Independent investigation: Edna Gadsby, Liverpool (2010)

The management arrangements and working practices of multidisciplinary teams at the Scott Clinic should be reviewed to ensure a consensus approach to decision making. The outcomes should be reflected in an operational procedure governing the working of MDTs Read more The management arrangements and working practices of multidisciplinary teams at the Scott Clinic should be reviewed to ensure a consensus approach to decision making. The outcomes should be reflected in an operational procedure governing the working of MDTs Show less

A review of the arrangements in place for carers of service users admitted to the Scott Clinic should be undertaken

Arrangements for the risk assessment, management and discharge of service users should be reviewed at the Scott Clinic. This review should include:- a) An overall assessment of the quality of information provided to the Ministry of Justice and relevant partners … Read more Arrangements for the risk assessment, management and discharge of service users should be reviewed at the Scott Clinic. This review should include:- a) An overall assessment of the quality of information provided to the Ministry of Justice and relevant partners involved with ongoing care responsibilities and identification of associated actions for improvements. b) A set of criteria to be drawn up to clarify the reasons why service users are, or are not, considered suitable for discharge from inpatient care in a medium secure unit. This should include details of what a service user must achieve before they are considered suitable for discharge and information on what alternative provision needs to be made if the criteria are not, or cannot be met. Show less

Working arrangements with partner/non-statutory organisations require immediate review

The Mersey Forensic Psychiatry Service should routinely participate in benchmarking exercises against other medium secure units with regard to both operational and management arrangements

The Governance arrangements integral to the Scott Clinic need to be reviewed, strengthened and aligned with the corporate processes and system adopted by all services in Mersey Care NHS Trust. The review should ensure that all the safety regulations are … Read more The Governance arrangements integral to the Scott Clinic need to be reviewed, strengthened and aligned with the corporate processes and system adopted by all services in Mersey Care NHS Trust. The review should ensure that all the safety regulations are being met as part of the registration requirements of the Care Quality Commission and detailed assurance provided to the Board of Mersey Care NHS Trust that the requirements have been satisfied. Show less

That the Trust ensures that robust systems are in place to give assurances that all Trust wide policies are implemented and adhered to throughout Mersey Care and that audit arrangements evaluate compliance

The Trust Board considers the need for any further action it may wish to take following receipt of this report.