R1
Addressed to: Nottinghamshire Healthcare NHS Trust; Nottinghamshire Police
No Response Published
Link to recommendation R1
Recommendation · source text
Working with the police. This report has concluded that issues remain about how the trust worked with the police to manage the risks that VS presented. The trust needs to assure itself that it has effective working relations with local police. Attempts by the trust to engage the police in prosecuting mental health patients who commit a criminal offence have been largely unsuccessful. To bring fresh impetus to resolving this issue, we recommend that this report is formally tabled at a meeting between the trust and the police to consider how both agencies handled the individual incidents that occurred, and consider whether similar situations are occurring today. A nominated trust lead should be appointed to identify outstanding issues in relation to multi-agency working and risk assessment and management, and to develop a plan of how they should be addressed within six months of publication of this report.
R2
Addressed to: local safeguarding children’s board; Nottinghamshire Healthcare NHS Trust (nominated trust lead)
No Response Published
Link to recommendation R2
Recommendation · source text
Safeguarding children. This report has highlighted a number of concerns about the risk presented to children. There are also examples of when these risks were handled well. We recommend that this report is tabled at the local safeguarding children’s board to consider these risks and whether similar situations are occurring today. A nominated trust lead should be appointed to identify outstanding issues and develop a plan of how they should be addressed within six months of publication of this report.
R3
Addressed to: Nottinghamshire Healthcare NHS Trust (Serious Clinical Incident Review Group)
No Response Published
Link to recommendation R3
Recommendation · source text
Recommendations and action plans from the internal review. This report concludes that the trust’s system for ensuring the quality of action plans and their timely implementation was inadequate between 2004 and 2007. The trust has already taken steps to ensure that recommendations of serious untoward incident reviews and action plans are routinely followed up. However, we recommend that this report is tabled at the Serious Clinical Incident Review Group, and that the group is tasked with developing a plan within six months of the publication of this report to improve the quality of action plans and ensure that progress continues to be made in their timely implementation.