1
Addressed to: The Clinical Services Manager
No Response Published
Link to recommendation 1
Recommendation · source text
Capio Nightingale Hospital Liverpool must ensure that where clients are admitted directly from the Court, or from Prison, and there is an existing mental health history and Community Mental Health Team involvement that it actively engages with the ‘home care team’ to commence discharge planning at the earliest opportunity regardless of the method of admission.
2
Addressed to: The Medical Advisor to Capio Nightingale Liverpool All ‘Adult Services’ Consultant Psychiatrists, Capio Nightingale Liverpool The Clinical Services Manager, Capio Nightingale Liverpool
No Response Published
Link to recommendation 2
Recommendation · source text
That the Consultants and Senior Nurses at Capio Nightingale Liverpool consider if a trial of no medication is appropriate, where persons are compulsorily admitted for assessment and treatment, as a valid process to achieve clarity in diagnosis where Personality Disorder is considered but where uncertainty exists.
3
Addressed to: The Medical Director and Director of Governance at Sheffield Care Trust The Medical Advisor to Capio Nightingale and the Clinical Services Manager at Capio Nightingale Liverpool Director of Nursing and Patient Care at NHS Yorkshire and the Humber.
No Response Published
Link to recommendation 3
Recommendation · source text
Given the importance of Psychiatric Assessments prepared for the Courts it is suggested that there are agreed local and/or national guidelines to assist Consultant Psychiatrists in the preparation of these. Although the report provided to the Court in S3’s case did meet the need of the Court in that it set out the recommendation of the Psychiatrist for the ongoing management of S3 it was not as comprehensive or as clear as it could have been. The Investigation Team therefore recommends that within all mental healthcare facilities, on a local or regional basis, there is clear guidance available to Consultants on the format such reports should take and the range of information they should contain. The Investigation Team suggests that such guidance should at least contain the following which reflects, and builds on, the guidance detailed in the Civil Procedures Rules, Practice Direction Part 35 Experts and Assessors5:
q The need for a front cover to the report that details who the report is about and who it has been written by and the date of completion.
q A section that sets out what the Consultant has been asked to provide.
q A section detailing the information that has informed the report.
q A section that details clearly the Consultant Psychiatrists assessment of the person and how the assessment has been conducted, including observation of the person’s behaviour.
q A section that clearly states the Consultant Psychiatrists assessment of the person and how the assessment has been conducted, including observations of the persons behaviours.
q A section detailing the opinion of the Consultant in terms of diagnosis, risk, treatability, optimal placement, and key considerations for any future care package.
q A section detailing the experience and qualifications of the Consultant Psychiatrist