PERFORMANCE: South West Yorkshire Partnership Foundation Trust has drawn up an action plan to learn lessons from six historical cases involving patients who committed murders while under its care.

NHS England commissioned reviews which examined the cases, dating from 2007 to 2011.

An accompanying report identified commons themes, which highlighted substandard practice regarding aspects of diagnoses and treatment, electronic record keeping, and working with people with substance abuse issues.

Papers for the January trust board meeting said of one of the six patients, identified as Mr L: “The care and treatment offered were generally of a good standard although there were some missed opportunities. Mr L was not screened or offered treatment for his substance abuse during the third episode of care. The trust was unaware that Mr L had an extensive criminal history.”