Independent Quality Assurance Review Livewell Southwest NHS Devon Integrated Care Board StEIS 2016/32823 Final report 1 February 2023

Livewell Southwest must ensure that the policy and procedure on engagement and support of families of victims and perpetrators involved in serious incidents comply with current guidance.

NHS Devon Clinical Commissioning Group and Livewell Southwest must ensure that serious incidents are investigated in accordance with the Serious Incident Framework, that provider action plans are monitored, that assurance is sought and provided that action plans are completed, and changes to clinical practice and patient care are monitored.

NHS Devon Clinical Commissioning Group and Livewell Southwest must ensure that care and treatment for psychosis and schizophrenia, and post-traumatic stress disorder are delivered in accordance with the relevant NICE guidelines.

Livewell Southwest must provide assurance to their commissioners and the Board that risk assessments are undertaken and documented in accordance with organisational policy.

Livewell Southwest must provide evidence assurance to their commissioners and the Board that discharge decisions are taken in accordance with organisational policy.

Livewell Southwest must ensure that crisis/contingency plans clearly describe the actions required by patients and staff when a patient is in crisis.

Livewell Southwest must provide assurance to their Board and their commissioners that a system is in place to ensure that any patient waiting longer than ten days for allocation to a care coordinator is identified and the issue escalated to an appropriate manager for action.

Livewell Southwest must ensure an effective local interagency protocol with the National Probation Service is developed. This should agree specific responsibilities and actions for each organisation when a patient of Livewell Southwest is subject to a Community Order with a Requirement for Mental Health Treatment. Livewell Southwest must also ensure that in such circumstances, individual care plans are aligned to the Community Order and that clinical staff engage regularly with the patient’s Offender Manager.

Livewell Southwest must provide assurance to their commissioners and the Board that the escalation route for professional differences between AMHPs and community mental health team staff is used effectively.