Recommendation
The South West London and St. George’s Mental Health NHS Trust and the London Borough of Wandsworth fully implement and monitor the Guidance issued by the Department of Health in October 1999 entitled, “Effective Care Co-ordination in Mental Health Services”. …
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The South West London and St. George’s Mental Health NHS Trust and the London Borough of Wandsworth fully implement and monitor the Guidance issued by the Department of Health in October 1999 entitled, “Effective Care Co-ordination in Mental Health Services”. There should be particular reference to the provisions concerning the discharge care plan, risk assessment and the involvement of the GP, service user, and the wider family.
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Recommendation
The South West London and St George’s Mental Health Trust and the London Borough of Wandsworth implement a training programme for all staff in the new Department of Health CPA guidelines.
Recommendation
The South West London and St. George’s Mental Health NHS Trust and the London Borough of Wandsworth consider establishing a single integrated management structure for the CMHTs in the borough. Their roles should include providing clinical support to the hostels …
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The South West London and St. George’s Mental Health NHS Trust and the London Borough of Wandsworth consider establishing a single integrated management structure for the CMHTs in the borough. Their roles should include providing clinical support to the hostels and other community based mental health services in the Borough. We advise that there is a need for even very experienced and capable professionals to work within appropriate safeguards and support structures.
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Recommendation
The London Borough of Wandsworth urgently review the staffing levels, safety provisions, procedures for supervising medication, and day activity programmes in the residential mental health care homes within the Borough.
Recommendation
Health care agencies review the access to and dissemination of the forensic history of people with mental health problems under the Care Programme Approach.
Recommendation
The Department of Health considers extending the guidance referred to above to ensure that adequate reference is made to the application of the Care Programme Approach as it applies to service users in residential care settings.