Independent investigation: Shamim Akhtar, Birmingham (2000)

1 Birmingham and The Black Country Health Authority, Birmingham Primary Care Trusts, Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Birmingham and The Black Country Health Authority should ensure that the Birmingham Primary Care Trusts are adequately funded to provide mental health services that meet the needs of the local population, and that the PCTs in turn ensure that … Read more The Birmingham and The Black Country Health Authority should ensure that the Birmingham Primary Care Trusts are adequately funded to provide mental health services that meet the needs of the local population, and that the PCTs in turn ensure that the Northern Birmingham Mental Health NHS Trust (or its successor) is adequately funded to provide the services that it is commissioned to provide. Show less

10 Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all patients are fully assessed prior to discharge from hospital, and that the assessment includes a full risk assessment, a full social history, and a full medical … Read more The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all patients are fully assessed prior to discharge from hospital, and that the assessment includes a full risk assessment, a full social history, and a full medical history. Show less

11 Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all patients are fully assessed prior to admission to hospital, and that the assessment includes a full risk assessment, a full social history, and a full medical … Read more The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all patients are fully assessed prior to admission to hospital, and that the assessment includes a full risk assessment, a full social history, and a full medical history. Show less

12 Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all patients are fully assessed prior to any period of leave from hospital, and that the assessment includes a full risk assessment, a full social history, and … Read more The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all patients are fully assessed prior to any period of leave from hospital, and that the assessment includes a full risk assessment, a full social history, and a full medical history. Show less

13 Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all patients are fully assessed prior to any change in their care plan, and that the assessment includes a full risk assessment, a full social history, and … Read more The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all patients are fully assessed prior to any change in their care plan, and that the assessment includes a full risk assessment, a full social history, and a full medical history. Show less

14 Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all patients are fully assessed prior to any change in their medication, and that the assessment includes a full risk assessment, a full social history, and a … Read more The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all patients are fully assessed prior to any change in their medication, and that the assessment includes a full risk assessment, a full social history, and a full medical history. Show less

15 Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all patients are fully assessed prior to any change in their living arrangements, and that the assessment includes a full risk assessment, a full social history, and … Read more The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all patients are fully assessed prior to any change in their living arrangements, and that the assessment includes a full risk assessment, a full social history, and a full medical history. Show less

16 Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all patients are fully assessed prior to any change in their employment arrangements, and that the assessment includes a full risk assessment, a full social history, and … Read more The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all patients are fully assessed prior to any change in their employment arrangements, and that the assessment includes a full risk assessment, a full social history, and a full medical history. Show less

17 Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all patients are fully assessed prior to any change in their financial arrangements, and that the assessment includes a full risk assessment, a full social history, and … Read more The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all patients are fully assessed prior to any change in their financial arrangements, and that the assessment includes a full risk assessment, a full social history, and a full medical history. Show less

18 Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all patients are fully assessed prior to any change in their family arrangements, and that the assessment includes a full risk assessment, a full social history, and … Read more The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all patients are fully assessed prior to any change in their family arrangements, and that the assessment includes a full risk assessment, a full social history, and a full medical history. Show less

19 Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all patients are fully assessed prior to any change in their social arrangements, and that the assessment includes a full risk assessment, a full social history, and … Read more The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all patients are fully assessed prior to any change in their social arrangements, and that the assessment includes a full risk assessment, a full social history, and a full medical history. Show less

2 Birmingham Primary Care Trusts, Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Birmingham Primary Care Trusts should ensure that the Northern Birmingham Mental Health NHS Trust (or its successor) is adequately funded to provide a full range of community mental health services, including assertive outreach, home treatment, and early intervention services. Read more The Birmingham Primary Care Trusts should ensure that the Northern Birmingham Mental Health NHS Trust (or its successor) is adequately funded to provide a full range of community mental health services, including assertive outreach, home treatment, and early intervention services. Show less

20 Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all patients are fully assessed prior to any change in their cultural arrangements, and that the assessment includes a full risk assessment, a full social history, and … Read more The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all patients are fully assessed prior to any change in their cultural arrangements, and that the assessment includes a full risk assessment, a full social history, and a full medical history. Show less

21 Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all patients are fully assessed prior to any change in their religious arrangements, and that the assessment includes a full risk assessment, a full social history, and … Read more The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all patients are fully assessed prior to any change in their religious arrangements, and that the assessment includes a full risk assessment, a full social history, and a full medical history. Show less

22 Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all patients on the Care Programme Approach (CPA) have a named care co-ordinator, and that the care co-ordinator is appropriately trained and supervised.

23 Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all patients on the Care Programme Approach (CPA) have a written care plan, and that the care plan is agreed with the patient and their carers.

24 Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all patients on the Care Programme Approach (CPA) have a crisis plan, and that the crisis plan is agreed with the patient and their carers.

25 Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all patients on the Care Programme Approach (CPA) have a regular review of their care plan, and that the review involves the patient and their carers.

26 Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all patients on the Care Programme Approach (CPA) have access to services 24 hours a day, 365 days a year.

27 Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all patients on the Care Programme Approach (CPA) have a copy of their care plan, and that the care plan is in a format that is accessible to them.

28 Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all patients on the Care Programme Approach (CPA) have a copy of their crisis plan, and that the crisis plan is in a format that is accessible to them.

29 Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all patients on the Care Programme Approach (CPA) have a copy of their after-care plan, and that the after-care plan is in a format that is accessible to them.

3 Birmingham Primary Care Trusts, Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Birmingham Primary Care Trusts should ensure that the Northern Birmingham Mental Health NHS Trust (or its successor) is adequately funded to provide a full range of in-patient services, including sufficient acute beds, intensive care beds, and high dependency beds. Read more The Birmingham Primary Care Trusts should ensure that the Northern Birmingham Mental Health NHS Trust (or its successor) is adequately funded to provide a full range of in-patient services, including sufficient acute beds, intensive care beds, and high dependency beds. Show less

30 Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all patients admitted to hospital under the Mental Health Act 1983 are admitted in a timely manner, and that any delays are fully documented and investigated.

31 Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all patients admitted to hospital under the Mental Health Act 1983 are admitted with appropriate police assistance, if necessary, and that any decision not to involve the … Read more The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all patients admitted to hospital under the Mental Health Act 1983 are admitted with appropriate police assistance, if necessary, and that any decision not to involve the police is fully documented and justified. Show less

32 Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all patients admitted to hospital under the Mental Health Act 1983 have their previous medical notes obtained and reviewed in a timely manner, and that any delays … Read more The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all patients admitted to hospital under the Mental Health Act 1983 have their previous medical notes obtained and reviewed in a timely manner, and that any delays are fully documented and investigated. Show less

33 Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all patients admitted to hospital under the Mental Health Act 1983 have their previous social history obtained and reviewed in a timely manner, and that any delays … Read more The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all patients admitted to hospital under the Mental Health Act 1983 have their previous social history obtained and reviewed in a timely manner, and that any delays are fully documented and investigated. Show less

34 Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all staff involved in the care of patients receive appropriate training in risk assessment and risk management.

35 Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all risk assessments are fully documented, and that the documentation is available to all relevant professionals.

36 Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all risk management plans are fully documented, and that the documentation is available to all relevant professionals.

37 Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all risk assessments and risk management plans are regularly reviewed, and that the review involves all relevant professionals.

38 Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all in-patient units have appropriate security arrangements in place, and that these arrangements are regularly reviewed and updated.

39 Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all staff working in in-patient units receive appropriate training in security procedures.

4 Birmingham Primary Care Trusts, Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Birmingham Primary Care Trusts should ensure that the Northern Birmingham Mental Health NHS Trust (or its successor) is adequately funded to provide a full range of rehabilitation services, including supported accommodation.

40 Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all patients on leave from in-patient units are subject to appropriate security arrangements, and that these arrangements are regularly reviewed and updated.

41 Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all staff involved in the care of patients receive appropriate training in domestic violence awareness and intervention.

42 Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all patients who are victims of domestic violence receive appropriate support and intervention.

43 Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all patients who are perpetrators of domestic violence receive appropriate intervention and support to address their behaviour.

44 Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all staff involved in the care of patients are aware of local domestic violence services and referral pathways.

45 Birmingham Primary Care Trusts No Response Published

Recommendation

The Birmingham Primary Care Trusts should ensure that there is adequate provision of specialist mental health services for people with a learning disability.

46 Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all staff involved in the care of patients with a learning disability receive appropriate training in learning disability awareness and intervention.

47 Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that there are clear referral pathways between mental health services and learning disability services.

48 Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that there is effective liaison between mental health services and learning disability services.

49 Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all staff receive appropriate training in the Mental Health Act 1983 and its Code of Practice.

5 Birmingham Primary Care Trusts, Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Birmingham Primary Care Trusts should ensure that the Northern Birmingham Mental Health NHS Trust (or its successor) is adequately funded to provide a full range of services for people with a dual diagnosis of mental illness and substance misuse.

50 Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all staff receive appropriate training in the Care Programme Approach (CPA) and its associated guidance.

51 Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all staff receive appropriate training in risk assessment and risk management.

52 Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all staff receive appropriate training in cultural awareness and diversity.

53 Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all staff receive appropriate training in communication skills.

54 Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that all staff receive appropriate training in multi-disciplinary team working.

55 Birmingham Primary Care Trusts, Birmingham City Council Social Services, Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Birmingham Primary Care Trusts, Birmingham City Council Social Services, and the Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that there is effective joint working between all agencies involved in the care of patients. Read more The Birmingham Primary Care Trusts, Birmingham City Council Social Services, and the Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that there is effective joint working between all agencies involved in the care of patients. Show less

56 Birmingham Primary Care Trusts, Birmingham City Council Social Services, Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Birmingham Primary Care Trusts, Birmingham City Council Social Services, and the Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that there are clear referral pathways between all agencies involved in the care of patients. Read more The Birmingham Primary Care Trusts, Birmingham City Council Social Services, and the Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that there are clear referral pathways between all agencies involved in the care of patients. Show less

57 Birmingham Primary Care Trusts, Birmingham City Council Social Services, Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Birmingham Primary Care Trusts, Birmingham City Council Social Services, and the Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that there is effective information sharing between all agencies involved in the care of patients. Read more The Birmingham Primary Care Trusts, Birmingham City Council Social Services, and the Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that there is effective information sharing between all agencies involved in the care of patients. Show less

58 Birmingham and The Black Country Health Authority No Response Published

Recommendation

The Birmingham and The Black Country Health Authority should ensure that mental health commissioning is given sufficient priority within its management and commissioning arrangements.

59 Birmingham Primary Care Trusts No Response Published

Recommendation

The Birmingham Primary Care Trusts should ensure that mental health services are given sufficient priority within their management and commissioning arrangements.

6 Birmingham Primary Care Trusts, Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Birmingham Primary Care Trusts should ensure that the Northern Birmingham Mental Health NHS Trust (or its successor) is adequately funded to provide a full range of services for people from black and minority ethnic communities, including culturally appropriate services … Read more The Birmingham Primary Care Trusts should ensure that the Northern Birmingham Mental Health NHS Trust (or its successor) is adequately funded to provide a full range of services for people from black and minority ethnic communities, including culturally appropriate services and advocacy services. Show less

60 Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that mental health services are given sufficient priority within its management arrangements.

7 Birmingham Primary Care Trusts, Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Birmingham Primary Care Trusts should ensure that the Northern Birmingham Mental Health NHS Trust (or its successor) is adequately funded to provide a full range of services for people with a learning disability and mental illness.

8 Birmingham Primary Care Trusts, Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Birmingham Primary Care Trusts should ensure that the Northern Birmingham Mental Health NHS Trust (or its successor) is adequately funded to provide a full range of services for people who are homeless.

9 Birmingham Primary Care Trusts, Northern Birmingham Mental Health NHS Trust (or its successor) No Response Published

Recommendation

The Birmingham Primary Care Trusts should ensure that the Northern Birmingham Mental Health NHS Trust (or its successor) is adequately funded to provide a full range of services for people who have been victims of domestic violence.