Recommendation · source text
The Trust should complete the action to ensure that the families of patients with psychosis receive structured education as required, with compliance monitored through audits and dashboard reporting.
Source · Investigations in the NHS
Independent Quality Assurance Review Essex Partnership University NHS Foundation Trust StEIS 2017/30950
East of England
Published 01 Dec 2022
Recommendations
Recommendation · source text
The Trust should further refine prescribing guidelines to include patient/family education regarding the risks of suddenly stopping clozapine. Also include this as a specific requirement of the Consultant (prescriber) checklist.
Recommendation · source text
The Trust should complete actions from audits and continue to test compliance until required standards are consistently met.
Recommendation · source text
The Trust needs to ensure that the principles of the Community Mental Health Framework (which have replaced the CPA approach) are introduced and adhered to.
Recommendation · source text
A cycle of audits should be undertaken to check that interventions and zoning are appropriate for the needs of service users and that processes are complied with for admission to hospital from the community.
Recommendation · source text
The Trust should continue to repeat the audit, action planning and training cycles to demonstrate sustained improvements.
Recommendation · source text
The Trust should ensure that there is documented guidance for the project management and risk assessment of key transformation projects.
Recommendation · source text
The Trust needs to continue the monitoring of investigation progress for serious incidents and help to support completion within agreed timeframes.
Recommendation · source text
The Trust must ensure that NICE guidance for the care and treatment of patients with psychosis is adhered to, including specific reference to structured family education.
Recommendation · source text
The Trust must revise their clozapine administration guidance to include the education of patients and families, and the management of risk if clozapine is stopped suddenly.
Recommendation · source text
The Trust must provide clarity about protocols and responsibilities with respect to responding to increased need for interventions, zoning, and the process for considering and effecting inpatient admissions from the community.
Recommendation · source text
Standards for note keeping must be monitored by the Trust, to include how medical consultations are recorded.
Recommendation · source text
When going through large-scale service changes, the Trust must ensure that risks to patient care are assessed, documented and mitigated.
Recommendation · source text
Serious incident investigation reports must meet the timeliness standards expected by NHS England guidance.
Acceptance status
No Response Published
14
Total recommendations
14