1
Addressed to: Oxford Health NHS Foundation Trust
No Response Published
Link to recommendation 1
Recommendation · source text
The Trust should ensure that all staff (community and inpatient teams) are supported to develop an appropriate level of knowledge about the management of patients with mental ill health and substance misuse problems, and that Care Planning, Risk Assessment and inter-agency communications in relation to such patients is of a good quality.
2
Addressed to: Oxford Health NHS Foundation Trust
No Response Published
Link to recommendation 2
Recommendation · source text
We recommend that the Trust provide additional information and/or training for community mental health staff so that they understand the use of MAPPA and/or complex care reviews and can trigger a referral to bring teams and/or agencies together to discuss the management of risk
3
Addressed to: Oxford Health NHS Foundation Trust
No Response Published
Link to recommendation 3
Recommendation · source text
We recommend that the Trust ensures through its routine audit of clinical procedures that all patients with complex needs who are in contact with secondary mental health services have a written Care Plan, agreed with, and copied for the patient and relevant partners in the delivery of care. Team leaders should then ensure through their routine management that Care Plans are appropriate and contain information about the patient’s mental, physical and social care needs, diagnosis, risks and relapse profile, carers and treatment including drug treatments.
4
Addressed to: Oxford Health NHS Foundation Trust
No Response Published
Link to recommendation 4
Recommendation · source text
A certain level of staff turnover is normal and unavoidable, but very frequent changes are disruptive particularly for someone with complex mental health needs. Change should be kept to a minimum, as Trust policy states, but where changes occur, a review of the Care Plan and risks should always be undertaken to ensure that risks are assessed and communicated effectively. It will also be important for the Trust to monitor the impact upon effective care coordination of changes in level of resources such as access to beds.
5
Addressed to: Oxford Health NHS Foundation Trust
No Response Published
Link to recommendation 5
Recommendation · source text
We recommend that the Trust review carefully the operation of the new service model which, whilst it appears to be sound and should support the delivery of a more seamless care pathway it is, as yet, untested. Our team would also like to arrange a further short visit to the Trust in 6 months’ time to discuss progress with this and other recommendations