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An independent external quality assurance review of the independent investigation into the care and treatment of mental health service user Mr M: Published November 2021

North West Published 01 Nov 2021 Subject Mr M

This is the report of an assurance review of an independent investigation which considered the care and treatment of mental health service user Mr M in Greater Manchester An independent external assurance review report have been published by

Report PDF NHS England Source
Jump to 6 recommendations

Acceptance status

Per recommendation
No Response Published
6
Total recommendations
6
About this data

Acceptance status tracks whether the trust accepted or responded to each recommendation.

Independent health investigation reports and reviews commissioned by government or NHS England.

About this investigation

Source & metadata

Independent investigation report. Recommendations and any published response are extracted below.

Recommendations

6 total
1 Greater Manchester Mental Health NHS Foundation Trust No Response Published
Recommendation
The Trust should review the Incident Accident and Near Miss Policy to ensure that the template does not restrict report authors in fulfilling the terms of reference, and that the guidance to authors of Level 2 reports includes the approach … Read more
2 Organisations involved in the MAPPA Strategic Management Board No Response Published
Recommendation
Organisations involved in the MAPPA Strategic Management Board should share and implement the learning from this incident and the internal investigation across all services, and develop a mechanism to measure the impact of this.
3 Salford CCG No Response Published
Recommendation
Local commissioners must ensure consistent and appropriate oversight of serious incident reports and monitoring of action plans.
4 The commissioners of mental health services and The MAPPA Strategic Management Board No Response Published
Recommendation
Referring to the multi-agency standards: (a) The commissioners of mental health services must assure themselves that the multi-agency standards for effective management of MAPPA cases are being delivered effectively in all relevant services. (b) The MAPPA Strategic Management Board should … Read more
5 Greater Manchester Mental Health NHS Foundation Trust No Response Published
Recommendation
The Trust must ensure that the outcomes of the Achieve caseload review are collected and monitored to provide assurance about compliance with the risk assessment guidance.
6 Greater Manchester Mental Health NHS Foundation Trust No Response Published
Recommendation
The Trust must develop a protocol for all services so that service users with a conviction for murder are subject to a multi-disciplinary team review, and that when a client with a conviction of murder or other serious offences (for … Read more