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Lousia Ovington independent investigation report ... - NHS North East

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CHAPTER 1 - NARRATIVE OF KEY DATES AND EVENTS<br />

42<br />

124. On or about 23 June 2001 Louisa <strong>Ovington</strong> assaulted Mr Hilton with a knife<br />

and self harmed by cutting her own neck (and <strong>report</strong>ed that she had attacked her<br />

cousin). She was charged with a public order offence 50 and she appeared at court<br />

on two occasions and was bailed. The outcome of this case is not recorded. It would<br />

seem that probation, the domestic violence unit at Durham police, social services and<br />

the CPN service were informed. It is not clear who took what action as a consequence<br />

or how much communication there was between the agencies<br />

125. Social Worker 4 convened a CPA on 10 July 2001 (which neither probation nor<br />

the GP was able to attend). The minutes were not available to the panel but it seems<br />

that Consultant 5 was present and agreed to take Louisa <strong>Ovington</strong> on and see her<br />

on a monthly basis. Social Worker 4 felt she was in a very volatile state. There were<br />

concerns about her father’s attempts to contact her.<br />

126. On 13 July 2001 Consultant 5 referred Louisa <strong>Ovington</strong> for psychotherapy<br />

with Psychotherapist 1. (Unfortunately due to a combination of factors - the<br />

appointment letter going to the wrong address, Louisa <strong>Ovington</strong> not completing the<br />

paper assessments and only attending one appointment and delay, the conclusions<br />

were incomplete and were not available until the following June (11 months later).<br />

Psychotherapist 1 commented that on the information available she seemed to have<br />

made reasonable progress over the past two or three years. He did not think she was<br />

suitable for psychotherapy.<br />

127. In August 2001 Louisa <strong>Ovington</strong> attended outpatients with a consultant whose<br />

name she could not remember. It was not Consultant 5. She only attended one<br />

appointment with him. After some confusion it seemed that she had attended with<br />

Consultant 14 at Peterlee Health Centre, but Social Worker 4 having tried to keep<br />

track of whom she was seeing was told in November 2001 that Consultant 14 had<br />

left and that Consultant 13 was her consultant. In early 2002 however, Social Worker<br />

4 (who had been trying to access her notes, with great difficulty and had been told<br />

by Consultant 13’s secretary that if he wished to access her outpatient notes, he must<br />

do so through her GP) was finally told that Consultant 2 was now the consultant in<br />

charge of her care. (The panel could find no reference to Louisa <strong>Ovington</strong> having any<br />

contact with Consultant 2).<br />

128. The CRO lapsed as at 3 December 2002. The identity of the psychiatric<br />

supervisor remained unclear (there is little reference to it in the probation notes). 51 She<br />

occasionally attended at outpatients where she saw several different psychiatrists. She<br />

only saw Consultant 5 once in outpatients in July 2001.<br />

50 8th offence<br />

51 See Chapter 6

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