An independent investigation into the care and treatment of Mr M. Published May 2021

In order to obtain assurance that the improvements in risk assessments are fully embedded within the affective disorder service that a quality assurances audit is undertaken. TEWV should provide evidence at Sancus Solutions’ quality assurance review that this recommendation has … Read more In order to obtain assurance that the improvements in risk assessments are fully embedded within the affective disorder service that a quality assurances audit is undertaken. TEWV should provide evidence at Sancus Solutions’ quality assurance review that this recommendation has been implemented. Show less

TEWV needs to undertake an audit of the affective disorder service to review compliance with its Care Programme Approach and Standard Care Policy. TEWV should provide evidence at Sancus Solutions’ quality assurance review that this recommendation has been implemented. Read more TEWV needs to undertake an audit of the affective disorder service to review compliance with its Care Programme Approach and Standard Care Policy. TEWV should provide evidence at Sancus Solutions’ quality assurance review that this recommendation has been implemented. Show less

An audit of the affective disorder service’s patient records should be undertaken to ascertain if there have been improvements in multi-agency communication, information sharing and record keeping. TEWV should provide evidence at Sancus Solutions’ quality assurance review that this recommendation … Read more An audit of the affective disorder service’s patient records should be undertaken to ascertain if there have been improvements in multi-agency communication, information sharing and record keeping. TEWV should provide evidence at Sancus Solutions’ quality assurance review that this recommendation has been implemented. Show less

TEWV should report the progress they have made on implementing their Domestic Homicide Review’s recommendations at Sancus Solutions’ quality assurance review.

TEWV should hold a learning event for the involved practitioners and operational managers to discuss the findings of the trust’s submitted individual management review and the Domestic Homicide Review.