Independent investigation: Dolores Smith, Earlsfield (2012)

The role of the care co-ordinator: Develop a quality improvement programme around this role to augment existing good practice. The following should be included:
• An analysis of systemic factors impacting on the care co-ordinator role and address these
• Addressing systemic factors should include actions to address impact of rescinding of S 75 agreement in light of its implications for safeguarding
• Identification of a named individual to provide practice leadership and head the production of a development programme for the care co-ordinator role
• Service user and carer input into the development programme
• Outcomes to include knowledge and skills to match known service user complexity and acuity, including working proactively with psychosis and dual diagnosis and an emphasis on empowerment and self care
• Multi disciplinary input to develop and implement clinical formulations for all service users
• Continue with the improvement trajectory and then maintain improved attendance on RATE training

Carers: Develop a quality improvement programme around working with carers to address the day-to-day needs for support and information. The following should be included:
• Co-produced carer strategy and policy, embedding best practice from the Triangle of Care
• Service user and carer input
• Input from Wandsworth Carers’ Centre and address partnership working requirements
• Include a whole family approach to care delivery
• Inform and empower front line staff to provide required support and information for carers

Inter-agency working between the CMHT, housing and Mind: Develop a quality improvement programme: The following to be included:
• Produce, implement and monitor an agreed protocol for inter-agency working
• Service user and carer input
• Input from front line staff
• Representation from all agencies
• Analysis of systemic factors impeding joint working and address these
• Focus on risk management and information sharing
• Ongoing monitoring and reporting to ensure progress is maintained