Undertaking this Serious Case Review into what happened and how to guard against future failings was complex. It was not designed to place blame on any organisation or individual. However, it does not shy away from criticising organisations that could and should have done better.
The report’s recommendations are intended to promote service quality and improved information to the public and stronger accountability drawing on the practice, management and scrutiny of Orchid View to improve such services into the future."
More top news
Teachers and staff across the country are starting training to identify and respond to early signs of mental health problems among pupils.
Tuesday morning's weather for the east of the region
Tuesday morning's weather for the west of the region