Source · Investigations in the NHS

Pathway Review: Black Country Healthcare NHS Foundation Trust

Midlands Published 01 Aug 2025 Trust Black Country Healthcare NHS Foundation

A Pathway Review of care for people with severe mental ill health who present a level of risk to others in Black Country Healthcare NHS Foundation was designed to support learning and development following an incident that occurred in 2016. The work was commissioned by NHS England and led by our independent clinical team. The main report contains information about the methodology, the background, findings and agreed recommendations.

Acceptance status

Per recommendation

No Response Published

Total recommendations

About this data

Acceptance status tracks whether the trust accepted or responded to each recommendation.

Independent health investigation reports and reviews commissioned by government or NHS England.

About this investigation

Source & metadata

Independent investigation report. Recommendations and any published response are extracted below.

Recommendations

2 total

Recommendation

MDT inpatient working is one of the most challenging areas of mental health care. We recommend that the Trust establishes a `Task and Finish’ group involving clinical (medical, nursing, psychology) as well as management staff to consider how to improve … Read more

Recommendation

Clinical and risk formulation should be strengthened so that treatment and care, risk and the management or mitigation of risk are articulated, not just for the staff working in direct care but also (as appropriate/possible) for patients, their families and … Read more