1
Addressed to: South London and Maudsley NHS Foundation Trust
Accepted
Link to recommendation 1
Recommendation · source text
That the implementation process of actions required to ensure compliance with Recommendation One of the internal investigation (risk assessment, care planning and performance management) is kept under regular review and an audit of progress is conducted before the end of 2013 to be considered by the Board.
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1 The Lewisham Early Intervention Service management address the absence of understanding of the importance of CPA documentation, risk assessment and formulation of care plans through performance management structures. An audit of the care coordinator’s work was undertaken by the team and identified that an improvement in practice was required. The care coordinator was managed under the Trust’s Performance Management Policy with close monitoring by the Team Manager and targeted training for a period of 6 months from February 2012 and a significant Improvement in performance was observed.
1
Addressed to: South London and Maudsley NHS Foundation Trust
Accepted
Link to recommendation 1
Recommendation · source text
That the Trust review how their EIS teams monitor compliance with medication, including checking that prescriptions have been collected and taking an assertive approach to medication compliance where there is reason to believe that this may be an issue.
View response
1. An audit of the care coordinator’s work is undertaken by the team manager and if poor practice is highlighted it is addressed through performance management. An audit of the care coordinator’s work was undertaken and identified that an improvement in practice was required. The care coordinator was managed under the Trust’s Performance Management Policy with close monitoring by the Team Manager and targeted training for a period of 6 months from February 2012 and a significant Improvement in performance was observed.
2
Addressed to: South London and Maudsley NHS Foundation Trust
Action Plan Published
Link to recommendation 2
Recommendation · source text
That when changes are made to the organisation of the EIS, a specific audit of the quality of documentation is undertaken to measure fidelity with the Trust’s policy standards and intended outcomes.
2
Addressed to: South London and Maudsley NHS Foundation Trust
Action Plan Published
Link to recommendation 2
Recommendation · source text
The Trust stress the importance of a comprehensive social circumstances assessment which is updated and of the carer’s needs assessment, to collect comprehensive information as one component of care planning and care provided. This is particularly relevant with a high risk, complex and sometimes transient population.
3
Addressed to: South London and Maudsley NHS Foundation Trust
Accepted
Link to recommendation 3
Recommendation · source text
That the initiative being undertaken to acquire ‘fit for purpose’ accommodation for the Lewisham EIS to be subject to on-going evaluation of progress and quarterly reports be submitted to and considered by the Trust Board.
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5 The CAG executive should conduct a review of the structure of the Lewisham Early Intervention Service as an effective service model with a view to developing a more integrated team in Lewisham that is properly resourced to ensure fidelity to the Early Intervention model. This should be a ‘stand alone’ Early Intervention for Psychosis Service in Lewisham to bring it in line with the Early Intervention Team structures in Lambeth, Croydon and Southwark.
1. Team to move into one team base. This will happen in stages: Interim move into 2 bases enabling closer team working and a more robust zoning system for management of risk (3 meetings per week). Eventual move into 1 team base, allowing the team to become a fully stand alone team.
Options paper circulated in August 2012 detailed a phased approach as LEIS move into a single was part of the overall restructuring of Lewisham Community Mental Health Services in 2013. Bases reduced from three to two in May 2013 and the team moved to a single location in May 2014
4
Addressed to: South London and Maudsley NHS Foundation Trust
Accepted
Link to recommendation 4
Recommendation · source text
That the restructure of the Lewisham EIS aimed at producing a more integrated team, be subject to on-going evaluation of progress with bi-annual reports to the Trust Board.
View response
5 The CAG executive should conduct a review of the structure of the Lewisham Early Intervention Service as an effective service model with a view to developing a more integrated team in Lewisham that is properly resourced to ensure fidelity to the Early Intervention model. This should be a ‘stand alone’ Early Intervention for Psychosis Service in Lewisham to bring it in line with the Early Intervention Team structures in Lambeth, Croydon and Southwark.
1. Team to move into one team base. This will happen in stages: Interim move into 2 bases enabling closer team working and a more robust zoning system for management of risk (3 meetings per week). Eventual move into 1 team base, allowing the team to become a fully stand alone team.
Options paper circulated in August 2012 detailed a phased approach as LEIS move into a single was part of the overall restructuring of Lewisham Community Mental Health Services in 2013. Bases reduced from three to two in May 2013 and the team moved to a single location in May 2014