Source · Investigations in the NHS
An independent investigation into the care and treatment of Nadia in West Lane Hospital by Tees, Esk and Wear Valleys NHS Foundation Trust: Published November 2022
North East and Yorkshire
Published 01 Nov 2022
Trust Tees, Esk and Wear Valleys NHS Foundation Trust
Index summary
This is independent investigation into the care and treatment of Nadia in West Lane Hospital by Tees, Esk and Wear Valleys NHS Foundation Trust . Tees, Esk and Wear Valleys NHS Foundation Trust has also published an assurance statement into this case .
Recommendations
Recommendation · source text
TEWV must ensure that plans of care for young people in Child and Adolescent Mental Health Services (CAMHS) incorporate evidence-based practice.
Recommendation · source text
TEWV must ensure that risk assessments for young people in CAMHS are based on a psychological formulation and are developed by a multidisciplinary team in conjunction with the young person and their family.
Recommendation · source text
TEWV must provide assurance that race and ethnicity, gender and religious issues are routinely addressed in Care Programme Approach (CPA) needs assessment and care planning as per the Trust’s policy.
Recommendation · source text
Middlesbrough Council and Health providers/key partners must ensure that there is clarity about the roles and responsibilities of each agency in the planning and delivery of care to young people in Tier 4 CAMHS provision to ensure that support is holistic and meets the educational; social; physical health and emotional needs of children and young people as well as their mental health needs.
Recommendation · source text
Middlesbrough Council must respond formally to serious concerns raised about the care and treatment of a young person under their care and explore concerns with the family and the young person.
Recommendation · source text
TEWV must provide assurance that there are protocols in place for safeguarding and Local Authority Designated Officer (LADO) referrals, and that these are understood and followed by all staff caring for young people.
Recommendation · source text
Where a young person is in receipt of T4 care and transferring back to T3, there must be a joint response between health and Middlesbrough Council children’s services so that the young person is prepared for life in the community and can be properly supported and their risks appropriately managed.
Recommendation · source text
TEWV must provide assurance that clinical records are kept to expected standards.
Recommendation · source text
TEWV/NHS England and Middlesbrough Council must provide assurance that all looked after children with a diagnosis of autism have care provided that is in line with the NICE guidance on Autism spectrum disorder in under 19s: support and management, recognising the challenges in the system.
Recommendation · source text
NHS England and provider collaboratives must provide effective quality oversight of inpatient environments for young people with autism, with auditable standards.
Recommendation · source text
TEWV Serious Incident processes must meet the expectations of the Serious Incident Framework and Duty of Candour.
Recommendation · source text
South Tees Safeguarding Children’s Partnership must seek assurance that the needs of young people in inpatient mental health care in the locality are appropriately safeguarded.
Acceptance status
No Response Published
12
Total recommendations
12