Independent investigation: Warren Duke, Slough (but Tees patient) (2015)

TEWV must develop an agreed set of local policies and procedures to be regularly reviewed by key strategic partners in line with the November 2016 NICE8 guidance on coexisting severe mental illness and substance misuse: community health and social care … Read more TEWV must develop an agreed set of local policies and procedures to be regularly reviewed by key strategic partners in line with the November 2016 NICE8 guidance on coexisting severe mental illness and substance misuse: community health and social care services. Show less

TEWV must review the EIPT operational policy to set out agreed methods and expectations around multidisciplinary working, to ensure that senior medical staff are involved appropriately in discussions about patients where staff have concerns, and at least annually, where patients … Read more TEWV must review the EIPT operational policy to set out agreed methods and expectations around multidisciplinary working, to ensure that senior medical staff are involved appropriately in discussions about patients where staff have concerns, and at least annually, where patients are receiving antipsychotic medication. Show less

TEWV must review the TEWV EIPT job plans to ensure consistent medical input to the team.

TEWV must develop a schedule of audit for crisis plans and take action taken as required so that they meet the CPA policy standard.

TEWV must review the TEWV CPA policy to ensure that overdue depot medication is communicated effectively in referral procedures and correspondence, e.g. by ‘phone.

TEWV must take action Trust wide to ensure that any referral made to an external or internal service indicates clearly the level of urgency.