Forensic executive meeting - West London Mental Health NHS Trust

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Minutes of Meeting 6Forensic Executive Meeting 05 March 2007Commissioner attended the Trust Board in January and presented thereport. The report is now available with the Trust Board papers on the ‘N’Drive.Mrs Worts reported that comments received so far have been incorporatedwithin the response paper and further comments have been received sincethe deadline for the FEM papers. The next stage is for the response fromthe Forensic Division to be combined with Local Services for submission tothe Trust Board in April.An action plan was tabled and Mrs. Worts requested comments andsuggested amendments to both the action plan and the response to besubmitted to her by 16 March.Action – All5.4.2. Mrs. Worts also tabled a Progress Report outlining progress in addressingissues raised by the Mental Health Act Commissioners during their visits.This has been introduced in an attempt to improve the timing of ourresponse. It was noted that there were 112 issues outstanding from theCommissioners’ visits. There are a number of recurring themes (item 4.1. ofthe Progress Report). By addressing these issues in the action plan andbringing regular updates to the Forensic Executive Meeting, these can beaddressed more systematically. The appendix to the Progress Report is thesuggested draft format for responses.Sean Payne stated that the Directorate must begin to address the issuesraised by the Commissioners in a more timely manner. In a recent letterrelating to Section 132, Stephen Klein, Regional Director of MHAC,expresses his frustration that this issue has not been addressed. Mr. Payneemphasised that matters must be addressed on at least a quarterly basisand improvements made to the current system. Jimmy Noak stated thatlocal monitoring should be in place and we should not be waiting for theMental Health Act Commissioners to draw our attention to the deficiencies.Dr. Paul Gilluley stated that he is aware there have been some problems atthe London Forensic Service in getting comments to Barbara Worts in atimely manner and he will look into this. A similar table has been producedlocally within the service and discussions are taking place with Mrs. Worts toavoid duplication.Action – Service Directors6. POLICY MATTERS6.1. Patients’ Access to Sexually Explicit & Sexually Violent MaterialIt is the intention to use these guidelines as a baseline for a Trust-widepolicy. Jo Leech confirmed that Derek Perkins has been asked to do somework on this policy. Dr. Kevin Murray pointed out that the old policy is still on
Minutes of Meeting 7Forensic Executive Meeting 05 March 2007The Exchange and he will ask the Board Secretary to substitute this with thenew guidelines. Some amendments are required to the list of 18 videos.The policy will be taken up through the Clinical Governance agenda. Thepolicy will be reviewed again in October.6.2. Trustwide Guidance: Help for People Bereaved by SuicideAvailable from www.dh.gov.uk/publications6.3. Policies for ConsultationTabled for information.6.4. Policies IssuedTabled for information.6.5. Fire Procedures (Tony Hillis Wing)This policy was brought to the Forensic Executive meeting for signing off. Ithas already been approved by the Fire Advisor and the local Fire, Health &Safety Committee.The policy was agreed by the meeting.7. GOVERNANCE ISSUES7.1. Finance ReportJo Smith presented the Finance Report to end January 2007. Overall theTrust has underspent by £1.4 million for year to date, which is on target foran underspend of £2.3 million at the end of the financial year.The Forensic Division reported an overspend of £121K for January and£370K for year to date.Sean Payne stated that the overspend figures for the Men’s Directorates atBroadmoor, particularly within the ward areas, were of concern. MaggieGairdner reported that the admission, ICU and high dependency wereoverspent for a variety of reasons, including external escorting costs andincreased observations. Service Directors were asked to review all wardbudgets and take corrective action.Action – Service Directors8. SECURITYThe Security Report for January and February was tabled for information.Sean Payne queried the two absconsions from Bramley Ward on successiveweeks and asked if this was the same patient. Confirmation will be obtainedand given to Mr. Payne outside of the meeting.
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Forensic executive meeting - West London Mental Health NHS Trust

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