M ental I llness C oncerns A ll	4.5 ... The Panel notes that, " in the proposals made by the government for the reform of the mental health Act 1983, certain aspects might have an impact on how such cases as Andrew Ackroyd are handled in the future. The proposals, contained in the White Paper, Reforming the Mental Health Act, emphasise the importance to the care and treatment of service users of the care programme approach.Care and treatment could be provided compulsorily in a number of venues, including the community, where the patient was actively resisting it. It is possible this change in the law might have helped the Assertive Community Team handle Andrew Ackroyd ". There is no evidence that any of the clinical teams at Ashworth,Leicester or Chesterfield ever tried to see all of the family members ( parents and the two sisters - one older, one younger ). Evidence from the whole family would have provided valuable additional context to an assessment of andrew, particularly in terms of identifying deterioration in his health and in recognising his dangerousness. The Active community team had no clinical leader, no supervision, and being new had not discovered some skills required or found their way to some necessary resources. AA had very many different accomodations. At one flat the rooms were bare and he slept on the floor. He was therefore mostly using his family home as a stopping base. That was not satisfactory. His mother was afraid, and she told the admission ward and the team that the father of AA did not like to see AA in the admission ward, and sometimes did not press his concerns. That source was unreliable. back to Inquiries Linking Inquiry Gunn; Ackroyd.	E-mail reaction is welcome mica@didgy.freeserve.co.uk