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
Introduction
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.
The quality assurance review was commissioned by NHS England in line with national policy and conducted by Mazars, 2019. Mr D was known to KMPT services from 2015 to 2017 but discharged at the time of the incident.
Improvement plan owner
Deputy Chief Operating Officer ( Community and Acute Care Groups)
Implementation monitoring
Trust Wide Patient Safety and Mortality Review Group
Executive approval
Trust Wide Patient Safety and Mortality Review Group Executive approval: Executive Management Team
Executive sponsor
Executive Director of Nursing and Quality
Reporting to
Quality Committee