Sheffield review

Non-response to annual health checks, cancer screening programmes and immunisations: Sheffield CCG requests that GP practices review their policies regarding non-response to annual health checks, cancer screening programmes and immunisations. Practices should ensure that capacity to decline the appointment is assessed and that reasonable adjustments are made for those who lack capacity.

Named Accountable GP: Sheffield CCG will request guidance on the role of the Named Accountable GP from NHS England and circulate this.

Accompanying persons: Sheffield CCG will encourage clinicians in GP practices to document who each patient attends their appointments with.

Dementia and risk: To remind partner agencies that risk assessment is part of the care planning procedure in people living with dementia and this should include risk to others. This is relevant to primary care, carers centres, dementia assessment services/ memory clinics and adult social care.

Processes to support older adults experiencing domestic abuse: Adult Safeguarding Partnership to seek reassurances that local processes are fit for purpose with regards to supporting people over the age of 65 where there may be mental health and domestic abuse concerns.

Raising awareness with older adult groups: The report will be shared with the Alzheimer’s Society locally and nationally and an offer will be made to discuss joint working to raise awareness of some of the issues in DA and older adults.

Raising family concerns about treatment of older adults in the judicial system: the Panel feel that it is important to acknowledge the family’s concerns and will write to the agencies concerned (CPS and Prison Service) to pass on the family’s concerns about how their mother was treated in the judicial system.

Recommendations for future DHRs: 1) Alleged perpetrators should be asked for access to defence reports 2) When alleged perpetrators have established or suspected cognitive problems approaches to them concerning their involvement and access to their information need to be cognisant of, and compliant with, mental capacity legislation.

Recommendation for Home Office consideration: it would be helpful for the Home Office to communicate with the Law Society and the Prison Service about best practice in engagement with DHRs.