SI No: 026/12-13 Serious Incident ACTION LOG Death caused by person in receipt of community treatment Incident summary Immediate actions Action Required Date To be Lead & of How are Evidence (of Current Status completed by Responsibility Actions to be completion) as at (date) audited? Recommendation 1. The PCLD service Completed Jaquie Batchelor Monitored Meeting minutes Completed Commissioners should consider developing is an ageless through regular pathways of care that identify young people service who assess police and SPT at risk of mental health problems in custody, YP placed meetings and co-ordinates their care across primary detained in and secondary mental healthcare, and youth custody where the justice teams. police identify a possible MH concern. There is also a CAMHS specific part time PCLDS worker in East who is also linked in with the East Sussex YOS. Recommendation 2. All level 2 Managing Complete The Trust should ensure that serious incident serious Directors Complete investigations are of the requisite quality incidents are standard and are sufficiently rigorous and now subject robust to enable proper organisational to a panel learning. review of
SI No: 026/12-13 Serious Incident ACTION LOG Incident summary Death caused by person in receipt of community treatment Immediate actions Action Required Date To be completed by Lead & of Responsibility How are Actions to be audited? Evidence (of completion) Current Status as at (date) Recommendation 1. Commissioners should consider developing pathways of care that identify young people at risk of mental health problems in custody, and co-ordinates their care across primary and secondary mental healthcare, and youth justice teams. The PCLD service is an ageless service who assess YP placed detained in custody where the police identify a possible MH concern. There is also a CAMHS specific part time PCLDS worker in East who is also linked in with the East Sussex YOS. Completed Jaquie Batchelor Monitored through regular police and SPT meetings Meeting minutes Completed Recommendation 2. The Trust should ensure that serious incident investigations are of the requisite quality standard and are sufficiently rigorous and robust to enable proper organisational learning. All level 2 serious incidents are now subject to a panel review of Complete Managing Directors Complete
iirFinal-Action-Plan-026-12-13.docx