struck out at the other. Mr David Bennett was also the recipient of repeated racist abuse from the other patient. After this incident, Mr David Bennett was moved to another ward.  \nWhile in that ward he hit a nurse. He was then restrained by a number of nurses and a struggle developed. He was taken to the floor and placed in aprone position, face-down, on the floor. During the prolonged struggle that then continued he collapsed and died.  \nThe first part of our Inquiry covers the whole period of Mr David Bennett’s illness, the events leading up to his death and certain other events that took place during the hours and days following his death.  \nAlso, in this part of the Inquiry, we deal with some other matters individually. This part of the Inquiry deals with our terms of reference 1 to 6.  \nThe other part of the Inquiry deals with the remaining terms of reference.  \nInquiry into the death of David Bennett 2  \nTERMS OF REFERENCE  \nThe terms of reference are as follows:  \n1.To examine the care and treatment Mr Bennett was receiving at the time of the incident.  \n2. To assess the suitability of that care and treatment, in view of Mr Bennett’s history and assessed health and social care needs, including:  \n􀂈 the planning and management of care  \n􀂈 medication prescribed  \n􀂈 physical health problems  \n􀂈 dental care  \n􀂉 ethnicity.  \n3. To examine the extent to which that care and treatment corresponded with statutory obligations, relevant guidance from the Department of Health, and local operational policies including, specifically:  \na. standards for the prevention and management of aggression by psychiatric in-patients and to apply regular monitoring","cbCaitZ3fJXfByIa","https://ap.wps.com/l/cbCaitZ3fJXfByIa","pdf",826040,2,1,88,"English","en",105,"# Introduction\n# Terms of Reference\n# Panel Membership\n# PART I\n## The history of David Bennett and his psychiatric care to October 1998\n## Findings on David Bennett’s mental illness\n## Last months of David Bennett’s mental illness\n## Norfolk Mental Health Care NHS Trust and the Norvic Clinic\n## Events of 30/31 October 1998\n## Findings\n## The Inquest\n## Developments at the Clinic since David Bennett’s death\n# PART II\n## Preface\n## Racism\n## Diagnosis\n## Contact with Family\n## Secure Accommodation\n## Medication\n## Managing Challenging Behaviour\n## Resuscitation\n## Availability of Doctors\n## Second Opinion Approved Doctor (SOAD)\n## Special Projects\n## The Way Ahead\n## Inquiries\n# RECOMMENDATIONS\n# APPENDICES\n## Appendix I: Witnesses referred to in Part II of the report\n## Appendix II: Witnesses referred to in Part I of the report\n## Appendix III: Abbreviations used in both parts of the Inquiry report\n## Appendix IV: Documents/Papers studied by the Inquiry Panel","[{\"question\":\"What is the purpose of the independent inquiry into David Bennett’s death?\",\"answer\":\"The inquiry examines the care and treatment David Bennett received at the time of the incident and assesses how suitable that care was in light of his history and assessed health and social care needs.\"},{\"question\":\"Which aspects of care and treatment are covered in the terms of reference?\",\"answer\":\"Coverage includes planning and management of care, prescribed medication, physical health problems, dental care, and issues related to ethnicity, as well as professional judgement and monitoring of the care plan.\"},{\"question\":\"What policies and operational requirements does the inquiry evaluate?\",\"answer\":\"It evaluates compliance with statutory obligations and guidance, including prevention and management of aggression (especially control and restraint), provision for resuscitation and staff training, reporting of the death, staff action regarding racist abuse incidents, staffing levels, and urgent medical assistance outside normal hours.\"}]","Inquiry into the death of David Bennett | 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