Independent investigation: John Uttley, Huddersfield (2017)

At Sancus Solutions’ quality assurance review SWYPFT should provide an updated report on the implementation of HCR-20 assessments in both the forensic inpatient unit and forensic community service.

SWYPFT to provide evidence at Sancus Solution’s quality assurance review from an audit of the use of FIRM in their forensic community and inpatient services.

SWYPFT to consider developing a version of FIRM assessment for its forensic services. SWYPFT to provide evidence at Sancus Solution’s quality assurance review.

At Sancus Solution’s quality assurance review SWYPFT should have completed a further audit of the forensic community service and be able to evidence that they have considered the following Sancus Solutions’ recommendations: - the introduction of rehabilitation outreach forensic psychologist and psychiatrist posts - the allocation of administrative and dual diagnosis practitioner support.

Potentially Dangerous Person awareness training should be a core requirement for all practitioners in SWYPFT’s forensic low secure unit and the Forensic Community Transition team. SWYPFT should provide evidence at Sancus Solutions’ quality assurance review that this recommendation has been implemented.

SWYPFT should provide guidance in their Safeguarding Adults at Risk Policy on the identification and assessment of domestic violence in the elderly patient group. SWYPFT should provide evidence at Sancus Solutions’ quality assurance review that this recommendation has been implemented.

A member of SWYPFT’s safeguarding team should regularly attend the inpatient and community elderly care mental health services multidisciplinary team meetings. SWYPFT should provide evidence at Sancus Solutions’ quality assurance review that this recommendation has been implemented.

SWYPFT’s elderly community and inpatient mental health services should be provided with training on the Mental Health Act 1983. SWYPFT should provide evidence at Sancus Solutions’ quality assurance review that this recommendation has been implemented.

SWYPFT’s forensic services and West Yorkshire Police Authority should agree a protocol in relation to the management of patients in the locality who are under Section 37/41 of the Mental Health Act 1983. SWYPFT should provide evidence at Sancus Solutions’ quality assurance review that this recommendation has been implemented.