Independent investigation: Eleftheria Demetriou, Wood Green (2012)
LondonMentally ill man repeatedly stabbed elderly neighbour. Recently discharged patient
Recommendations (6)
3.7.1
The trust
No Response Published
Recommendation
The trust should ensure that staff understand the importance of thorough record keeping, in line with trust and national policy. This includes the need to record discussions about patients when their symptoms, diagnosis and treatment has been considered and any …
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3.7.2
The trust
No Response Published
Recommendation
In circumstances where the clinical lead has indicated that there is uncertainty about an individual patient’s diagnosis and/or treatment plan, the care coordinator/allocated worker should meet regularly with the clinical lead to discuss the case. These discussions should focus on …
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3.7.3
The trust
No Response Published
Recommendation
The trust should assure itself that its process for CPA (including care planning, risk assessment and risk management planning) is robust. The clinical governance team should audit compliance at least every six months and report its findings to the board.
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3.7.4
The trust
No Response Published
Recommendation
In instances where a service user has had a long and intensive intervention, a multidisciplinary discussion should take place to determine the most appropriate way to discharge that individual. The discharge process should be tailored to meet the needs of …
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3.7.5
All partnership agencies and the trust
No Response Published
Recommendation
All partnership agencies should work in collaboration with the trust to continue to develop their relationship and processes for joint working. This development should include the trust reviewing the protocols in place with partnership agencies to ensure effective communication and …
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7.1.2
The trust
No Response Published
Recommendation
The trust should ensure that staff understand the importance of thorough record keeping, in line with trust and national policy. This includes the need to record discussions about patients when their symptoms, diagnosis and treatment has been considered and any …
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