Inadequate record keeping leading to outdated patient information

“EPUT's Head of Deteriorating Patient Pathways and Resuscitation Training Officer is working closely with mental health wards to facilitate drop-in 'refresher' life support training for clinical and administrative staff dealing with emergency situations. During 1 the training, the importance of calling for help as soon as possible (i.e. use of pinpoint alarm) is highlighted and discussed in detail (1a, 1b, 1c, 1d).”

“The Trust has revised line management supervision forms to include quality of record keeping, their professional responsibilities, Trust policy and values, and NMC accountability frameworks in respect of record keeping. In addition to discussions during supervision the Crisis Response and Home Treatment Service has been reminded of this in their team meetings.”

“Bespoke training on the importance of documentation is being arranged for all staff working in the urgent care pathway in April 2024.”

“The Home Treatment Team complete gate keeping assessments which provide professional opinions and rationale, including the 'purpose of admission', or a home treatment care plan as an alternative to admission. All admission requests have oversight from the Purposeful Admission Clinical Lead.”

“The Trust is currently commissioning a unified Electronic Patient Records System. This system will permit access to all of the required clinical systems and will also embed a new mechanism to ensure robust clinical information sharing.”

“The Trust's Urgent Care and Inpatient Care Unit is implementing a new initiative 'International Fundamentals of Care Framework', which is a nursing framework that supports transition and care planning based on trusting therapeutic relationship, integration of care and context of care.”

“The Home Treatment Team in Mid and South have added the framework principles to the Newman's form that is given to patients to develop and assist with their view and planning of their care and treatment needs.”