Independent investigation: Margaret HarrisSharon Harris, Hadlow, Kent (2018)

NHS Kent and Medway Clinical Commissioning Group to ensure that the Trust provides assurance that all Early Intervention in Psychosis staff have completed Positive and Negative Syndrome Scale (PANSS) training and that the Trust is able to demonstrate that PANSS assessments are being completed in accordance with the Trust’s Early Intervention in Psychosis Operational Policy.

NHS Kent and Medway Clinical Commissioning Group to ensure that the Trust provides assurance that all Early Intervention in Psychosis staff are aware of and are actively implementing procedures outlined in the Early Intervention in Psychosis Operational Policy.

NHS Kent and Medway Clinical Commissioning Group to ensure that the Trust provides assurance that the Early Intervention in Psychosis Operational Policy contains clear guidance for managing difficult to engage/non-engaging service users, including clarity regarding clients that are being managed at arm’s length, including frequency of face-to-face contact.

NHS Kent and Medway Clinical Commissioning Group to ensure that the Trust provides assurance that the Early Intervention in Psychosis team monitors the risk status and management plans of those individuals whose mental state appears to be deteriorating via a Red Board meeting three times per week. Clarity needed regarding the RAG [red/amber/green] ratings, criteria for each category and what to do and when to do it.

NHS Kent and Medway Clinical Commissioning Group to ensure that the Trust provides assurance that all carers are actively involved in Early Intervention in Psychosis throughout the three years the service user is cared for by the service.