Recommendation · source text
At Sancus Solutions’ quality assurance review, the Trust should have evidence of at least one CMHT piloted scheme of the implementation of the revised risk assessment and management processes.
Source · Investigations in the NHS
An independent investigation into the care and treatment of mental health service user Mr E : Published June 2023
North West
Published 01 Jun 2023
Trust Greater Manchester Mental Health NHS Foundation Trust
Subject Mr E
Index summary
This is the full report of the independent investigation report into the care and treatment of service user Mr E. Following an incident in February 2020 Mr E pleaded guilty to manslaughter on the grounds of diminished responsibility and is now an inpatient at a high secure hospital. At the time of the incident, Mr E was under the care of Greater Manchester Mental Health NHS FT . These documents have also been published by:
Recommendations
Recommendation · source text
The Trust should clarify how medical secretaries are required to record any contact they have with families and patients. The Trust should provide evidence at Sancus Solutions’ quality assurance review that this recommendation has been implemented.
Recommendation · source text
The Trust should undertake a review of how the CMHT assess and support patients where substance misuse is an identified risks factor. The Trust should provide evidence at Sancus Solutions’ quality assurance review that this recommendation has been implemented.
Recommendation · source text
The CMHT’s practitioners should have additional specific safeguarding training relating to the findings of Sancus Solutions and the Serious Incident Report. The Trust should provide evidence at Sancus Solutions’ quality assurance review that this recommendation has been implemented.
Recommendation · source text
The Trust should be able to provide evidence of improvements within the Community Mental Health Team regarding family involvement and support at Sancus Solution’s Quality Assurance Review.
Acceptance status
No Response Published
5
Total recommendations
5