Isle of Wight review

Primary Care practitioners should be reminded of the importance of recording all patient interactions, of any nature, in the individual patient record so as to provide a full record of care and communication.

That Isle of Wight Clinical Commissioning Group supported by NHS England, develop mandatory workforce development measures for Primary Care to ensure that the knowledge and understanding of the prevalence and risk factors around domestic abuse are fully understood enabling them to embed the NICE Quality Standards on Domestic Violence and Abuse into practice.

That Isle of Wight Clinical Commissioning Group, in conjunction with NHS England, remind Primary Care practitioners of the importance of leading the arrangements for regular multi disciplinary reviews of the treatment and care and support needs of patients with new diagnoses of cancer based upon assessments of their holistic health and wellbeing and that of any carers.

That NHS England, supported by the Isle of Wight Clinical Commissioning Group, develop robust mechanisms to assure that the contractual requirements regarding the function of named and accountable GPs are adhered to fully so that this cohort of potentially vulnerable people receive co-ordinated and tailored health care which meets their changing needs.

General Practices across the Isle of Wight should adopt the principals of The Gold Standard Framework so that they are able to offer integrated and co-ordinated end of life care which meets the wishes and needs of their patients and their families.

Linked to Recommendation 4, NHS England supported by CCG should ensure that older patients who have a diagnosis that may indicate a progressive illness, including but not restricted, to dementia have information provided to them should their symptoms worsen and have their condition and care and support needs regularly reviewed.

That the Isle of Wight Safeguarding Adults Board works with the Health and Wellbeing Board to adopt the Memorandum of Understanding suggested in ‘An Integrated Approach to Identifying and Assessing Carer Health and Wellbeing’ in order to demonstrate commitment to the duties of co-operation and promotion of wellbeing, as well as the wider commitment to identifying, recognising, assessing and supporting Carers.

That agencies on the Isle of Wight ensure that professionals who encounter those people with safeguarding needs that may fall below the eligibility threshold are aware of the Vulnerable Adults Panel, are familiar with its role and function and are trained so as to be confident in identifying relevant cases and making referrals to it.

Isle of Wight mental health and learning disabilities services should ensure that all assessments take into account the needs of carers and, where appropriate, referrals to carers’ support agencies should routinely be offered as well as information regarding available services and pathways should the patient’s condition deteriorate or needs change.