Terence Pimm

Dear Mrs Beasley-Murray am writing to set out the Trust's formal response to the Regulation 28: Report to Prevent Future Deaths , dated 14 August 2017_ which was issued following the inquest into the death of Mr Terence Pimm. Sadly, Mr Pimm died while he was patient of the former North Essex Partnership University NHS Foundation Trust; This Trust was dissolved when it merged with another Trust on April 2017 to form Essex Partnership University NHS Foundation Trust. am the Chief Executive of this new Trust, but did not hold any position in the former North Essex Partnership University NHS Foundation Trust. would like to begin by extending our deepest condolences to the family of Mr Pimm; We fully understand that this has been, and remains, an extremely difficult time_ hope this response provides them and you with assurance that the Trust regards this situation seriously and is taking action to address the issues raisedin the inquest: have responded below to the matters of concern relating to the former Trust: Call handling and record-keeping at The Lakes: All health-based place of safety calls are directed now through the new Trust's call centre. This means that all calls are recorded and documented On call-log by trained call-handlers. All patients admitted to health-based places of safety have individual patient records detailing potential risks, assessment of presentation and copies of documentation from other agencies Further work is continuing on electronic record-keeping processes in regard to this issue_ To mental health assessors a8 to the circumstances in which the input of family members should be sought: very

The new Trust has taken steps to reinforce to staff the importance of family involvement and ongoing communications. A detailed debrief in this respect was undertaken with the staff involved in Mr Pimm's care. Additionally, audits on this issue are being undertaken via the new Trust's staff supervision process. The sufficiency of information sharing and coordination between the police, hospital Trust and probation service: The information-sharing concordat has been reinforced. Additionally, the new Trust holds localised police Iiaison emergency care meetings ad will ensure that the probation service is invited to improve information sharing in this regard. The new Trust has launched new street-triage team in which mental health practitioners work together with dedicated police officers: We anticipate that this initiative will also help significantly to improve information-sharing and coordination between our services_ Training/ guidance for mental health clinicians in relation to persons who are subject to a warrant: A new flowchart is in place now for staff, which details clearly which actions to take in situations where people are subject to a warrant: Training on this is underway for all our staff working in mental health accident and emergency teams and mental health criminal justice teams_ Please be assured that learning from Mr Pimm's death is being shared across the new Trust to help prevent the same issues arising again. Finally, would like to reiterate my condolences once again to Mr Pimm's family at this sad time. hope that this response goes some way to providing assurance that the Trust regards their loss seriously indeed and is taking steps to address the issues raised during the investigation and the inquest_

Dear Madam Terence Pimm (deceased): Report to Prevent Future Deaths In response to your Regulation 28 report to prevent future deaths dated 14th August 2017 confirm as follows; Callhandling and record-keeping at the police custody suite Essex Police have taken the following action; The Essex Police switchboard operators have been instructed to refer telephone calls from the public concerning matters that do not concem person in custody at the time of the call through to the Force Control Room (FCR) and not a custody suite_ Managers and staff working within custody suites have been advised that (i) only Essex Police personnel are to answer the telephones in custody, (Ii) if non custody staff do answer the custody telephones are to bring any relevant information concerning a detainee to the attention of custody staff for inclusion onto the custody record ad (ii) any telephone calls received in custody which do not concem a detainee in that that custody suite at that time are to be transferred to FCR either as an emergency or non-emergency: This instruction is also set out in writing and placed within the custody suites. Essex Police Legal Department; Police Headquarters, PO Box 2, Springfield, Chelmsford, Essex CM2 6DA Telephone 01245 452603/5 Fax 01245 452246 Our they

[NOT PROTECTIVELY MARKED] The_sufiiciency of_quidance and_training_to_police_call handlers as_t0_whether an individualis_objectively_atan immediate' risk As part of their training FCR staff have a presentation on the threat harm and risk assessment process (known as THRIVE) to be applied for each 'new' call receive and on receipt of new infommation concerning previous calls. In response to the issues raised during the Inquest touching upon the death of Mr Pimm this training has been supplemented with an additional section covering the issue of immediacy: The additional training highlights the nature of the risks that can arise when call is received regarding concern for welfare and the importance of addressing those concerns with appropriate immediacy, or if unsure to seek advice: The_sufficiency_of_inforation sharing_and_CO-ordination between the_police_ Hospital Trust and probation service Essex Police have taken the following action; Essex Police has written to the Essex and Essex Community Rehabilitation Company concerning the outcome of the Inquest; "Given the recommendations, could we please ask you to consider implementing process to ensure that if your staff become aware they are meeting with persons know to be 'wanted', Essex Police are notified: In an emergency please call 999, but in all other circumstances please call
101. This will enable Essex Police to conduct risk assessment; and take action as necessary in the hope of avoiding future deaths. Information Sharing Agreements, including Standard Operating Procedures, between Essex Police and our partners in Health are currently being developed: The final drafts were submitted t0 the Health lead on the September and a meeting is scheduled to take place on 23r November
2017. One of the proposed Standard Operating Procedures includes provision for Health to make request for information to Essex Police (or vice versa) "where Health Professionals are working with patient or planning to work with patient and it is identified that the police are likely to hold information relating to the patient, which would indicate pose a risk of serious harm to: Themselves: Another patient: A member of staff. The Regulation 28 Report to Prevent Future Deaths will be raised at the meeting to be held on 23r November in order to re-emphasise the importance of the proposed agreements. they they they

[NOT PROTECTIVELY MARKED] In addition to the above, mental health Street Triage cars are available to be deployed by the Essex Police Force Control Room in support f police officers dealing with mental health incidents: It is staffed by police officers and mental health professionals who operate dedicated specialist response and advice role for mental health related incidents, including concern for welfare issues. The Triage unit can access the person's history via their mental health trust directly and without delay and if are not in attendance this information can be passed to the police officers at the location: hope you find this response satisfactory: