Danielle Robinson

“That the Therapeutic Engagement and Observation Policy presently adopted by BCUHB is not being rigorously followed by staff with the result that opportunities to escalate the level of observations when required are being missed.”

“That the current Therapeutic Engagement and Observation Policy there should be reviewed with consideration being given to implementing a system for situations where there is a serious event which places a patient at risk of immediate or imminent harm, that there should be an automatic escalation of observation levels to level 3 or 4 (within eyesight or arm's length respectively) for a designated period and/or one to one engagement with the patient so as to provide an instant”