Independent investigation: June Jumaily, Letchworth (2009)

Commissioners of GP services should ensure, and ensure that they can demonstrate, that GPs are treating all patients, who present with depressive symptoms, in line with the current national NICE guidance ‘Depression: The treatment and management of depression in adults … Read more Commissioners of GP services should ensure, and ensure that they can demonstrate, that GPs are treating all patients, who present with depressive symptoms, in line with the current national NICE guidance ‘Depression: The treatment and management of depression in adults (update) *CG90+ 2009’ Show less

Commissioners of GP services should undertake a review of the provision of psychological therapies within the relevant GP surgery to ensure that practice, referral and uptake rates are consistent with national standards.

Commissioners of GP services should work with GPs to establish methods of assuring themselves that GP record keeping is of a consistently high standard

Hertfordshire Partnership NHS Foundation Trust should continually monitor community team performance in relation to adherence to prescribed timescales for response to urgent referrals, and the reasons for any variance.

Hertfordshire Partnership NHS Foundation Trust should provide clinical risk assessment documentation, for use by workers, which enables them to clearly mark when a potential aspect of clinical risk has not been assessed, the reasons for this, and plans in place … Read more Hertfordshire Partnership NHS Foundation Trust should provide clinical risk assessment documentation, for use by workers, which enables them to clearly mark when a potential aspect of clinical risk has not been assessed, the reasons for this, and plans in place to ensure that the assessment is completed in a timely manner. Show less

The Hertfordshire Partnership NHS Foundation Trust board should assure themselves that senior clinical staff are appropriately trained in the assessment and management of potential morbid jealousy.

Hertfordshire Partnership NHS Foundation Trust should ensure that one of the functions of the Incident Co-ordination Group is to devise and agree a communications plan to ensure that appropriate service users and their families are communicated with in a co-ordinated … Read more Hertfordshire Partnership NHS Foundation Trust should ensure that one of the functions of the Incident Co-ordination Group is to devise and agree a communications plan to ensure that appropriate service users and their families are communicated with in a co-ordinated way. Show less

Hertfordshire Partnership NHS Foundation Trust should develop formal mechanisms to monitor compliance with clinical risk assessment training on an ongoing basis.

Hertfordshire Partnership NHS Foundation Trust should conduct annual audit to ensure ongoing compliance with the standards outlined in their clinical risk assessment policy.