North East London Foundation Trust

“and carers. The Mental Health and Wellness team are now using the DIALOG tool in working with patients who are presenting to services. This is a quality of life and outcome measure that is completed by service users, allowing them to focus care planning work on the most important areas of their life to them across a number of domains, including mental and physical health, relationships, and accommodation. Staff use the DIALOG questionnaire to understand what matters most to the service user and this”

“The Trust has completed a thematic review of patient safety incidents with the intention of identifying themes and patterns occurring within these. Resulting from this was the establishment of Trust wide workstreams aimed to address the identified gaps and then embed learning around these across the Trust. Of pertinence to the concerns raised in this instance, is the Improving Quality of Record Keeping and Clinical Documentation workstream.”

“Engage will the London Borough of Redbridge in weekly Complex Case Discussion meetings involving all 5 Health and Social Services localities and areas of responsibility.”

“Introduce two new and full-time senior band 8a nurses.”

“Review, revise and disseminate the risk escalation process with health and social care staff.”

“Devise a standardised operating procedure relating to how District Nurses conduct their daily handovers.”

“Provide Professional Curiosity training for health and social care staff.”

“Provide legal training on Court of Protection referrals for health and social care staff.”

“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.”

“we attach a detailed action plan addressing the concerns raised by you.”

“We have detailed the actions which we will take, within the attached action plan, for your kind consideration”

“The Executive Team currently have oversight of care planning compliance Trust wide.”

“The Named Nurse/Health Professional Standard Operating Procedure (SOP) will be amended to make this explicit as it currently states: 'In most cases the named nurse/professional will have an associate who will deputise in his/her absence'.”

“The January 2023 Respect Approach Meeting will have a specific focus on care planning and the care planning audit tool.”

“Resuscitation drills have been increased from every 2 months to monthly for every ward.”

“A business case will be submitted to the Executive Management Team for increased capacity for Resuscitation Officers, including a dedicated Resuscitation Officer for ARD.”

“The process for auditing the content of our emergency equipment resuscitation trolleys on our wards has been reviewed and is now inputted via the 'my kit check' app.”

“A requirement will be introduced for a referral to the on-call psychiatrist to be completed where the presenting risk is significantly different to that of another clinician (including GP) who has reviewed the patient on the same day.”

“We have already agreed to provide personal contact details of NELFT Consultant's to GPs for additional support and this action is already in place to allow GP's to access advice regarding the management of people who have mental health problems.”