homicide review group. Recommendation 3. Annual review The RCA presentation Only staff trained in Completed Director of Nursing Complete The should ensure that staff undertaking was sent separately due RCA Standards & safety serious incident investigations are suitably to the size of the file. trained, prepared and supported. Staff Supervision notes Recommendation 4. This is now a On going Local Service managers Complete The Trust should ensure that the clinical risk induction and appraisal requirement for all assessment and management and active Core training staff and is set as a engagement policies are consistently Regular standard in implemented. audits appraisal and monitored through supervision session. Performance Performance reports Recommendation 5. Performance On going Local Service managers Complete The final outcome of contact with secondary reports requirements with mental health services should always be CCGs and communicated to the service users’ GP. The commissioners are CCG and Trust should agree the routes of now embedded communication between secondary mental within the health services and GPs, and embed these into practice. community services. Requirement of 5 day response to GPs.
homicide review group. Recommendation 3. The should ensure that staff undertaking serious incident investigations are suitably trained, prepared and supported. Only staff trained in RCA Completed Director of Nursing Standards & safety Annual review The RCA presentation was sent separately due to the size of the file. Complete Recommendation 4. The Trust should ensure that the clinical risk assessment and management and active engagement policies are consistently implemented. This is now a requirement for all staff and is set as a standard in appraisal and monitored through supervision session. On going Local Service managers Staff induction Core training Regular audits Supervision notes and appraisal Complete Recommendation 5. The final outcome of contact with secondary mental health services should always be communicated to the service users’ GP. The CCG and Trust should agree the routes of communication between secondary mental health services and GPs, and embed these into practice. Performance requirements with CCGs and commissioners are now embedded within the community services. Requirement of 5 day response to GPs. On going Local Service managers Performance reports Performance reports Complete
iirFinal-Action-Plan-026-12-13.docx