Recommendation
The commissioners of services and CNWL should ensure that the care and treatment of people with psychosis is delivered to meet the expectations of NICE guidance ‘Psychosis and schizophrenia in adults: prevention and management’ (CG178) in Brent community teams.
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The commissioners of services and CNWL should ensure that the care and treatment of people with psychosis is delivered to meet the expectations of NICE guidance ‘Psychosis and schizophrenia in adults: prevention and management’ (CG178) in Brent community teams.
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Recommendation
CNWL must ensure that there are clear standards for the accuracy, quality, and timeliness of discharge letters from Park Royal Centre for Mental Health, and that measures are in place to maintain these standards.
Recommendation
CNWL must demonstrate that the expectations of the Care Programme Approach (CPA) policy with respect to regular timely documented CPA reviews are met, and there is a system in place to maintain these standards.
Recommendation
NHS North West London CCG and CNWL must demonstrate that the guidance in ‘Coexisting severe mental illness and substance misuse: community health and social care services’ (NICE 2016) is implemented in Brent EIS.
Recommendation
CNWL should provide assurance that the clinical risk assessment policy is applied consistently in community teams and ensure there are systems in place to monitor its application.
Recommendation
Commissioners of services (NHS NW London CCG and NHS East Berkshire CCG) must ensure that there are clear pathways for the diagnosis, medication prescription and management of ADHD in adults.
Recommendation
Where there is a question of capacity to consent to treatment, CNWL must ensure there is a structured process used to assess and record capacity, with action plans as appropriate.