An independent investigation into the care and ... - Hundred Families

He is aware of getting urgent psychiatric help if the need arises and has been
provided with the Crisis Line telephone numbers.
[Mr Z’s] next Outpatient review will be in December 2009.”
8.19 The letter is copied to lead nurse 1, lead practitioner. It was the formal referral to
the CMHT.
Comment
We think the referral would have been strengthened if locum staff-grade psychiatrist
2 had also discussed Mr Z with other members of the CMHT. Locum staff-grade
psychiatrist 2 followed up the referral when he discovered that no action had been
taken. We deal in section 9 with the response to the referral.
8.20 Locum staff-grade psychiatrist 2 told us about Mr Z’s response to the suggestion of
having a care coordinator:
―When I suggested the idea of him having a CPN he actually agreed to it and said
that he preferred that to coming to Manor Gate and that he would like to have a
CPN that he would be able to contact from time to time without coming to Manor
Gate because he said he doesn‟t really like coming there.”
8.21 Locum staff-grade psychiatrist 2 next saw Mr Z in his clinic on 7 December 2009.
He appeared to be well and had had no further contact with the police since the
outpatient appointment in September. Mr Z told locum staff-grade psychiatrist 2 that he
had reduced his haloperidol (from 10mg to 7.5mg) because he had to attend job
interviews. Locum staff-grade psychiatrist 2 wrote in the records that Mr Z had no
thoughts of harming himself or others.
8.22 Locum staff-grade psychiatrist 2 dictated a letter to the GP immediately after the
appointment but it was not sent until 16 December. Locum staff-grade psychiatrist 2
recorded the following plan:
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