Mr D (2019) action plan

This action plan has been developed to address the recommendations from an independent quality assurance review of KMPT’s Root Cause Analysis investigation into the care and treatment provided to Mr D before his index offence in May 2017

Publication date:
01 January 2020
Date range:
January 2020 - Ongoing

Action 5

RAG ratingĀ 

Amber - in progress


The Trust needs to further assure itself, by way of audit, that General Practitioners (GP), patients and referring teams are being informed of a community mental health team and community mental health older adult team decision to not accept a patient.

Actions to be taken

In line with the CMHT operational policy, Audit letters to GPs, patients and referring agencies to ensure communication on outcome of referral.

Person responsible

Senior Quality Manager

Target completion date

30 September 2020

Evidence to be provided

Audit results

Progress to date

Tool devised and audit scheduled to commence in March 2020. Findings will be reported to the Trust wide Patients Safety and Mortality Review Group