Pennine Care NHS Trust

“The Court heard from the nurses who were tasked to raise a concern for welfare of the practical time difficulties in doing this, given they were working on an acute in- patient psychiatric ward. It was unclear why the clinical lead did not deal with this matter as she was the person to whom the information had been initially provided”

“We identified eight issues which required attention, and specified that relevant task and finish groups would be convened to address them. These eight themes were: - A common understanding of the duties, powers and training of staff in the respective agencies in their response to demands for service from people with mental ill-health. - Improved information sharing processes through the development of the multi-agency 'Mental Health Control Room Triage' pilot service, jointly funded by NHS”

“We will develop a process and protocol for escalation to be used within the borough of Stockport by the end of February 2019.”

“Following review with the Lead Consultant [name redacted] the agreed target timescales for routine appointments is 12 weeks. Clear communication of the target timescales will form part of the action above.”

“Stockport borough will produce an escalation protocol for staff to use when there is disagreement regarding the need for a face to face appointment with a psychiatrist. This will be completed by the end of February 2019.”

“Pennine Care's alcohol liaison practitioners are moving to be based at Stepping Hill Hospital with the all age liaison mental health service and will form part of the same team which will significantly reduce the likelihood of any such concern arising again. The new model will be in place by the end of February 2019.”

“we recognise that there are challenges across the service in enabling secure record sharing and there are a number of steps being taken, fed by NHS England.”

“We revised the Code of Practice in 2015 and set out guiding principles to ' hups://www.gov.uk/government/publications/code-of-practice-mental-health-act-1983 improve the care for patients.”

“The Tameside and Glossop Strategic Commissioning Board has recognised the need to develop and expand mental health support and is in the process of investing in additional services”

“we will raise the issue of how the provision of medication at discharge was handled by Pennine Care, and again identify any improvements that they need to make.”

“The CCG commissioned a new Primary Care Mental Health Pathway during 2016/17, which mobilised in May 2017. The model has been developed to respond to the local population needs, preparing service users to access therapy in order to optimise recovery performance. The service is subject to robust a performance dependent payment framework which provides assurance of performance delivery.”

“The discharge assessment document is prepared prior to planned discharges and is then completed on the day of discharge by the discharge nurse. The final page of this document is the 'Discharge Plan' which contains the emergency contact numbers and a crisis contingency plan. A copy of this is handed to the patient upon discharge.”

“The CPS Operations Directorate has also been considering the national implications and as a result ensured we have modified CPS training so advocates conducting youth court cases are reminded that a youth can always be remanded for their "own welfare”