Independent investigation report – Nadia Sharif

TEWV must ensure that plans of care for young people in Child and Adolescent Mental Health Services (CAMHS) incorporate evidence-based practice.

TEWV must ensure that risk assessments for young people in CAMHS are based on a psychological formulation and are developed by a multidisciplinary team in conjunction with the young person and their family.

TEWV must provide assurance that race and ethnicity, gender and religious issues are routinely addressed in Care Programme Approach (CPA) needs assessment and care planning as per the Trust’s policy.

Middlesbrough Council and Health providers/key partners must ensure that there is clarity about the roles and responsibilities of each agency in the planning and delivery of care to young people in Tier 4 CAMHS provision to ensure that support is holistic and meets the educational; social; physical health and emotional needs of children and young people as well as their mental health needs.

Middlesbrough Council must respond formally to serious concerns raised about the care and treatment of a young person under their care and explore concerns with the family and the young person.

TEWV must provide assurance that there are protocols in place for safeguarding and Local Authority Designated Officer (LADO) referrals, and that these are understood and followed by all staff caring for young people.

Where a young person is in receipt of T4 care and transferring back to T3, there must be a joint response between health and Middlesbrough Council children’s services so that the young person is prepared for life in the community and can be properly supported and their risks appropriately managed.

TEWV must provide assurance that clinical records are kept to expected standards.

TEWV/NHS England and Middlesbrough Council must provide assurance that all looked after children with a diagnosis of autism have care provided that is in line with the NICE guidance on Autism spectrum disorder in under 19s: support and management, recognising the challenges in the system.

NHS England and provider collaboratives must provide effective quality oversight of inpatient environments for young people with autism, with auditable standards.

TEWV Serious Incident processes must meet the expectations of the Serious Incident Framework and Duty of Candour.

South Tees Safeguarding Children’s Partnership must seek assurance that the needs of young people in inpatient mental health care in the locality are appropriately safeguarded.