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An independent investigation into the care and treatment of mental health service user Mr S: Published 23 November 2017

North East and Yorkshire Published 23 Nov 2017 Trust Tees, Esk and Wear Valleys NHS Foundation Trust Subject Mr S

This is the independent investigation into the care and treatment of mental health service user Mr S . At the time of the offence Mr S was receiving mental health services provided by Tees, Esk and Wear Valleys NHS Foundation Trust. The associated action plan has been published by Tees, Esk and Wear Valleys NHS Foundation Trust. An independent external quality assurance review (published November 2019) can be viewed here.

Report PDF Action Plan NHS England Source
Jump to 6 recommendations

Acceptance status

Per recommendation
Action Plan Published
6
Total recommendations
6
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

6 total

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

Recommendation 1 TEWV Action Plan Published
Recommendation
TEWV must develop an agreed set of local policies and procedures to be regularly reviewed by key strategic partners in line with the November 2016 NICE8 guidance on coexisting severe mental illness and substance misuse: community health and social care … Read more
Recommendation 2 TEWV Action Plan Published
Recommendation
TEWV must review the EIPT operational policy to set out agreed methods and expectations around multidisciplinary working, to ensure that senior medical staff are involved appropriately in discussions about patients where staff have concerns, and at least annually, where patients … Read more
Recommendation 3 TEWV Action Plan Published
Recommendation
TEWV must review the TEWV EIPT job plans to ensure consistent medical input to the team.
Recommendation 4 TEWV Action Plan Published
Recommendation
TEWV must develop a schedule of audit for crisis plans and take action taken as required so that they meet the CPA policy standard.
Recommendation 5 TEWV Action Plan Published
Recommendation
TEWV must review the TEWV CPA policy to ensure that overdue depot medication is communicated effectively in referral procedures and correspondence, e.g. by ‘phone.
Recommendation 6 TEWV Action Plan Published
Recommendation
TEWV must take action Trust wide to ensure that any referral made to an external or internal service indicates clearly the level of urgency.