Enfield review

Primary care professionals should be reminded to utilise all opportunities available to them to engage with adolescent and young adult patients to promote engagement of the adolescent or young person.

Consideration must be given in primary and secondary care to systems and processes which could be utilised to facilitate information sharing in respect of victims and perpetrators believed to be involved in domestic abuse, to improve the information available across health services.

GPs must be reminded of the need to consider direct contact with patients when family or friends have confidentially expressed concerns relating to the patient’s poor mental health in order to increase the likelihood of serious deterioration being assessed and appropriate actions to maintain the safety of the patient and others who may be at risk.

BEH Mental Health Trust to review and agree a protocol for the timeliness and content of communications between secondary mental health service and primary care, especially in complex cases and those with risks of harm to self and/or others to improve the information available to primary care services.

BEH Mental Health Trust should review the information provided on its website to improve public understanding of mental health services and increase the likelihood of sufferers receiving appropriate care.

It is recommended that the MPS North Area BCU Senior Leadership Team conduct periodic dip sampling to ensure compliance in the completion of vulnerable adult coming to notice reports on MERLIN in order to share information with partners, reporting results to the LBE Domestic Abuse Co-ordinator.

BEH Mental Health Trust should review practice to ensure that: a) Where a decision is made to change a treatment plan for a patient, there should be evidence of discussion/second opinions and documentation of the reasons for change and the alternative arrangements, including contingency plans. b) Care to be taken to ensure adequate completion of risk assessment documentation c) Care to be taken to ensure appropriate information is sent on time to referrers/GPs d) All North Middlesex Mental Health Liaison Service (NMMHLS) staff to be reminded to use the shared databases of information regarding previous patient admissions and more widely to include the MASH facilities where possible. This will increase the likelihood of decisions being based on clear and robust assessments and care planning.

Financial resources for funding increased bed capacity within the mental health sphere is required to meet demonstrated demand. Additional resources will also be required to adequately fund co-ordination between partner agencies within and beyond the NHS in order to implement the “Right Care, Right Person” policy.

The “Right Care, Right Person” policy should be implemented as a matter of urgency, commensurate with the funding available. Particular care will be required to develop suitable communication mechanisms to ensure that Right Care, Right Person can provide the most appropriate interventions.