Source · Investigations in the NHS

An independent investigation into the care and treatment of a mental health service user Mr J in Kent

South East Published 01 Jun 2022 Subject Mr J

This is the report of the independent investigation into the care and treatment of a mental health service user Mr J in Kent. At the time of the homicide (2018), Mr J was under the care of the Early Intervention in Psychosis team at Kent and Medway NHS and Social Care Partnership Trust.

Acceptance status

Per recommendation
No Response Published
11

Total recommendations
11
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

11 total
R1 The Trust No Response Published
Recommendation
All Early Intervention in Psychosis staff to be able to undertake a robust mental state examination include using the Positive and Negative Syndrome Scale (PANSS) and be able to develop a relapse prevention plan for each client on their caseload.
R2 The Trust No Response Published
Recommendation
All Early Intervention in Psychosis staff to be aware of and actively implement procedures outlined in the Early Intervention in Psychosis Operational Policy following its launch in March 2019.
R3 The Trust No Response Published
Recommendation
The Early Intervention in Psychosis Operational Policy needs to contain clear guidance for managing difficult to engage/non-engaging service users, including clarity regarding clients that are being managed at arm’s length, including frequency of face-to-face contact. Read more
R4 The Trust No Response Published
Recommendation
The Early Intervention in Psychosis team to monitor the risk status and management plans of those individuals whose mental state appears to be deteriorating via a Red Board meeting three times per week. Clarity needed regarding the RAG [red/amber/green] ratings, … Read more
R5 The Trust No Response Published
Recommendation
To ensure that all carers are actively involved in Early Intervention in Psychosis throughout the three years the service user is cared for by the service.
R6 The Trust No Response Published
Recommendation
For there to be dedicated and consistent medical cover available in all areas that Early Intervention in Psychosis provide a service.
Recommendation 1 NHS England (South) No Response Published
Recommendation
NHS England (South) should ensure that all mental health provider organisations in its geographical area have a policy in place for managing service users who are difficult to engage or who disengage from services. This policy should include clear guidance … Read more
Recommendation 2 NHS England (South) No Response Published
Recommendation
NHS England (South) should ensure that all mental health provider organisations in its geographical area have a policy in place for the active involvement of carers in the care and treatment of service users. This policy should include clear guidance … Read more
Recommendation 3 The Trust No Response Published
Recommendation
The Trust should ensure that all Early Intervention in Psychosis staff are able to undertake a robust mental state examination, including using the Positive and Negative Syndrome Scale (PANSS), and are able to develop a relapse prevention plan for each … Read more
Recommendation 4 The Trust No Response Published
Recommendation
The Trust should ensure that all Early Intervention in Psychosis staff are aware of and actively implement procedures outlined in the Early Intervention in Psychosis Operational Policy.
Recommendation 5 The Trust No Response Published
Recommendation
The Trust should ensure that there is dedicated and consistent medical cover available in all areas that Early Intervention in Psychosis provide a service.