Independent investigation: Peter Grimshaw, Colchester (2005)

The trust should assure itself and commissioners that there is now a robust process in place for CPA which includes care planning, risk assessment, risk management planning and non attendance at appointments. The trust should also assure itself or the … Read more The trust should assure itself and commissioners that there is now a robust process in place for CPA which includes care planning, risk assessment, risk management planning and non attendance at appointments. The trust should also assure itself or the PCT that it has a robust policy on safeguarding. Show less

The Commissioners should ask provider trusts to review their DNA policies and procedures to ensure they are fit for purpose. Trusts should include audits in their clinical audit programmes to assure compliance with DNA policies.

Commissioners of secondary mental health services across the East of England should ask mental health and social care trusts to provide a profile of the spectrum of services they offer to people with personality disorders. They should then devise and … Read more Commissioners of secondary mental health services across the East of England should ask mental health and social care trusts to provide a profile of the spectrum of services they offer to people with personality disorders. They should then devise and implement a programme of evaluation of the effectiveness of such services. Show less

NHS East of England should share issues arising from these investigations to ensure best practice in SUI policy development and the appropriate learning of lessons arising from such investigations. One way in which this could be achieved would be to … Read more NHS East of England should share issues arising from these investigations to ensure best practice in SUI policy development and the appropriate learning of lessons arising from such investigations. One way in which this could be achieved would be to hold a workshop for key senior managers from mental health and social care trusts and the commissioners of mental health and social care in the East of England. Show less