Independent investigation: Christoph Duclos, Mile End Tube (2002)

The London Borough of Tower Hamlets, East London and The City Mental Health NHS Trust and the Tower Hamlets Primary Care Trust should review their strategy and operational policy for the provision of services to patients with a dual diagnosis, … Read more The London Borough of Tower Hamlets, East London and The City Mental Health NHS Trust and the Tower Hamlets Primary Care Trust should review their strategy and operational policy for the provision of services to patients with a dual diagnosis, i.e. a substance misuse problem co-morbid with mental illness or a clinically significant personality disorder. The Trust needs to define and develop a coherent and integrated approach to services for people with dual diagnoses in conjunction with the London Borough of Tower Hamlets and all other relevant commissioners of services. Show less

East London and The City Mental Health NHS Trust should give consideration to the development of a specialist personality disorder team to provide training, consultation and support to staff working both within the Trust and in external agencies.

The London Borough of Tower Hamlets, East London and The City Mental Health NHS Trust and the Tower Hamlets Primary Care Trust should conduct a comprehensive review of the adequacy of day services they make available to patients with multiple … Read more The London Borough of Tower Hamlets, East London and The City Mental Health NHS Trust and the Tower Hamlets Primary Care Trust should conduct a comprehensive review of the adequacy of day services they make available to patients with multiple morbidities as part of their care package. That review should assess the services available on a trust-wide basis from both statutory and non-statutory agencies. Show less

The reporting mechanisms between the London Borough of Tower Hamlets and East London and The City Mental Health NHS Trust should be improved. The London Borough of Tower Hamlets should monitor the Trust’s progress and achievements in the delivery of … Read more The reporting mechanisms between the London Borough of Tower Hamlets and East London and The City Mental Health NHS Trust should be improved. The London Borough of Tower Hamlets should monitor the Trust’s progress and achievements in the delivery of mental health and substance misuse services which have been delegated to it pursuant to the National Health Service and Social Care Act 1999. Show less

East London and The City Mental Health NHS Trust, in partnership with the London Borough of Tower Hamlets and Tower Hamlets Primary Care Trust, should review its performance management systems to satisfy itself that those systems are sufficiently robust to … Read more East London and The City Mental Health NHS Trust, in partnership with the London Borough of Tower Hamlets and Tower Hamlets Primary Care Trust, should review its performance management systems to satisfy itself that those systems are sufficiently robust to ensure compliance with the Care Programme Approach and its requirements. Key areas of weakness that continue to need constant monitoring are assessments of patients (including risk assessments), care planning, the provision of full and timely discharge summaries and record-keeping. Show less