Source · Investigations in the NHS
Independent investigation into the care and treatment of P in Hertfordshire: May 2015
East of England
Published 01 May 2015
Trust Hertfordshire Partnership University NHS Foundation Trust
Index summary
This is the report of the independent investigation into the care and treatment of Patient P . Patient P was a well-known user of mental health services provided by Hertfordshire Partnership University NHS Foundation Trust (HPFT). The associated action plan has been published by Hertfordshire Partnership University Foundation Trust.
Recommendations
Recommendation · source text
The Trust should complete its review of Rehabilitation Services within 3 months of the publication of this report, and be able to demonstrate a clear plan, agreed by commissioners, for providing increased local capacity based upon current needs assessment.
Recommendation · source text
The Trust should assure itself that all staff are aware of what constitutes abuse, including unlawful detention, and are able to take appropriate actions to take to protect all vulnerable adults.
Recommendation · source text
The Trust should review the risk register thoroughly to assure itself that the identified risks, risk scores and therefore the mitigation are correct, with particular attention to risks where staffing and recruitment are the underlying factors.
Recommendation · source text
The Trust should assure itself that Care Coordinators have the necessary skills and qualities to deliver the requirements of the role.
Recommendation · source text
The Trust needs to demonstrate that quality also drives the requirement to review placements, and should consider alternative quality based criteria for review of some placements, such as reviewing a suitable number of the placements furthest away, or the patients who have spent the longest time in a placement, or other criteria linked to quality.
Recommendation · source text
The Trust should rapidly develop a robust and routine performance management system and Board report for the secondary care placement budget and Bed Management & Placement Team.
Acceptance status
No Response Published
6
Total recommendations
6