Buckinghamshire review

The Service Manager will identify a more reliable system way of ensuring that the outcome of assessments is shared with GP/patient in a timelier way

The Trust is to inform the Agency Worker, who no longer works at the Trust, that some aspects of his work fell below the Trust’s expected standards, and the Trust will inform the agency through which he was employed.

Team Managers from City AMHT will work with Service Manager to review, update, and relaunch the Operational Guide within the team, and review standard operating procedures (SOPs) following the remodelling of the team.

The Oxfordshire CCG will seek evidence from the GP Practice that issues raised about urgent mental health referrals have been addressed during in-house training with all Health Care Practitioners at the Practice.

The GP Practice is to confirm that the new referral system has now been correctly implemented and there is a system for ensuring referrals processes are completed.

OCCG and Primary Care Safeguarding Leads to share with the Suicide and Self-Harm Strategy Group the issues found in relation to non-engagement, and request support in developing some guidance around communication options in situations where a patient chooses not to engage.

All learning from this Review will be incorporated in future training activities.

Oxford Health report progress on the Root Cause Analysis (RCA) confirming that the relevant recommendations are completed.

Staff are to be reminded that any safeguarding issues or awareness of a colleague having safeguarding issues, should be highlighted to the safeguarding team so they will be dealt with in a confidential manner.