Independent investigation: Jonathan Palgrave, Preston (2018)

The Trust must review the current pathways in CCTTs to determine if the identified needs of patients who meet the threshold for an assertive outreach approach are being met.

The Trust must provide clear guidance to staff on the identification and management of patients who are not engaging with mental health services, this must include how engagement will be monitored and reviewed.

The Trust must revise and refresh the action plans for these investigations to assess progress and whether actions are still appropriate to meet the original recommendations. Action owners should also be revised and refreshed and revised timelines for delivery of … Read more The Trust must revise and refresh the action plans for these investigations to assess progress and whether actions are still appropriate to meet the original recommendations. Action owners should also be revised and refreshed and revised timelines for delivery of their actions agreed with approval from the CCG and the new Integrated Care System (ICS). Action plans should be monitored by an appropriate (sub) committee and action owners held to account for action implementation. Show less

NHS England and Improvement (NHSE&I) should work with the Department of Health and Social Care (DHSC) to agree and ‘sign off’ the revised ‘Memorandum of Understanding’ with the National Police Chiefs’ Council (NPCC) to support investigations into serious incidents in … Read more NHS England and Improvement (NHSE&I) should work with the Department of Health and Social Care (DHSC) to agree and ‘sign off’ the revised ‘Memorandum of Understanding’ with the National Police Chiefs’ Council (NPCC) to support investigations into serious incidents in healthcare settings. In the meantime, the Trust and the local Constabulary should agree a local memorandum of understanding to inform the management of health care incidents that are also subject to criminal investigation. Show less