An independent investigation into the care and treatment of Mr Z – July 2021
East of EnglandThe findings of an independent investigation into the circumstances surrounding the care and treatment of Mr Z are published on this webpage: Essex Partnership University Trust and NHS Thurrock ICS, which are cited in the report’s recommendations, have also published an action planan action planin response to the findings.
Recommendations (5)
1
Essex Partnership University NHS Foundation Trust
No Response Published
Recommendation
The Trust should evaluate the senior primary care mental health nurse practitioner role in south east Essex to establish whether it has facilitated the management of depot medication and mitigated the risk of patients not receiving it.
2
Essex Partnership University NHS Foundation Trust, Local Medical Committee and relevant Clinical Commissioning Groups
No Response Published
Recommendation
The Trust, Local Medical Committee and relevant Clinical Commissioning Groups should develop and agree a shared protocol for the administration of depot medication in the community. This should include agreement as to which party is responsible for undertaking the initial …
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3
Essex Partnership University NHS Foundation Trust
No Response Published
Recommendation
The Trust should assure itself that electronic patient records only give staff access to the patient’s current GP contact details and that all other out-of-date contact details are archived.
4
Essex Partnership University NHS Foundation Trust
No Response Published
Recommendation
The Trust should assure itself that concerns submitted by families or members of the public regarding a patient are documented, subject to assessment and review, and where appropriate proactively acted on. In instances where action is not taken, the rationale …
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5
Essex Partnership University NHS Foundation Trust
No Response Published
Recommendation
The Trust should put a system in place to ensure that internal investigation report findings are shared with service users, their families, and that other affected parties are taken into account.