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Independent investigation into the care and treatment of Mr A: August 2013

North West Published 01 Aug 2013 Subject Mr A

This is the report of the independent investigation into the care and treatment of Mr A . At the time of the homicide (2010) Mr A was receiving mental health services provided by Cheshire and Wirral Partnership Trust. The associated action plan has been published by the trust .

Report PDF Action Plan NHS England Source
Jump to 3 recommendations

Acceptance status

Per recommendation
Accepted
2
Action Plan Published
1
Total recommendations
3
About this data

Acceptance status tracks whether the trust accepted or responded to each recommendation.

Independent health investigation reports and reviews commissioned by government or NHS England.

About this investigation

Source & metadata

Independent investigation report. Recommendations and any published response are extracted below.

Recommendations

3 total

Action plan published. 2 of 3 per-recommendation responses extracted from the action plan. View action plan

R1 The trust Accepted
Recommendation
The trust should ensure that NICE clinical guidance (42) for dementia is fully adhered to, and if necessary negotiate a contract with their commissioners to help achieve this.
View response
The Trust has appropriate policies/ guidelines in place to support working to standards contained in NICE clinical guidance 42. A dementia memory assessment clinical pathway was implemented via the Trust’s clinical systems on 14 February 2014 to further strengthen adherence in order to consistently deliver optimal outcomes. There are mechanisms in place to discuss with commissioners, through contract negotiations, to review contracts with a view to ensuring adequate commissioning of dementia services.
R2 All clinical staff including consultant psychiatrists‟, specialist registrars and GP‟s Accepted
Recommendation
All clinical staff including consultant psychiatrists‟, specialist registrars and GP‟s should recognise trigger points for safeguarding referrals and ensure that appropriate referrals are made.
View response
Compliance with safeguarding adults policy (including safeguarding and domestic abuse) and processes is routinely monitored as part of the Trust’s unannounced visit process to all areas. There is monthly completion and return of an assurance framework in relation to safeguarding, which is monitored through contract monitoring processes with the Trust’s commissioners. This includes a regular plan of audit.
R3 Cheshire East Independent Living Team Action Plan Published
Recommendation
Cheshire East Independent Living Team should ensure that service-users are seen in person on their first referral to reduce any limitations in assessment.