An independent investigation into the care and treatment of Mr K: January 2020

The Trust must ensure that when the terms of a client’s criminal justice/probation licence to be in the community make reference to compliance with a treatment programme, clinical teams are clear about what actions could result in a breach of … Read more The Trust must ensure that when the terms of a client’s criminal justice/probation licence to be in the community make reference to compliance with a treatment programme, clinical teams are clear about what actions could result in a breach of the terms, and how these should be reported. This will enable teams to report potential breaches appropriately. Show less

When managing the progress of action plans, Clinical Commissioning Groups must ensure that the effectiveness of new arrangements is monitored and that appropriate responses are in place to remedy non-compliance.

The Trust must ensure that the operational policy for the community forensic service provides clarity about which risk assessments are required when working with a client under the ‘Risk Reduction’ pathway of the policy.

The Trust must ensure that when the ‘Risk Reduction’ pathway is being used to manage a client’s care and treatment, the service has a clear plan of the intended outcome of the pathway, so that the therapeutic interventions intended to … Read more The Trust must ensure that when the ‘Risk Reduction’ pathway is being used to manage a client’s care and treatment, the service has a clear plan of the intended outcome of the pathway, so that the therapeutic interventions intended to reduce the client’s risks are clear and how the outcomes are measured and monitored is also clear. Show less

The Trust must ensure that there is clarity about when clients should and should not be subject to Care Programme Approach and that individual operational policies do not contradict the Care Programme Approach policy.

The Trust must ensure that when a client is allocated to clinicians working in separate teams, a clear plan is in place to manage how communication will be managed between those clinicians and what action should be taken by whom … Read more The Trust must ensure that when a client is allocated to clinicians working in separate teams, a clear plan is in place to manage how communication will be managed between those clinicians and what action should be taken by whom if any issues need to be escalated. Show less

The Trust must ensure that when a care coordinator is not at work for extended periods of time, appropriate plans are in place for the clients on his or her caseload to receive suitable support.

The Trust must ensure that the new guidance for documenting MAPPA discussions is included in the appropriate policy.

The Trust must implement a system to ensure that structured feedback is provided to all clinicians involved in the care and treatment of a client when there has been a serious incident investigation.

Commissioners must liaise with Sussex Police to agree a suitable approach for Trusts to fulfil their Duty of Candour responsibilities when there is an ongoing police investigation.