Source · Investigations in the NHS
An independent external quality assurance review of the independent investigation into the care and treatment of mental health service user David: Published August 2021
An independent assurance review of the independent investigation into the care and treatment of mental health service user David This is the report of an independent assurance review of an independent investigation which considered the care and treatment of mental health service user David at North West Boroughs Healthcare NHS Foundation Trust, published in June 2020. The independent external assurance review report and associated assurance statement have been published by:
Acceptance status
No Response Published
9
Total recommendations
9
About this investigation
Recommendations
1
The Trust
No Response Published
Recommendation
All patients must have risk assessments and care plans which comply with Trust and national standards, and the Trust should develop an assurance framework that evidences compliance.
2
The Trust
No Response Published
Recommendation
The Trust should develop an approach to the quality assurance of care plans that addresses communication with other agencies for patients with complex needs. This must include assurance that appropriate communication plans are in place.
3
The Trust
No Response Published
Recommendation
The Trust must demonstrate that the CAMHS pathway has identified and implemented the requirements of the NICE guidance into the ‘iThrive’ pathways, and that this is monitored.
4
The Trust
No Response Published
Recommendation
All patients should have a risk assessment which addresses triggers and relapse indicators, and includes assessment and management plans if there is an escalation in risk, covering risk and coping strategies.
5
The Trust
No Response Published
Recommendation
All young people under the care of CAMHS must have a named practitioner with responsibility and oversight of their care in line with the Trust Care Coordination Policy and Lead Professional Policy, and this must be included in the implementation …
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6
The Trust
No Response Published
Recommendation
All young people who are under the care of CAMHS who have an Education Health Care Plan (EHCP) must have their EHCP referenced in the CPA care plan. The care coordinator must liaise with the EHCP coordinator.
7
The Trust and NHS Wigan CCG
No Response Published
Recommendation
The Trust and NHS Wigan CCG must ensure that all investigations and serious incident reports meet national quality requirements, to include particular reference to engaging with and listening to families.
8
NHS Wigan Borough CCG and NHS Knowsley CCG
No Response Published
Recommendation
NHS Wigan Borough CCG and NHS Knowsley CCG must ensure that all systems for sign-off of Trust SI reports provide quality assurance that the requirements of the NHS England SIF are met.
9
The Trust
No Response Published
Recommendation
The Trust must complete the review of the complaint handling process and implement the recommendations from the review, incorporating particular reference to engaging with and listening to families.