Recommendation · source text
The trust should put steps in place to ensure that all relevant information about a service user is shared (even if consent is not granted) with someone who is a known risk from that service user.
Source · Investigations in the NHS
An independent inquiry into the care and treatment of Mr S: September 2014
South West
Published 01 Sep 2014
Trust Somerset Partnership NHS Foundation Trust
Subject Mr S
Index summary
This is the report of the independent investigation into the care and treatment of Mr S . At the time of the homicide (2011) Mr S was receiving care and treatment from Somerset Partnership NHS Foundation Trust. This is the independent assurance report on actions following publication of the original review.
Recommendations
Recommendation · source text
The trust should ensure that there are steps in place so that relevant staff in older person’s services are able to gain advice and guidance from forensic services when needed.
Recommendation · source text
The trust should put steps in place to ensure that a discussion with the person using mental health services takes place to find out if they want their family, carers or friends to be involved in their care. Such discussions should take place at intervals to take account of any changes in circumstances, and should not happen only once. If consent is refused, advice should be sought as to what action can be taken without releasing confidential information.
Recommendation · source text
The trust should carry out an audit to ensure that accurate records are kept of all clinical reviews including the people present, the discussions and the outcomes of reviews.
Recommendation · source text
The trust should have a clear process in place to ensure that the victims of serious incidents and their families are supported and involved in the trust internal investigation. As a minimum the trust should ensure that the victim’s family:
are provided with and consulted on the terms of reference of the trust internal investigation;
know how they will be able to contribute to the process of investigation; and
receive a copy of the trust investigation report in a timely manner without the families having to write to the trust to ask for information.
are provided with and consulted on the terms of reference of the trust internal investigation;
know how they will be able to contribute to the process of investigation; and
receive a copy of the trust investigation report in a timely manner without the families having to write to the trust to ask for information.
Acceptance status
No Response Published
5
Total recommendations
5