Source · Investigations in the NHS

An independent investigation into the care and treatment of Mr Q – 2020

East of England Subject Mr Q

Index summary

The Learning Document from the independent investigation into the circumstances surrounding the care and treatment of Mr Q are published on this webpage:

Recommendations

3 total
2 Addressed to: Trusts No Response Published

Link to recommendation 2

Recommendation · source text
Trusts must develop joint working practices with other organisations so that information sharing including information about risk and care planning, is routine practice in both directions (from trust to police/ambulance service and in return).
3 Addressed to: Trusts No Response Published

Link to recommendation 3

Recommendation · source text
Trusts must ensure that staff employed in A&E crisis/liaison services are fully equipped and supported to deliver this challenging and important role.
4 Addressed to: Trusts and commissioners No Response Published

Link to recommendation 4

Recommendation · source text
Trusts and commissioners should be clear about the need for a joint approach between acute and mental health trusts of the joint management of A&E referrals, to include: Systems to expedite the referral in the shortest possible time, mindful of the 4-hour response target required of A&E, for which A&E and crisis teams have a joint responsibility to the patient to achieve. Communications that enable early discussion between the A&E Triage Nurse/Doctor as soon as possible to avoid unnecessary delay through phone calls and long waiting times with call back systems, and provide A&E with prompt advice on managing a patient whilst waiting for assessment by crisis teams A system whereby the referring Triage Nurse/Doctor receives feedback on the proposed management plan for the patient and discharge arrangements from A&E, with the opportunity for further discussion and confirmation there are no outstanding concerns/new information affecting the plan and well-being of the patient.

Acceptance status

Per recommendation
No Response Published
3

Total recommendations
3
About this data

Acceptance status records the published response to each recommendation. Acceptance does not establish that an action has been completed.

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.