Recommendation · source text
The Trust in conjunction with its commissioning bodies should conduct as part of its ongoing clinical audit programme an audit to consolidate the implementation of all of its new policies and procedures. The audit should be conducted either one year following the policy implementation changes, or within six months of the publication of this report, whichever comes first. The audit should include: the take up of CPA and risk assessment training across all disciplines; compliance with the risk assessment policy; the effectiveness of referral and discharge processes; clinical supervision compliance; the quality of clinical supervision processes; a compliance and quality review of the new electronic clinical record system; a feedback process from all staff who have been involved in serious untoward incident procedures.