Source · Investigations in the NHS

*An independent inquiry into the care and treatment of Mr Z: October 2014

South East Published 01 Oct 2014 Trust Sussex Partnership NHS Trust Subject Mr Z

This is the report of the independent investigation into the care and treatment of Mr Z . At the time of the homicide (2010) attempts were being made for Mr Z to access services from the Sussex Partnership NHS Foundation Trust. The executive summary is available.

Acceptance status

Per recommendation

No Response Published

Total recommendations

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

7 total

Recommendation

The Trust will audit the effectiveness of the Under One Roof initiative within six months of the publication of this report with particular reference to: appropriate response to specific referral information (such as PHQ9 scores); appropriate psychiatric assessment at the … Read more

Recommendation

The Trust will audit its revised CPA processes within six months of the publication of this report. This audit will be devised in conjunction with the relevant Clinical Commissioning Group. Particular focus on the following is required: adherence to CPA … Read more

Recommendation

The Trust will conduct an audit of its risk assessment processes within six months of the publication of this report to determine: the compliance of all clinicians in the completion of risk assessments for every service user; the compliance of … Read more

Recommendation

The Trust will conduct an audit in conjunction with Primary Care stakeholders to ascertain the timeliness of referral processes. This audit will be completed within six months of the publication of this report. The Trust will ensure that referral pathways … Read more

Recommendation

The Trust will ensure that professional communication and liaison processes are built into all care pathways and all clinical policy and procedure documents. Professional communication and liaison processes will be made explicit regarding the interface between primary and secondary care. … Read more

Recommendation

The Trust will conduct an audit of Brighton and Hove community-based services to ensure that all clinical documentation is completed in accordance with Trust policy expectations. This will be completed within six months of the publication of this report. Read more

Recommendation

The Trust must revise all policy documentation in keeping with the findings of this Investigation report and as set out in the recommendations above. All policy documentation should be subject to review and audit for both compliance and effectiveness as … Read more