Norfolk review

A multi-agency learning briefing will be developed to include information and reflective questions about suicide risk, including questions to ask when patients/service users indicate an intention to access Dignitas.

A multi-agency learning event will be delivered, addressing approaches to safety planning - as recommended by NICE and NHSE - when patients/service users disclose suicidal ideation.

Multi-agency guidance to be developed, to assist staff who are called to be engaged with a Statutory Review.

To raise awareness of Dignitas to general practice staff and the importance of conducting a risk assessment if a person raises issues of suicidal ideation or assisted dying.

To review information within the level 3 safeguarding training package, to include more detail about domestic abuse in older people and impact on carers.

To introduce targeted bespoke training to different departments at NNUH.

The hospital Trust’s safeguarding policy, which includes the identification of carer’s burnout, will be introduced across out-patient services.

Review of electronic patient admission documentation to help in identifying the needs of carers including signposting to appropriate support services.

A review will be undertaken, to identify how individuals are asked about their options, when their care is self-funded, and contact is via an informal advocate.

Periodic Care Act training will include details on how adult social care can support people who are self-funding.

For Domestic Abuse, safe enquiry questions to become part of everyday practice within NCHC and be incorporated into the SystmOne templates, including prompts around ensuring patients are given the opportunity to be seen alone.

For NCHC to provide awareness and support to staff to enable them to identify carers fatigue and understand the safeguarding implications of this on the patient and carer.

For NCHC to explore if improvements can be made to the SystmOne recording visibility between teams who are accessing different SystmOne units.