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Discharge rules from medium secure units in Wales to be reviewed after stabbing

BMJ 2004; 329 doi: (Published 09 December 2004) Cite this as: BMJ 2004;329:1366
  1. Roger Dobson
  1. Abergavenny

Arrangements for planning discharges at medium secure units in Wales are to be reviewed after an investigation into the case of psychiatric patient, Paul Khan, who fatally stabbed a stranger. The investigation identified a series of system failures—including a failure to apply a “12 hour missing” rule, which would have alerted the Home Office to the disappearance of 35 year old Mr Khan.

The inquiry team also said that they had difficulty understanding how Mr Khan, who had been admitted to Ashworth Maximum Security Hospital, Merseyside, seven years previously for an unprovoked knife attack, …

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