1
Addressed to: Each NHS Trust
No Response Published
Link to recommendation 1
Recommendation · source text
Each NHS Trust should review the manner in which it shares patient information with external investigators. Consideration should also be given to the implications of sharing such documentation with other third parties e.g. families and other Trusts. Patient information should be provided in a clear, structured manner that can be easily referenced and navigated.
2
Addressed to: All healthcare professionals
No Response Published
Link to recommendation 2
Recommendation · source text
All healthcare professionals should take into consideration the implications of criminal proceedings on a service user as part of any broader assessment of mental health and well-being.
3
Addressed to: Somerset Partnership NHS Foundation Trust and Devon Partnership NHS Trust
No Response Published
Link to recommendation 3
Recommendation · source text
Somerset Partnership NHS Foundation Trust and Devon Partnership NHS Trust should review and ratify a Taser policy for their Trust that covers:
Immediate aftercare
Patient monitoring (physical and psychological)
Escalation criteria (e.g. further medical review)
Recognition of the impact and possible effects (including psychological effects)
4
Addressed to: Each Trust
No Response Published
Link to recommendation 4
Recommendation · source text
Each Trust should set out a programme of evaluation and assessment, revisiting all aspects of their action plan to ensure that changes have been implemented and are monitored.
As part of this process we recommend that particular attention be given to:
The role of families/carers in developing risk assessments, risk management plans and care plans
Developing, clarifying and/or ratifying policies in relation to:
o Section 17 leave
o The use of Tasers on NHS premises and the aftercare of patients who have been subject to an event involving a Taser
o The involvement of police on wards (e.g. liaison, individual roles and responsibilities, when to escalate and involve the police on the ward, and, how this should be managed, minimised and situations de-escalated)
Pharmaceutical oversight of transferred patients with a history of severe mental illness
The role of the responsible clinician in patient transfers between Trusts/provider services.
Taking into account the time that has passed since each action plan was developed, we advise that this work be completed within six months. This should include a clear programme of monitoring and evaluation going forward.