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

The Information Governance team will support the development of a local interagency protocol with the National Probation Service Community Orders with a mental health treatment requirement are not frequently used locally. The new CMHF model will support closer working with the NPS. There is frequent contact between the SCFT and the NPS ed and ongoing 2021. Care plans to reflect the content of Community Orders and details of contacts and reporting arrangements. Moving forward Livewell are requesting that the Information Governance team support the implementation of an effective interagency protocol between the organisations. On completion specific training will be developed to ensure that all staff are aware of the required actions in relation to delivery of care. We are currently in communication with the NPS and will meet to take this work forward. Further developments include the development of the Specialist Community Forensic Team, Business Case attached (9) Internally, the Specialist Community Forensic Team also now provide advice and consultation via a forum they host, details below. Any staff member can request information sharing with the police using the MH1. Additionally, Livewell has actively engaged with a number of professional forums, where complex cases can be discussed, and information shared. Terms of reference (TORS 10).

Review of standards of risk Livewell’s CMHT CQC 2016 action assessments plan (4) focussed on the improvements required included this, among other areas, and improvements were noted in the subsequent CQC visit in 2020. Improvements have included the development of a comprehensive Business Intelligence reporting system, which is used to monitor Deputy 2017 Head of 10/2021 level of compliance with several Service measures including risk assessments across the teams and regularly reported to the Board. The teams have introduced a more formalised system of caseload supervision which involves a quarterly programme: month 1 line management, month broad overview of caseload position and compliance with standards, and month 3 an in-depth review of a set number of cases. The CMHS audit programme, which is now being reintroduced post covid, includes a paperwork audit which is both qualitative and quantitative. The organisational risk moderation training has been reviewed by the Livewell training Department. Locally the CMHTS also include risk assessment training in their local induction for preceptees (6) and new starters, attached is an example of the presentation that supports the training the team receive. The CPA competencies (2) include a section on risk assessment (section 2) and practitioners are assessed annually.

The Information Governance team will support the development of a local interagency protocol with the National Probation Service Community Orders with a mental health treatment requirement are not frequently used locally. The new CMHF model will support closer working with the NPS. There is frequent contact between the SCFT and the NPS ed and ongoing 2021. Care plans to reflect the content of Community Orders and details of contacts and reporting arrangements. Moving forward Livewell are requesting that the Information Governance team support the implementation of an effective interagency protocol between the organisations. On completion specific training will be developed to ensure that all staff are aware of the required actions in relation to delivery of care. We are currently in communication with the NPS and will meet to take this work forward. Further developments include the development of the Specialist Community Forensic Team, Business Case attached (9) Internally, the Specialist Community Forensic Team also now provide advice and consultation via a forum they host, details below. Any staff member can request information sharing with the police using the MH1. Additionally, Livewell has actively engaged with a number of professional forums, where complex cases can be discussed, and information shared. Terms of reference (TORS 10).

The Information Governance team will support the development of a local interagency protocol with the National Probation Service Community Orders with a mental health treatment requirement are not frequently used locally. The new CMHF model will support closer working with the NPS. There is frequent contact between the SCFT and the NPS ed and ongoing 2021. Care plans to reflect the content of Community Orders and details of contacts and reporting arrangements. Moving forward Livewell are requesting that the Information Governance team support the implementation of an effective interagency protocol between the organisations. On completion specific training will be developed to ensure that all staff are aware of the required actions in relation to delivery of care. We are currently in communication with the NPS and will meet to take this work forward. Further developments include the development of the Specialist Community Forensic Team, Business Case attached (9) Internally, the Specialist Community Forensic Team also now provide advice and consultation via a forum they host, details below. Any staff member can request information sharing with the police using the MH1. Additionally, Livewell has actively engaged with a number of professional forums, where complex cases can be discussed, and information shared. Terms of reference (TORS 10).

Update of AMP operational This process has been agreed and Operational Review 2021 policy to reflect an agreed is embedded. It is fully Manager ed 2019 escalation process. documented in the AMHP operation policy in section s 9.4 and 10.1-10.4 describes disagreements with the outcome of an MHA Clinicians would initially hold a discussion within their own team, then if appropriate discuss with the AMHP team. If there is uncertainty about whether an MHA is required a joint visit to determine the most appropriate course of action is arranged. Managers of relevant services would only have them escalated if a resolution cannot be reached. At times FRS do provide the joint assessment if required. This has proved a useful development within our services. Wider developments include close links with the court diversion service and the development of the joint response unit who work with the police. The CMHTs also attend a range of multi- agency forums including TIMS and Creative Solutions where people who are a risk to self or others due to their mental health are discussed. TORS (10). All these forums allow Mental Health Professionals to engage with other services to identify, discuss and plan collaboratively for the people of concern, and to avoid people “slipping through the net”