Nicholas Sullivan

1. 1. lack of mental health triage checklist

   “reception staff did not work to a short bullet point pro-forma checklist which identifies issues of mental disorder/conditions and check and record important background issues, such as self- harming behaviour or suicidal ideation”

2. 2. absence of urgent triage system

   “no clear system to trigger urgent triage and safeguarding steps prior to that”

3. 3. lack of post-triage safeguarding system

   “no clear system following triage and mental health assessment referral, to safeguard the patient pending that assessment”

4. 4. unclear escalation policy

   “should be a clear and well-understood escalation policy which is activated appropriately”

5. 5. mental health staff not co-located in Emergency Department

   “Consideration should be given to co-locating mental health staff in the Emergency Department”

6. 6. unsuitable safeguarding rooms

   “Consideration should be given to having a suitable safeguarding room(s) available”

No published response was found on judiciary.uk.