1
Addressed to: Lancashire and South Cumbria NHS Foundation Trust
No Response Published
Link to recommendation 1
Recommendation · source text
The Trust should ensure that all service users receive a robust and comprehensive diagnostic process that is regularly reviewed and updated in the light of any changes in presentation. This should include a clear differential diagnostic process and a diagnostic formulation that is shared with the service user and their carers.
2
Addressed to: Lancashire and South Cumbria NHS Foundation Trust
No Response Published
Link to recommendation 2
Recommendation · source text
The Trust should ensure that all service users receive an evidence-based care and treatment approach that is consistent with their diagnosis and is regularly reviewed and updated. This should include appropriate medication management and psychological interventions.
3
Addressed to: Lancashire and South Cumbria NHS Foundation Trust
No Response Published
Link to recommendation 3
Recommendation · source text
The Trust should ensure that all service users subject to the Care Programme Approach (CPA) receive a comprehensive and dynamic risk assessment, formulation and management plan that is regularly reviewed and updated. This should include multi-agency involvement where appropriate and address child safeguarding issues.
4
Addressed to: Lancashire and South Cumbria NHS Foundation Trust
No Response Published
Link to recommendation 4
Recommendation · source text
The Trust should ensure that all service users who disengage from services receive an assertive outreach approach to re-engage them, particularly those with a history of disengagement and/or serious mental illness. This should be clearly documented and reviewed.
5
Addressed to: Lancashire and South Cumbria NHS Foundation Trust
No Response Published
Link to recommendation 5
Recommendation · source text
The Trust should ensure that the accounts and experiences of service users and their families/carers are actively sought, listened to, and incorporated into their care and treatment plans and diagnostic formulations. This should include clear documentation of how these accounts have influenced decision-making.
6
Addressed to: Lancashire and South Cumbria NHS Foundation Trust
No Response Published
Link to recommendation 6
Recommendation · source text
The Trust should ensure that its internal serious incident investigation processes are robust, timely, multidisciplinary, and compliant with national guidance (e.g., NHS England Patient Safety Incident Response Framework). This should include clear Terms of Reference, detailed archives, involvement of clinical witnesses, and effective feedback mechanisms to treating teams.
7
Addressed to: Lancashire and South Cumbria NHS Foundation Trust
No Response Published
Link to recommendation 7
Recommendation · source text
The Trust should ensure a consistent and agreed approach to Duty of Candour in relation to the involvement and support of service users, families, and victims of any assault/homicide, in line with national best practice guidance.
8
Addressed to: NHS England and NHS Improvement – North West Region
No Response Published
Link to recommendation 8
Recommendation · source text
NHS England and NHS Improvement – North West Region should review the commissioning process for independent investigations to ensure that all relevant clinical and multi-agency records are made available to investigation teams in a timely and comprehensive manner.
9
Addressed to: NHS England and NHS Improvement – North West Region
No Response Published
Link to recommendation 9
Recommendation · source text
NHS England and NHS Improvement – North West Region should review the scope and terms of reference for independent investigations to ensure they adequately address multi-agency working and the interface between NHS mental health services and other agencies (e.g., Probation, Social Services, Police) for individuals with complex needs and offending histories.