Independent investigation: Russell Capon, Ipswich (2013)

The Trust should utilise the joint information sharing agreement with Suffolk Constabulary to clarify patients’ forensic history, within the bounds of the accepted criteria.

Public Health Suffolk should ensure that if a multi-agency investigation is commissioned there is a mechanism to oversee the implementation of the action plan and the involvement of family and carers; serious incident investigation policies should be updated to include … Read more Public Health Suffolk should ensure that if a multi-agency investigation is commissioned there is a mechanism to oversee the implementation of the action plan and the involvement of family and carers; serious incident investigation policies should be updated to include this requirement. Show less

The joint partnership should complete a formal audit of the existing multi-agency Dual Diagnosis guidance and protocol and ensure it is fit for purpose and implemented across the agencies. The joint partnership is comprised of : • The Trust (NSFT) … Read more The joint partnership should complete a formal audit of the existing multi-agency Dual Diagnosis guidance and protocol and ensure it is fit for purpose and implemented across the agencies. The joint partnership is comprised of : • The Trust (NSFT) (providers of mental health services) • Public Health Suffolk (commissioners of drug and alcohol treatment) • Turning Point (providers of drug and alcohol treatment) • IHAG (providers of housing support in Ipswich). Show less

NSFT should evidence its improvement programme for care planning and risk assessment quality and compliance.

The ‘Joint Working Protocol: Identifying the Lead Agency when working in Partnership’ should be agreed, signed off and implemented by all partner agencies, within six months. Implementation should then be monitored. The joint partnership is comprised of : • The … Read more The ‘Joint Working Protocol: Identifying the Lead Agency when working in Partnership’ should be agreed, signed off and implemented by all partner agencies, within six months. Implementation should then be monitored. The joint partnership is comprised of : • The Trust (NSFT) (providers of mental health services) • Public Health Suffolk (commissioners of drug and alcohol treatment) • Turning Point (providers of drug and alcohol treatment) • IHAG (providers of housing support in Ipswich). Show less

Public Health Suffolk should undertake an assurance audit of the implementation of the action plan from this independent investigation.