Middlesbrough review

Review the evaluation of the two-year pilot of IRISi in Middlesbrough and write to the Integrated Health Board and Cleveland Violence Reduction Unit to make them aware of the benefits of the pilot, improved outcomes, and the risks in relation to sustainability of IRISi without collaborative commissioning, long term investment, or ownership of the initiative.

A process should be put in place to ensure that potential victims of violence and abuse are provided with the means to communicate any concerns to professionals.

Provision of domestic abuse help and support information should be available within the practice.

The Community Safety Partnership should write to the Tees Esk Wear Valley and request a written update and evidence that recommendations identified in this DHR have been addressed and that changes introduced in relation to policy and practice have been implemented.

Patient’s care plans should accurately reflect the frequency of intended reviews and who is to conduct them.

The GP practice should monitor appropriate safeguarding activity and policy compliance through record keeping audits and referrals.

Identify partners in Community safety Partnership and implement a communication plan on how learning and recommendations can be shared effectively across the partnership and monitor impact of this.

Written Update and evidence provided to Middlesbrough Community Safety Partnership that a previous recommendation ‘an audit be conducted to ensure there is no evidence of ‘copy and pasting’ of entries in clinical records by Clozapine clinic staff’ has been adequately addressed.

Ensure staff are compliant with the Adult Safeguarding Roles and Competencies for Health Care Staff Intercollegiate Document and the Safeguarding Children, Young People and Adults at Risk in the NHS: Safeguarding accountability and Assurance Framework.

Assurance should be provided to Middlesbrough DHR scrutiny panel that a previous recommendation that ‘The Trust must revise internal policies and procedures relating to the functioning of ‘Clozapine clinics’ in order to be satisfied that any function relating to formal assessment of attendees’ mental health status is clearly described and supported’ has been adequately addressed.

Where Domestic Abuse markers are identified on patient records and/or concerns relating to potential domestic abuse are identified during consultations, appropriate enquires (for individuals aged 16 and older) should be considered to ensure that safeguarding concerns are identified and that correct procedure is followed.

The learning and recommendations from this DHR to be shared with primary care providers across Tees valley