Independent investigation: Graham Rayner, Tavenham, Norfolk (2006)

The Trust must ensure that its clinical staff engaged in the assessment of, and care planning for service users have a comprehensive understanding of the concept of insight.

All mental health practitioners, including medical staff, must understand the thresholds for assessment under the Mental Health Act (MHA) and the thresholds for the compulsory detention of an individual under the MHA.

Norfolk and Waveney Mental Health NHS Foundation Trust must ensure that its medical staff, when providing reports to a mental health review tribunal (MHRT), follow the guidance for such reports as set out by the MHRT.

Norfolk and Waveney Mental Health NHS Foundation Trust needs to ensure that the care management and risk management plans developed by its staff contain a sufficient quality of information to minimise the loss of organisational memory over time about long … Read more Norfolk and Waveney Mental Health NHS Foundation Trust needs to ensure that the care management and risk management plans developed by its staff contain a sufficient quality of information to minimise the loss of organisational memory over time about long term service users with a significant risk history. Show less

Norfolk and Waveney Mental Health NHS Foundation Trust must have a robust system for the registration and tracking of all service users on section 117 after-care regardless of their MHA status.

The Trust must satisfy itself that the operational policies for all inpatient and community services set out what should happen when primary care services, or another agency, contact the trust about a patient currently in receipt of mental health services. Read more The Trust must satisfy itself that the operational policies for all inpatient and community services set out what should happen when primary care services, or another agency, contact the trust about a patient currently in receipt of mental health services. Show less

Norfolk and Waveney Mental Health NHS Foundation Trust must satisfy itself that its mental health practitioners are complying with all current standards applicable to the involvement of, and support for, families and carers. In addition the IIT suggests that the … Read more Norfolk and Waveney Mental Health NHS Foundation Trust must satisfy itself that its mental health practitioners are complying with all current standards applicable to the involvement of, and support for, families and carers. In addition the IIT suggests that the Trust adds a section to its website, under carers, entitled “What I can expect?”. The Trust may also want to consider relabeling its current “Carer” tab to “Families and Carers” to maximise accessibility of the information. Show less