Recommendation
The Trust must ensure that clarity is provided to early intervention team staff about what approach to take when there is diagnostic uncertainty (either within a single team or between teams involved in a patients’ care and treatment).
Recommendation
The Trust and their commissioners must be assured that the investigation, management and oversight of serious incidents is appropriately undertaken.
Recommendation
The Trust must assure themselves that when patients are entered into a clinical trial there is evidence to indicate that they are an appropriate candidate for that trial.
Recommendation
The Trust must ensure that clarity is provided to the Early Intervention Team about the process for seeking a 2nd opinion and/or formal consultation with another clinician or team (in particular the forensic team) when a patient has not responded …
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The Trust must ensure that clarity is provided to the Early Intervention Team about the process for seeking a 2nd opinion and/or formal consultation with another clinician or team (in particular the forensic team) when a patient has not responded to treatment for a prolonged period of time and where risks are escalating.
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Recommendation
The Trust and relevant local authorities must ensure that where systems do not already exist: • when there are doubts or differences of opinion about the use of the Mental Health Act (MHA), a formal discussion that involves an Approved …
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The Trust and relevant local authorities must ensure that where systems do not already exist: • when there are doubts or differences of opinion about the use of the Mental Health Act (MHA), a formal discussion that involves an Approved Mental Health Professional (AMHP) takes place and is properly recorded; • the AMHP teams on duty during normal working hours and out of hours have a system to record all requests for Mental Health Act assessments, even when it is expected that a clinical team will contact the next shift.
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Recommendation
The Trust must ensure that all clinical teams follow Trust Safeguarding policies when they are made aware of safeguarding concerns about children or adults, and that appropriate referrals are made to the relevant social care department.
Recommendation
The Trust and Salford Royal NHS Foundation Trust must ensure that when recording that a patient is being treated under the Deprivation of Liberties Safeguards (DoLS) framework the appropriate documentary detail is in place to apply the Mental Capacity Act …
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The Trust and Salford Royal NHS Foundation Trust must ensure that when recording that a patient is being treated under the Deprivation of Liberties Safeguards (DoLS) framework the appropriate documentary detail is in place to apply the Mental Capacity Act lawfully.
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Recommendation
The Trust must assure itself and its commissioners that when actions are implemented there is sufficient evidence of the effectiveness of the outcome or change in practices.
Recommendation
The Trust must ensure that it fulfils its responsibilities under Duty of Candour and that appropriate guidance and oversight is provided to staff to enable them to execute the responsibility appropriately.
Recommendation
The Trust must ensure that an appropriate prescribing plan is developed and implemented when patients are at risk of becoming homeless or not registered with a GP.
Recommendation
The Trust must ensure that when care plans are developed patients and their carers are given the opportunity to contribute to the content, in accordance with Trust policy.