Recommendation · source text
The Trust must ensure that NICE guidance for the care and treatment of patients with psychosis is adhered to, including specific reference to structured family education.
Source · Investigations in the NHS
An independent investigation into the care and treatment of a mental health service user James in Essex – November 2020
East of England
Published 01 Nov 2020
Index summary
The findings of an independent investigation into the circumstances surrounding the care and treatment of James are published on this webpage. James killed his long-term girlfriend in December 2017. He had been a patient of North Essex Partnership Trust (NEPT), now Essex Partnership University Trust (EPUT) since 2000. A joint Independent Investigation and Domestic Homicide Review has taken place and both reports are available below: Essex Partnership University Trust, which is cited in the indep
Recommendations
Action plan published. Per-recommendation responses have not yet been extracted from the action plan. View action plan
Recommendation · source text
The Trust must revise their clozapine administration guidance to include the education of patients and families, and the management of risk if clozapine is stopped suddenly.
Recommendation · source text
The Trust must ensure that community teams have structures and processes to ensure that the CPA policy is adhered to, and systems in place to monitor compliance.
Recommendation · source text
The Trust must provide clarity about protocols and responsibilities with respect to responding to increased need for interventions, zoning, and the process for considering and effecting inpatient admissions from the community.
Recommendation · source text
Standards for note keeping must be monitored by the Trust, to include how medical consultations are recorded.
Recommendation · source text
When going through large-scale service changes, the Trust must ensure that risks to patient care are assessed, documented and mitigated.
Recommendation · source text
Serious incident investigation reports must meet the timeliness standards expected by NHS England guidance.
Acceptance status
Action Plan Published
7
Total recommendations
7