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 6
RAG ratingÂ
Amber - in progress
Recommendation
The Trust wide Patient Safety and Mortality Review Group should undertake an audit of the last 12 months of investigations to assure itself that the Trust adheres to Duty of Candour.
Actions to be taken
1. Review findings of Duty of Candour Audit completed in December 2018.
2. Further review and amend Duty of candour audit standards on Datix following audit.
3. Audit a random sample of Duty of Candour in relation to Serious Incidents.
4. Register and participate in Serious Incident Accreditation scheme led by the Royal College of Psychiatry (College Centre for Quality Improvement)
Person responsible
SI Leads Head of Patient Safety
Target completion date
1. Completed.
2. Completed.
3. 31 March 2020
4. 30 September 2020
Evidence to be provided
Audit results Datix duty of candour section
Progress to date
Audit tool devised. Audit standards developed and agreed.
Audit registered with Clinical Audit departments and clinical staff to conduct this being identified ready for completion end of April