Recommendation · source text
The trust should review its risk policy to ensure that static risks are identified, and realistically assessed, and unnecessary weight is not given to dynamic factors.
Source · Investigations in the NHS
An independent investigation into the care and treatment of mental health service user Ms A: Published May 2022
North West
Published 01 May 2022
Trust Greater Manchester Mental Health NHS Foundation Trust
Subject Ms A
Index summary
An independent investigation into the care and treatment of Ms A This is the Executive Summary of the independent investigation report into the care and treatment of Ms A. Ms A was convicted of manslaughter in December 2020. At the time of the homicide Ms A was receiving care and treatment provided by Greater Manchester Mental Health NHS Foundation Trust. The Executive Summary has been published by: This is the Assurance Review for the actions taken by Greater Manchester Mental Health NHS Founda
Recommendations
Recommendation · source text
When the trust has updated its risk policy, it should ensure that staff have a clear understanding of how to assess risk accurately.
Recommendation · source text
The trust should ensure that a concise summary of the risks of each patient to themselves and others is prominently displayed on the patient record.
Recommendation · source text
If there are not good examples of other trusts displaying concise summaries of risks prominently on patient records, NHS England should examine how it can support trusts to do this.
Recommendation · source text
The trust should continue to review zoning and multi-disciplinary team meetings to ensure that they promote a positive discursive atmosphere where staff challenge and support each other.
Acceptance status
No Response Published
5
Total recommendations
5