Recommendation · source text
The CPT and general practices in Cornwall should review the effectiveness of communication between GPs and CMHTs.
Source · Investigations in the NHS
Independent investigation: Carol Trethewey (Mrs S), St Austell, Cornwall (2000)
South West
Incident 28 Apr 2000
Subject Carol Trethewey (Mrs S)
Index summary
Depressive repeatedly and fatally stabbed wife. Ind Inq 2003, failings in care,got 3 yrs probation
Recommendations
Recommendation · source text
The CPT should within six months:
a. review the drafting and implementation of its CPA policy and
b. ensure regular and effective audit of its use to reinforce the need for comprehensive and systematic review of all patients under the care of the CMHT.
a. review the drafting and implementation of its CPA policy and
b. ensure regular and effective audit of its use to reinforce the need for comprehensive and systematic review of all patients under the care of the CMHT.
Recommendation · source text
The CPT’s clinical supervision arrangements must include checks on the degree of autonomy being exercised by individual practitioners and the balance struck between this autonomy and multi-disciplinary and multi-agency working.
Recommendation · source text
The CPT should put in place new arrangements, within six months, to ensure staff are able to access relevant and timely in-service training, identified via supervision and appraisal, and that a practitioner's skill levels are appropriate to their caseload.
Acceptance status
No Response Published
4
Total recommendations
4