Source · Investigations in the NHS

An independent investigation into the care and treatment of Emily at Tees, Esk and Wear Valleys NHS Foundation Trust and Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust: Published November 2022

North East and Yorkshire Published 01 Nov 2022 Trust Tees, Esk and Wear Valleys NHS Foundation Trust

This is the the independent investigation into the care and treatment of Emily at Tees, Esk and Wear Valleys NHS Foundation Trust and Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust . Tees, Esk and Wear Valleys NHS Foundation Trust has also published an assurance statement into this case .

Acceptance status

Per recommendation
No Response Published
13

Total recommendations
13
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

13 total
1 Tees, Esk and Wear Valleys NHS Foundation Trust (TEWV) No Response Published
Recommendation
Tees, Esk and Wear Valleys NHS Foundation Trust (TEWV) must ensure that young people in Child and Adolescent Mental Health Services (CAMHS) have a clear plan of care incorporating evidence-based practice.
10 TEWV No Response Published
Recommendation
TEWV must provide assurance that clinical records are kept to expected standards.
11 TEWV, CNTW, NHS England, Durham County Council No Response Published
Recommendation
TEWV, CNTW, NHS England and Durham County Council must provide assurance that all transitions between services for children and young people are completed in line with NICE guidance on the Transition of Children and Young people.
12 TEWV No Response Published
Recommendation
TEWV must provide assurance that all ligature risks identified in Tunstall Ward in 2019 have been addressed.
13 TEWV No Response Published
Recommendation
TEWV must ensure that the Supportive Observation and Engagement Procedure requires that care plans specify whether to enter the individual’s room if they cannot be observed from the doorway.
2 TEWV No Response Published
Recommendation
TEWV must ensure that risk assessments for young people in CAMHS are based on a psychological formulation and are developed by a multidisciplinary team (MDT) in conjunction with the young person and their family.
3 TEWV No Response Published
Recommendation
TEWV must ensure that the management of restrictive interventions (including contraband items) is part of an agreed philosophy and approach, with clear protocols embedded to guide practice.
4 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust (CNTW) No Response Published
Recommendation
Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust (CNTW) must ensure that where risk items are found in a patient’s possession, there is clear recording and appropriate care planning to address the risk identified.
5 Durham County Council No Response Published
Recommendation
Durham County Council must ensure that social workers are directly involved in planning for a young person’s discharge from an inpatient environment.
6 Durham County Council No Response Published
Recommendation
Durham County Council must ensure that responses to referrals are completed within expected time frames, and subsequent assessments always incorporate the views of the family and young person.
7 Durham County Council No Response Published
Recommendation
Durham County Council must respond formally to serious concerns raised about the care and treatment of a young person under their care and explore those concerns with the family and young person.
8 CNTW No Response Published
Recommendation
CNTW must provide assurance that there are protocols in place for Local Authority Designated Officer (LADO) referrals and ensure that these are understood and followed by all staff on Ferndene.
9 NHS England Specialised Commissioning, North East region Integrated Care Systems (ICSs), Durham County Council, CNTW/TEWV, North East & North Cumbria Integrated Care System No Response Published
Recommendation
NHS England Specialised Commissioning and the North East region Integrated Care Systems (ICSs), as system leaders, should work with the Directors of Children’s Services in the North East region to commission services that will meet the needs of the small … Read more