1
Addressed to: The Trust
No Response Published
Link to recommendation 1
Recommendation · source text
The Trust should utilise the joint information sharing agreement with Suffolk Constabulary to clarify patients’ forensic history, within the bounds of the accepted criteria.
2
Addressed to: Public Health Suffolk
No Response Published
Link to recommendation 2
Recommendation · source text
Public Health Suffolk should ensure that if a multi-agency investigation is commissioned there is a mechanism to oversee the implementation of the action plan and the involvement of family and carers; serious incident investigation policies should be updated to include this requirement.
3
Addressed to: The joint partnership
No Response Published
Link to recommendation 3
Recommendation · source text
The joint partnership should complete a formal audit of the existing multi-agency Dual Diagnosis guidance and protocol and ensure it is fit for purpose and implemented across the agencies.
4
Addressed to: NSFT
No Response Published
Link to recommendation 4
Recommendation · source text
NSFT should evidence its improvement programme for care planning and risk assessment quality and compliance.
5
Addressed to: all partner agencies
No Response Published
Link to recommendation 5
Recommendation · source text
The ‘Joint Working Protocol: Identifying the Lead Agency when working in Partnership’ should be agreed, signed off and implemented by all partner agencies, within six months. Implementation should then be monitored.
6
Addressed to: Public Health Suffolk
No Response Published
Link to recommendation 6
Recommendation · source text
Public Health Suffolk should undertake an assurance audit of the implementation of the action plan from this independent investigation.