Source · Investigations in the NHS

An independent investigation into the care and treatment of a mental health service user (S) in Surrey: May 2018

South East Published 01 May 2018

This is the independent investigation report into the care and treatment of S , a mental health service user in Surrey The trust’s action plan is also available.

Acceptance status

Per recommendation
Action Plan 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

Action plan published. Per-recommendation responses have not yet been extracted from the action plan. View action plan

1 The Trust Action Plan Published
Recommendation
It should be standard practice that CAMHS staff will liaise with schools and arrange multi-disciplinary/agency discussion where appropriate, and actions and outcomes should be recorded. The local operational policy should be amended to include this expectation. Read more
10 The Trust Action Plan Published
Recommendation
The Trust should strengthen its process in relation to how it assures itself that the actions from Serious Incidents have been fully operationalised and embedded.
2 The Trust Action Plan Published
Recommendation
The Trust should ensure compliance with clinical risk management and clinical documentation policies, and audit the effectiveness of this process
3 The Trust Action Plan Published
Recommendation
The Trust to strengthen how it captures patient and family agreement with their care plans in the Electronic Patient Record, in line with its existing performance indicators on individuals and families receiving a copy of their care plan and people … Read more
4 The Trust Action Plan Published
Recommendation
The Trust should further strengthen the process currently in place to ensure that carer’s assessments are carried out as expected in policy.
5 The Trust Action Plan Published
Recommendation
The Trust should ensure that GPs receive regular updates on mental health care provided by the Trust, including timely discharge letters. Adherence to this expectation should be audited and monitored to ensure compliance
6 SaBP and Commissioners Action Plan Published
Recommendation
A service should be agreed regarding Autism Spectrum Disorder provision in CAMHS between SaBP and Commissioners.
7a The Trust Action Plan Published
Recommendation
A quality standard regarding the recording, timely assessment and documented outcome of a formal mental state assessment when sought by a CAMHS nonmedical practitioner should be specified.
7b The Trust Action Plan Published
Recommendation
Formal mental state assessments should follow a standard approach and cover expectations surrounding adequate questioning.
8 Services for young people, including schools and SaBP CAMHS services Action Plan Published
Recommendation
Services for young people, including schools and SaBP CAMHS services should raise awareness of inter relationship abuse amongst young people, and ensure that opportunities for education, support and disclosure are available.
9 The Trust Action Plan Published
Recommendation
The Trust should change the policy and procedure on engagement with and support of families of victims and perpetrators involved in serious incidents to comply with current guidance. This should include the requirement to document decisions made, and clear descriptions … Read more