East London NHS Foundation Trust

Noted (AI summary) Sunlight Care Group has updated policies, conducted a Serious Incident Review, and commenced a training program for staff. The training covers topics such as recognizing self-neglect, home safety, nutrition, and risk management, with a detailed schedule outlined in the response. The council has already completed a Safeguarding Adults Review referral and held a meeting with Sunlight Care, implementing a quality improvement plan and enhanced monitoring. They also plan further actions including a learning event with ASC, Sunlight Care and ELFT, a review of safeguarding procedures and training on implementing inquest lessons. The DHSC acknowledges the concerns raised in the report, referencing the Care Act 2014 and Mental Capacity Act. They highlight existing resources like the Care Workforce Pathway without committing to specific new actions. The Trust has increased time slots in the dressing clinic, staffed it with a substantive nurse, and will review with staff the need to proactively arrange professional meetings when they witness concerns. They also describe changes to wound care pathways.

Noted (AI summary) NHS England acknowledges the concerns, states that it is not the appropriate organisation to respond to many of them, but will consider the Trust's response and has been sighted on the Trust’s Patient Safety Serious Incident Review Report. It also draws attention to NHS England’s national Mental Health, Learning Disability and Autism Inpatient Quality Transformation Programme. The MPS has the Affinity Protocol in place since 2021 and will undertake work as part of the implementation of the Right Care, Right Person to ensure policies of all parties align and there is a clear understanding of definitions and terminology used. The Home Office describes the Right Care Right Person (RCRP) approach to assist police decision making. It states that the investigation of a missing person report is an operational decision for individual police forces and refers to the MPS Affinity Protocol. The Trust has updated its Missing and AWOL policy, reviewed procedures for patients leaving acute wards, and changed observation guidance. They will review their Risk Assessment policy and the Grab Pack's alignment with local policies, including seeking external expert opinion, with a 3-6 month timescale.