Kettering review

Leicestershire Partnership Trust, Eating Disorder Service and GP’s review policies and procedures to ensure consent to discuss and disclose information about a patient with others, parents or not, is obtained prior to disclosure.

The process for sharing information between the CCG/GPs and the MARACs should be reviewed with some urgency.

KGH will continue presenting education and maintaining mandatory levels of training at the expected requirement.

The Transition Policy covering transition between Child and Adult Mental Health Service should be reviewed, to ensure that LPT staff is clearly aware of their responsibilities in line with the Policy. This should include ensuring clarity is sort with the patient when transferring risk history information.

Leicestershire Partnership Trust to review the procedure for the implementation of the provisions of the Care Programme Approach even when the patient does not engage with services.

Key practice staff should continue to receive awareness training relating to MARAC.

KGH is currently re- launching and promoting the new IDVA service in the county.

Lessons learned from this review will be circulated across the trust to reinforce and remind staff of the importance of following organisational policies and processes including; • Notifying GP’s if there has been a change to the prescribed medication • Documentation and record keeping of Safeguarding and Domestic Violence disclosures • Evidencing consideration of safeguarding risks prior to discharging patients from a service and including documentation of this consideration. • Ensuring updates regarding care, treatment, incidents and safeguarding concerns are shared with other teams and departments internally within LPT when a patient is open to more than one service. • To ensure that outcomes are requested by practitioners from the LA when making a safeguarding referral. • Domestic Violence training and the availability of LPT DV Specialist and Safeguarding team in providing advice and support to be re-promoted to LPT staff, which should include the importance of the use of the DASH risk assessment in supporting the management of risk and supporting MARAC referral.

All Adult Community Mental health Team DNAs should be coded by the practice and discussed at their Adult Safeguarding meetings.

Increased advertisement in the acute and emergency areas about domestic violence.

All Victims of Domestic Abuse should be coded as vulnerable adults and discussed at Adult Safeguarding meetings.

All patients diagnosed with Emotionally Unstable Personality Disorder will be coded as vulnerable adults and discussed at Adult Safeguarding meetings.

Leicestershire Partnership Trust, Eating Disorder Service and GP’s review policies and procedures to ensure consent to discuss and disclose information about a patient with others, parents or not, is obtained prior to disclosure