Re-visit FACE risk MDT documentations and formulate risk Formulate for placement in MDT keeping with service user goals Plans for discharge including MDT flexible time scale Carers to be offered Named Nurse “carers assessment Carers to be offered carers Named Nurse information pack Following first review (maximum 6 weeks) Comprehensive Recovery Star Named Nurse in collaboration with service user Comprehensive SMARTER Care Nurse in guided by the service users collaboration long and short term goals as with service identified in Recovery Star user All area of current and up to date Nurse Complete Getting to know you Named Nurse assessment and Carer Every 3 Months CPA Review Including MDT Nursing care plan review and evaluation Re-visit formulation Risk documentation review Mental Health Clustering Tool Recovery Star Assessment Named Nurse in collaboration with service user Up Date relevant areas of Named Nurse
Re-visit FACE risk documentations and formulate risk MDT Formulate for placement in keeping with service user goals MDT Plans for discharge including flexible time scale MDT Carers to be offered “carers assessment Named Nurse Carers to be offered carers information pack Named Nurse Following first review (maximum 6 weeks) Comprehensive Recovery Star Named Nurse in collaboration with service user Comprehensive SMARTER Care guided by the service users long and short term goals as identified in Recovery Star Nurse in collaboration with service user All area of current and up to date Nurse Complete Getting to know you assessment Named Nurse and Carer Every 3 Months CPA Review Including Nursing care plan review and evaluation Re-visit formulation Risk documentation review Mental Health Clustering Tool MDT Recovery Star Assessment Named Nurse in collaboration with service user Up Date relevant areas of Named Nurse
CC-CPA-PGN-02-App8-OP-WdTransChecklist-V03-Feb15.docx