Royal College of Psychiatrists

“The MHRA will engage with stakeholders to ensure the regulatory documents for clozapine meet the needs of both patients and prescribers.”

“we have indicated that we intend to increase our visibility in the space of safe medication and prescribing. Work we are currently doing around Clozapine, which started with learnings from a death elsewhere in the country is an example of this. Although the concerns in that case were not directly aimed at the College, we recognised our responsibility to provide evidence-based advice on the safe prescribing and monitoring of Clozapine. The output of this work is due later this year.”

“We are developing a business case to secure additional funding to support improved resourcing of CAMHS services within NELFT.”

“The business case will also include requirements to implement a face to face approach for initial CAMHS assessments.”

“Recruitment of consultant psychiatrists is a national issue which we recognise locally - NHS North East London is working with NELFT and other providers to support recruitment and looking at innovative ways of recruiting. This work is being led by our Chief People and Culture Officer,”

“In the short term for CAHMS for NELFT we have developed a business case for more funding to support this demand.”

“The Trust is determined to ensure that all patients receive care in a person-centred approach and that the patient's voice is at the centre of planning the patient's care. The Trust's expectation is that the young person's voice is heard in the triage, initial assessment, care/treatment plan, and follow-ups alongside their parents / responsible adults.”

“Learning event to be arranged on this case with specific reference services were aware BDD for all staff on BDD and the importance of working with partner agencies.”

“The Trust is planning to undertake a Quality Improvement Project on understanding why there are gaps in risk assessment and risk of accessing such management processes (a couple of examples of reoccurring treatment to [the deceased] themes), particularly when there are poor outcomes associated 30/09/2024 Assistant or attempted to share with care provided.”

“Training department to arrange training on BDD for all staff this 01/12/2023 heard that there is a (BDD) training to to be in conjunction with SLAM who offer training in this need for training to be be offered to all specialised area.”

“The Trust has also shared with us a helpful learning briefing on Section 17 leave from inpatient wards. This will be shared with the national Regulation 28 Working Group regional representatives for dissemination across the seven NHS regions, to raise awareness of the issue with their Trusts and to encourage best practice.”

“I am therefore taking steps to raise this issue with HSC Trust Chief Executives and relevant professional bodies, in order to ensure that the appropriate action is taken to address this point.”

“The College very much recognise the issues you raise in relation to the lack of effective and consistent communication between services for people with neurological conditions and mental illness.”

“The Department will continue to support and assure this work to progress against key actions, including ensuring better awareness of eating disorder training and continuing professional development.”

“We will look for opportunities to do this in the near future”

“We stand ready to support the MHRA in ensuring any future changes to monitoring reach all appropriate healthcare professionals and patients, including through our shared national network of Medication Safety Officers.”

“We have further considered your concerns that there may be other dependent persons suffering from lupus (or other conditions for which hydroxychloroquine is prescribed in NHS hospitals in England and Wales) who may also have toxic levels of hydroxychloroquine in their system unbeknown to their carers. Some”

“The College is aware that CPA policy can be interpreted and applied differently across the country. Ideally a care co-ordinator will be able to negotiate patient discharges and their integration into the care of a new team. However, there are circumstances in which this is not straight-forward, e.g. if a section is ending or a person is being discharged from hospital.”

“I shall liaise with the Chair of our Special Committee for Psychopharmacology to publicize these matters to the members and fellows of the RCPsych”

“I shall liaise with the Chair of the Faculty of Old-Age Psychiatry to determine the best way to raise these issues with old-age psychiatrists”

“We will review our continuing medical education initiatives to ensure that this issue is comprehensively covered in RCPsych material”

“I shall inform the Presidents of the Royal Colleges of Physicians and General Practitioners, by copy of this letter, of our plans and will be ready to work with them in any suitable joint ventures”

“We have reviewed the product information (Summary of Product Characteristics [SmPC] and Patient Information Leaflet) of olanzapine, mirtazapine and indapamide and are satisfied that all three contain appropriate warnings regarding the risk of QT prolongation, particularly when used with other medication that also causes QT prolongation.”