Kirabo Kiwanuka

1. 1. lack of senior professional agreement on NMS diagnosis criteria

   “There is lack of senior professional agreement about the criteria needed for diagnosis of NMS, or the need for referral to physicians, even in retrospect”

2. 2. disagreement on atypical NMS management

   “Doctors did not agree whether atypical NMS exists and whether in the absence of rigidity cases should be managed differently”

3. 3. uncertain care setting for manic patients with physical illness

   “There is lack of clarity about whether acutely manic patients in a psychiatric facility with physical illness should receive domiciliary visits from physicians and medical care in the psychiatric facility or be transferred to a medical facility”

4. 4. absence of physician examination for abnormal vital signs

   “She was not examined by a physician when she developed abnormal vital signs”

5. 5. exclusion of family input in treatment decisions

   “The parents were not given the opportunity to contribute their views to the decision to administer Acuphase”

6. 6. limited family involvement in best interests decisions

   “Where a patient lacks capacity and is under section, the involvement of the family in determining her best interests is required but here it was limited and yet they had concerns about the risks of treatment”

No published response was found on judiciary.uk.