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

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.

Acceptance status

Per recommendation
No Response Published
6

Total recommendations
6
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

6 total
1 The Trust No Response Published
Recommendation
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. Read more
2 The Trust No Response Published
Recommendation
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.
3 The Trust No Response Published
Recommendation
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.
4 The Trust No Response Published
Recommendation
The Trust should assure itself that Care Coordinators have the necessary skills and qualities to deliver the requirements of the role.
5 The Trust No Response Published
Recommendation
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 … Read more
6 The Trust No Response Published
Recommendation
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.