Source · Investigations in the NHS
An independent investigation into the care and treatment of David: Published June 2020
An independent investigation into the care and treatment of David. This is the executive summary of the independent investigation report into the care and treatment of David. At the time of his death David was receiving care and treatment from North West Boroughs Healthcare NHS Foundation Trust. The Executive Summary and associated action plans have been published by: Links to action plans are included and these will continue to be monitored for progress. North West Boroughs Healthcare NHS Found
Acceptance status
Accepted
1
No Response Published
8
Total recommendations
9
About this investigation
Recommendations
1
The Trust
Pending
Recommendation
All patients must have risk assessments and care plans which comply with Trust and national standards, and the Trust should develop an assurance framework that evidences compliance.
No specific response found in the provided action plan text.
2
The Trust
Pending
Recommendation
The Trust must develop an approach to the quality assurance of care plans that addresses communication with other agencies for patients with complex needs. This must include assurance that appropriate communication plans are in place.
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No specific response found in the provided action plan text.
3
The Trust
Pending
Recommendation
The Trust must demonstrate that the CAMHS pathway has identified and implemented the requirements of the NICE guidance into the ‘iThrive’15 pathways, and that this is monitored.
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No specific response found in the provided action plan text.
4
The Trust
Pending
Recommendation
All patients should have a risk assessment which addresses triggers and relapse indicators and includes assessment and management plans if there is an escalation in risk.
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No specific response found in the provided action plan text.
5
The Trust
Pending
Recommendation
All young people under the care of the CAMH service must have a named practitioner with responsibility and oversight of their care in line with the Trust Care Coordination Policy and Lead Professional Policy, and this must be included in …
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No specific response found in the provided action plan text.
6
The Trust
Pending
Recommendation
All young people who are under the care of CAMHS who have an EHCP must have their EHCP referenced in the CPA care plan. The Care Coordinator must liaise with the EHCP coordinator.
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No specific response found in the provided action plan text.
7
The Trust and NHS Wigan CCG
Pending
Recommendation
The Trust and NHS Wigan CCG must ensure that all investigations and SI reports meet national quality requirements, to include particular reference to engaging with and listening to families.
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No specific response found in the provided action plan text.
8
NHS Wigan CCG and NHS Knowsley CCG
Accepted
Recommendation
NHS Wigan CCG and NHS Knowsley CCG must ensure that all systems for ‘sign off’ of Trust SI reports provide quality assurance that the requirements of the NHS England SiF are met.
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NHS Wigan Borough CCG is to make arrangements to review the current SI management process (inclusive of the agreed outcomes) in partnership with NHS Knowsley CCG. The aim is ensure all systems for sign off of Trust SI reports provide quality assurance that the requirements of the NHS England SiF are met. Time Frame: June 2020. Evidence of Completion: Virtual mtg with Wigan CCG took place 28th May 2020 NWB STEIS 2016 28227 Action Plan Me eting with Knowsley CCG 28.5.2020 Notes.docx
9
The Trust
Pending
Recommendation
The Trust must complete the review of the complaint handling process and implement the recommendations from the review, incorporating particular reference to engaging with and listening to families.
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No specific response found in the provided action plan text.