J Lander
Action Taken
The Trust has implemented a Substance Misuse Information Sharing Protocol with Swanswell Worcestershire Recovery Partnership. Action Plans from Root Cause Analyses are now uploaded to an Embedded Lessons Database, monitored by the Governance Team. (AI summary)
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Dear Mr Wlliam; Johnathan James Lander (Doceased) Thank you (or your letter dated 22 March 2016 issued pursuant to Regulatian 28 cf the Coroner: Regulations Fallowing the inquest the Trust now has in place an agreed Substance Misuse Inforratrion Sharing Protocol between itself and Swanswell Worcestershire Recovery Partnership encloze & copy for your Ba8e Df reterence The puipose of ihe protocol is Io erisure relevant clinical and otrer material information Is shared where there are concerns regarding patieni $ menlal health ad subatance misuse Ip ensure that services have UP Io date informaticn and Ihal patierts will receive the appropriate treatmert bath agencies_ can advise In relaticn [o & govemance procedure to implement the Action Plans set out in individual Root Cause Analyses thaf the Trust ncw' has an Emherded Lessons Database AIl the Action Plans sot out in Individual Root Cause Analyses aTa now uploaded t0 that database together wilh evidence of completed actions, This database is mcnitored by Ine Coverance Team based in the Ajult Mental Health and Leamning Disability Service Delivery Unit note that the issues ralsed In thiz cage may be l relevance to thcse Froviding healncare services in alher Trusts nationally an can see that tnere may b2 merit in the Chief Coroner publishing either 3 :ummary ar redacted form of cur correspondence shall be graleful If you cculd kindly sond a copy of my letter tol hope the above addresses Your concerns however_ if You have any quenes do not hesitale to ccntact me.