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We accept that there were procedural failures, particularly in relation to the sharing of information and handover arrangements between staff. It is therefore important that lessons are learned.
Since this incident took place 18 months ago, significant changes have already been made to improve procedures across the forensic department.
These changes have addressed many of the recommendations highlighted in the Mental Welfare Commission report and plans are in place to ensure the remainder are met in full.
We recognise that this is a difficult time for Mr M's family and we have offered to meet with them to discuss the report and its recommendations in more detail.
We welcome the development of new national protocols for the management of forensic patients and will work with the Scottish Executive to ensure that these are implemented.
Public and patient safety is a key priority and we will continue to develop the services we provide to the very small number of mentally ill patients who pose a risk to themselves or others.
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