Independent investigation into the care and treatment of Mr B and Ms C: November 2014

Staff will be reminded of the use of the Management of Police Information (MOPI) process which is the current system in place for managing the use of forensic information relating to Service Users receiving care. The Trust has a long standing process called MOPI, management of police information which has been agreed by Merseyside Police. It allows practitioners to contact the Police via the Partner Agency Consort Team (PACT) to access data protected information and police intelligence (convictions/ intelligence held) on any Mersey Care service user. The process involves a clinician or practitioner contacted us and submitting a formal request. The Criminal Justice Liaison Team (CJLT) then complete a police template, and send to the police asking for the information. It has to remain properly stored in a secure place with restricted access but it is then shared with the person who requests it for the purpose of risk assessment and on going risk management. It is can be used to determine if the person/ service user is a MAPPA eligible which in turn generates referrals to the Merseyside MAPPA manager. It is also used to support the need for HRAMM (Policy SD15). On average several are processed per week, all are kept for audit purposes. If there is a change in circumstances that increases risk or if a risk is seen to be escalating then a request can be made to the Police to release current data but sufficient reason is required. On-going and complete Quality Practice Alert will be distributed to Criminal Justice staff regarding the use of MOPI via the Patient Safety Team. Responses/actions for this are monitored by the Patient Safety Committee.

 Implement the revised CPA Policy – A project commenced in August 2014 and is due for completion in March 2015 which reports to the Executive Committee addressing issues with CPA and implementing the new Policy. CPA Policy ratified 28/10/14 – work on-going with monthly updates to Exec Committee Risk Last Transition Date for Pilot Scheme 28 Feb 15 For a new CPA Policy to be fully implemented which highlights the needs to focus on handing over care and risk assessment  The review remit is: o Review and Audit Documentation / Processes o Engage Service Users and Staff o Design New Documentation / Processes  Improve efficiency  More effective  Aid transition to new clinical information system. (Rio) A pilot has been completed for new Core and Multi Disciplinary Team Assessment frameworks set across 6 Trust Teams for a PDSA cycle of 1 month each, which has demonstrated time and financial savings and increased satisfaction from the staff completing the new assessments. Complete For a system to be in place which monitors adherence to frameworks set within the CPA Policy and Procedure  Further pilots are underway for: o Risk Assessment Jan 15 o Community Care Plans Jan15 Head of Quality and Risk  And pilots are planned for: o CPA Review Feb 15 o Statement of Care Feb 15 o Acute Care Plan Feb 15 o Discharge Summary Feb 15 Head of Quality and Risk  Develop key performance indicators for handover of care, risk assessment and CPA based on the above. Initial work has been undertaken to develop a set of draft indicators Jan 15 Head of Quality and Risk  Ensure the audits of handover of care, risk assessment and CPA are built into the divisional audit programme Programme specifics are being agreed. Jan 15 Head of Quality and Risk  Local Division Governance Committee to monitor performance in these areas and address under performance Local Division governance arrangements in place Chief Operating Officer for Local Division Complete and on-going On-going identification of issues and assurances of remedial actions taken by services  Any deficits will be fed into the local and corporate weekly Surveillance Meeting which in turn reports to the Trust Board Surveillance structure is in place Director of Patient Safety Complete and on-going