Source · Investigations in the NHS
An independent investigation into the care and treatment of Mr Z – July 2021
East of England
Published 01 Jul 2021
Trust Essex Partnership University NHS Foundation Trust
Subject Mr Z
Index summary
The findings of an independent investigation into the circumstances surrounding the care and treatment of Mr Z are published on this webpage: Essex Partnership University Trust and NHS Thurrock ICS, which are cited in the report’s recommendations, have also published an action plan an action plan in response to the findings.
Recommendations
Action plan published. Per-recommendation responses have not yet been extracted from the action plan. View action plan
Recommendation · source text
The Trust should evaluate the senior primary care mental health nurse practitioner role in south east Essex to establish whether it has facilitated the management of depot medication and mitigated the risk of patients not receiving it.
Recommendation · source text
The Trust, Local Medical Committee and relevant Clinical Commissioning Groups should develop and agree a shared protocol for the administration of depot medication in the community. This should include agreement as to which party is responsible for undertaking the initial patient assessment, and for the initial and ongoing administration of depot medication.
Recommendation · source text
The Trust should assure itself that electronic patient records only give staff access to the patient’s current GP contact details and that all other out-of-date contact details are archived.
Recommendation · source text
The Trust should assure itself that concerns submitted by families or members of the public regarding a patient are documented, subject to assessment and review, and where appropriate proactively acted on. In instances where action is not taken, the rationale should be documented.
Recommendation · source text
The Trust should put a system in place to ensure that internal investigation report findings are shared with service users, their families, and that other affected parties are taken into account.
Acceptance status
Action Plan Published
5
Total recommendations
5