Independent investigation: Anthony Wakeford, Effingham (2010)

Internal review terms of reference involving serious incidents to have an objective to compare clinical practice against national and local policies

The recommendation in relation to Carer assessments to be expanded to ensure Carers are included in all aspects of clinical assessments and care planning.

The recommendation in relation to staff attending safeguarding meetings should be expanded to ensure clear and effective communication systems for all services involved in the care of a patient and where appropriate significant others.

A further safeguarding recommendation to ensure staff are actively involved in all relevant aspects of the safeguarding process

Police Liaison Policies, Procedures and staff compliance to be reviewed.

Clinical Leadership to be reviewed to ensure it is effective and accessible to all relevant staff.

A review to be carried out to assess clinical staff understanding and management of both alcohol misuse and self harm behaviour and management.

The internal action plan to continue to be monitored to ensure the Trust is satisfied that all actions are evidenced as completed.