Central and North West London A Clinical Risk Alert will be circulated Clinical Risk Alert and evidence of Clinical Safety 30 September Foundation Trust to all Psychiatric Liaison Teams who cascade to teams Manager 2016 will review the alert within team meetings and supervision sessions. Recommendation 6 The Trust must work with partner agencies providing accident and emergency services to ensure that This will outline learning from this the joint operational policies are incident and requesting that the local Minutes of Psychiatric Liaison 31 October 2016 complied with, in particular that Operational Policy should outline Team meetings clinical records are available to guidance emphasising that all psychiatric liaison staff in a timely Psychiatric Liaison clinicians should Supervision records fashion, to facilitate fully review the patient’s A and E informed assessment of patients. assessment (CAS card) prior to Copy of Psychiatric Liaison Team completing the mental and state and Operational Policy clinical risk assessment. The alert will also include guidance on the actions to be taken in any instance where this process is not followed i.e. incident reporting and documentation within the clinical record Central and North West London The Trust welcomes this Standardised template Associate Director of 31 October 2016 Foundation Trust recommendation as it enables us to Quality and Service build upon our existing systems. The Improvement Clinical Policies group oversees and Recommendation 7 approves clinical polices, trust wide. Each Clinical Policy must follow a The Trust must ensure that standardised template (cover sheet). operational policies are followed. The Trust must implement a Key aspects of each Clinical Policy are
Central and North West London Foundation Trust Recommendation 6 The Trust must work with partner agencies providing accident and emergency services to ensure that the joint operational policies are complied with, in particular that clinical records are available to psychiatric liaison staff in a timely fashion, to facilitate fully informed assessment of patients. A Clinical Risk Alert will be circulated to all Psychiatric Liaison Teams who will review the alert within team meetings and supervision sessions. This will outline learning from this incident and requesting that the local Operational Policy should outline guidance emphasising that all Psychiatric Liaison clinicians should review the patient’s A and E assessment (CAS card) prior to completing the mental and state and clinical risk assessment. The alert will also include guidance on the actions to be taken in any instance where this process is not followed i.e. incident reporting and documentation within the clinical record Clinical Risk Alert and evidence of cascade to teams Minutes of Psychiatric Liaison Team meetings Supervision records Copy of Psychiatric Liaison Team Operational Policy Clinical Safety Manager 30 September 2016 31 October 2016 Central and North West London Foundation Trust Recommendation 7 The Trust must ensure that operational policies are followed. The Trust must implement a The Trust welcomes this recommendation as it enables us to build upon our existing systems. The Clinical Policies group oversees and approves clinical polices, trust wide. Each Clinical Policy must follow a standardised template (cover sheet). Key aspects of each Clinical Policy are Standardised template Associate Director of Quality and Service Improvement 31 October 2016
Action-Plan-Mr-S.docx