Independent investigation into the care and treatment of Z: May 2015

CMHT to undertake a review of The remodelling of adult mental health services to focus on duty and referral systems, and ensure that access is available 7 days per week. Adult Directorate Senior Management Team. Completed: A revised model of service and clinical care delivery is now in place across all Adult Mental Health Teams (AMHT) within the directorate. Review of the Oxon crisis team in The context of the whole patient pathway. To review the patient pathway as an integral aspect of the remodelling of mental health services within the organisation. The aim is to ensure that there is a reduction in the number of patient transitions between teams and to reduce the associated clinical risks associated with these. Adult Directorate Senior Management Team. Completed: A revised model of service and clinical care delivery is now in place across all Adult Mental Health Teams within the directorate The directorate has as a result of this remodelling, moved away from having a distinct crisis team function, and have re-provided services into integrated Adult Mental Health Teams which have both an assessment and treatment function. The AMHTs offer on-going case management in addition to crisis, assessment and home treatment. Development and agreement of a clear protocol for the crisis service for managing information about potential new referrals. This protocol should include statements to the effect that: • referrals must be received and triaged by qualified team members; and • the remit for the crisis team must be agreed with the referrer (what is the team being asked to do?); and • all contact with a referrer must be recorded on RiO even when no further action is required. Adult Directorate senior Management Team. Completed: A revised clinical model of care is now in place. Service to also introduce a safer care initiative which focuses on assessments, recording contacts and documentation. Safer Care Team. A safer care initiative was implemented in order to address this action, which a high success rate and for which the Trust was nominated for a Health Service Journal award. This work is on-going. Targeted training of staff to ensure that they are confident and competent to record information on RiO relating to new patients. This training can be delivered locally by administrative staff. Adult Directorate senior Management Team. Completed: Oxford Health NHS Foundation Trust has introduced a revised electronic health record system – CARENOTES, which was introduced across the Trust in April 2015. As part of the roll out of the revised health care record system staff have offered and provided training either in person, via webinars or e-learning.