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Incidents and investigations | Greater Manchester Mental Health NHS FT
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menu-item-247-helpline has-children "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/247-helpline"> <span class="main-link-text"> 24/7 Mental Health Crisis Helpline </span> </a> <ol class="output-level-3"> <li class="menu-item menu-item-1 menu-item-useful-links has-children "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/useful-links"> <span class="main-link-text"> Other Useful Helplines </span> </a> </li> </ol> </li> <li class="menu-item menu-item-2 menu-item-information-for-gps has-children "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/information-for-gps"> <span class="main-link-text"> Referral Information for professionals </span> </a> <ol class="output-level-3"> <li class="menu-item menu-item-1 menu-item-bolton-services "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/bolton-services"> <span class="main-link-text"> Services in Bolton </span> </a> </li> <li class="menu-item menu-item-2 menu-item-salford-services has-children "> <a 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href="/web/20240617130157/https://www.gmmh.nhs.uk/wigan-services"> <span class="main-link-text"> Services in Wigan </span> </a> </li> </ol> </li> <li class="menu-item menu-item-4 menu-item-advanced-search "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/advanced-search"> <span class="main-link-text"> Advanced Search </span> </a> </li> <li class="menu-item menu-item-5 menu-item-addictions-services has-children "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/addictions-services"> <span class="main-link-text"> Addiction Services </span> </a> <ol class="output-level-3"> <li class="menu-item menu-item-1 menu-item-achieve has-children "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/achieve"> <span class="main-link-text"> Achieve Recovery Services </span> </a> </li> <li class="menu-item menu-item-2 menu-item-chapman-barker-unit has-children "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/chapman-barker-unit"> <span class="main-link-text"> Chapman Barker Unit </span> </a> </li> <li class="menu-item menu-item-3 menu-item-dual-diagnosis "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/dual-diagnosis"> <span class="main-link-text"> Dual Diagnosis </span> </a> </li> </ol> </li> <li class="menu-item menu-item-6 menu-item-chaplaincy-services "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/chaplaincy-services"> <span class="main-link-text"> Chaplaincy & Spiritual Care </span> </a> </li> <li class="menu-item menu-item-7 menu-item-child-and-adolescent has-children "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/child-and-adolescent"> <span class="main-link-text"> Child and Adolescent Services </span> </a> <ol class="output-level-3"> <li class="menu-item menu-item-1 menu-item-bolton-camhs has-children "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/bolton-camhs"> <span class="main-link-text"> CAMHS Services in Bolton </span> </a> </li> <li class="menu-item menu-item-2 menu-item-wigan-camhs has-children "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/wigan-camhs"> <span class="main-link-text"> CAMHS Services in Wigan </span> </a> </li> <li class="menu-item menu-item-3 menu-item-fcamhs "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/fcamhs"> <span class="main-link-text"> Forensic Child and Adolescent Mental Health Services - North West (FCAMHS - NW) </span> </a> </li> <li class="menu-item menu-item-4 menu-item-gardener-unit "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/gardener-unit"> <span class="main-link-text"> Gardener Unit </span> </a> </li> <li class="menu-item menu-item-5 menu-item-junction-17 "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/junction-17"> <span class="main-link-text"> Junction 17 </span> </a> </li> </ol> </li> <li class="menu-item menu-item-8 menu-item-community-services has-children "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/community-services"> <span class="main-link-text"> Community Services </span> </a> <ol 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href="/web/20240617130157/https://www.gmmh.nhs.uk/mental-health-link-workers"> <span class="main-link-text"> Mental Health Link Workers </span> </a> </li> <li class="menu-item menu-item-10 menu-item-homeless-services has-children "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/homeless-services"> <span class="main-link-text"> Homeless Services </span> </a> </li> <li class="menu-item menu-item-11 menu-item-recovery-team "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/recovery-team"> <span class="main-link-text"> Recovery Team </span> </a> </li> <li class="menu-item menu-item-12 menu-item-extended-services "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/extended-services"> <span class="main-link-text"> Trafford Extended Service </span> </a> </li> </ol> </li> <li class="menu-item menu-item-9 menu-item-crisis-care has-children "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/crisis-care"> <span class="main-link-text"> Crisis Care Services </span> </a> <ol class="output-level-3"> <li class="menu-item menu-item-1 menu-item-bluesci-at-night "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/bluesci-at-night"> <span class="main-link-text"> Bluesci at Night </span> </a> </li> <li class="menu-item menu-item-2 menu-item-no-93-crisis-cafe "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/no-93-crisis-cafe"> <span class="main-link-text"> No. 93 Crisis Cafe </span> </a> </li> <li class="menu-item menu-item-3 menu-item-rapid-response-team "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/rapid-response-team"> <span class="main-link-text"> Rapid Response Team </span> </a> </li> <li class="menu-item menu-item-4 menu-item-136-suites "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/136-suites"> <span class="main-link-text"> 136 suite </span> </a> </li> <li class="menu-item menu-item-5 menu-item-home-based-treatment has-children "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/home-based-treatment"> <span class="main-link-text"> Home Based Treatment Services </span> </a> </li> <li class="menu-item menu-item-6 menu-item-mental-health-liaison has-children "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/mental-health-liaison"> <span class="main-link-text"> Mental Health Liaison </span> </a> </li> </ol> </li> <li class="menu-item menu-item-10 menu-item-deaf-mental-health has-children "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/deaf-mental-health"> <span class="main-link-text"> Deaf Mental Health </span> </a> <ol class="output-level-3"> <li class="menu-item menu-item-1 menu-item-john-denmark-unit "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/john-denmark-unit"> <span class="main-link-text"> John Denmark Unit </span> </a> </li> </ol> </li> <li class="menu-item menu-item-11 menu-item-early-intervention has-children "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/early-intervention"> <span class="main-link-text"> Early Intervention Services </span> </a> <ol class="output-level-3"> <li class="menu-item menu-item-1 menu-item-bolton-early-intervention-in-psychosis-team-eit "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/bolton-early-intervention-in-psychosis-team-eit"> <span class="main-link-text"> Early Intervention Services in Bolton </span> </a> </li> <li class="menu-item menu-item-2 menu-item-manchester-early-intervention-service "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/manchester-early-intervention-service"> <span class="main-link-text"> Early Intervention Services in Manchester </span> </a> </li> <li class="menu-item menu-item-3 menu-item-early-intervention-services-in-wigan "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/early-intervention-services-in-wigan"> <span class="main-link-text"> Early Intervention Services in Wigan </span> </a> </li> <li class="menu-item menu-item-4 menu-item-salford-early-intervention-team-eit "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/salford-early-intervention-team-eit"> <span class="main-link-text"> Early Intervention Services in Salford </span> </a> </li> <li class="menu-item menu-item-5 menu-item-trafford-early-intervention-team-eit "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/trafford-early-intervention-team-eit"> <span class="main-link-text"> Early Intervention Services in Trafford </span> </a> </li> <li class="menu-item menu-item-6 menu-item-edit "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/edit"> <span class="main-link-text"> EDIT </span> </a> </li> </ol> </li> <li class="menu-item menu-item-12 menu-item-forensic has-children "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/forensic"> <span class="main-link-text"> Forensic Services </span> </a> <ol class="output-level-3"> <li class="menu-item menu-item-1 menu-item-medium-secure-services "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/medium-secure-services"> <span class="main-link-text"> Medium Secure Services </span> </a> </li> <li class="menu-item menu-item-2 menu-item-pre-discharge-recovery-wards "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/pre-discharge-recovery-wards"> <span class="main-link-text"> Pre-discharge Recovery Wards </span> </a> </li> <li class="menu-item menu-item-3 menu-item-low-secure-services "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/low-secure-services"> <span class="main-link-text"> Low Secure Services </span> </a> </li> <li class="menu-item menu-item-4 menu-item-fast "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/fast"> <span class="main-link-text"> FAST Service </span> </a> </li> </ol> </li> <li class="menu-item menu-item-13 menu-item-health-and-justice has-children "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/health-and-justice"> <span class="main-link-text"> Health and Justice Services </span> </a> <ol class="output-level-3"> <li class="menu-item menu-item-1 menu-item-gm-liaison-and-diversion-service "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/gm-liaison-and-diversion-service"> <span class="main-link-text"> GM Liaison and Diversion Service </span> </a> </li> <li class="menu-item menu-item-2 menu-item-mental-health-tactical-advice-service "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/mental-health-tactical-advice-service"> <span class="main-link-text"> Mental Health Tactical Advice Service </span> </a> </li> <li class="menu-item menu-item-3 menu-item-health-services "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/health-services"> <span class="main-link-text"> Health Services </span> </a> </li> <li class="menu-item menu-item-4 menu-item-health-and-justice-community "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/health-and-justice-community"> <span class="main-link-text"> Health and Justice Community Services </span> </a> </li> <li class="menu-item menu-item-5 menu-item-health-and-justice-young-persons-service "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/health-and-justice-young-persons-service"> <span class="main-link-text"> Health and Justice Young Persons Service </span> </a> </li> <li class="menu-item menu-item-6 menu-item-prisons "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/prisons"> <span class="main-link-text"> Prisons </span> </a> </li> </ol> </li> <li class="menu-item menu-item-14 menu-item-inpatient has-children "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/inpatient"> <span class="main-link-text"> Inpatient Services </span> </a> <ol class="output-level-3"> <li class="menu-item menu-item-1 menu-item-atherleigh-park "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/atherleigh-park"> <span class="main-link-text"> Atherleigh Park </span> </a> </li> <li class="menu-item menu-item-2 menu-item-housing-advice-service "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/housing-advice-service"> <span class="main-link-text"> Housing advice service </span> </a> </li> <li class="menu-item menu-item-3 menu-item-citywide-treatment-suites "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/citywide-treatment-suites"> <span class="main-link-text"> Citywide treatment suites </span> </a> </li> <li class="menu-item menu-item-4 menu-item-laureate-house "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/laureate-house"> <span class="main-link-text"> Laureate house </span> </a> </li> <li class="menu-item menu-item-5 menu-item-park-house has-children "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/park-house"> <span class="main-link-text"> Park House </span> </a> </li> <li class="menu-item menu-item-6 menu-item-meadowbrook-unit has-children "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/meadowbrook-unit"> <span class="main-link-text"> Meadowbrook unit </span> </a> </li> <li class="menu-item menu-item-7 menu-item-the-woodlands "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/the-woodlands"> <span class="main-link-text"> The Woodlands </span> </a> </li> <li class="menu-item menu-item-8 menu-item-rivington-unit-outpatient-department "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/rivington-unit-outpatient-department"> <span class="main-link-text"> Rivington Unit and Willow Outpatients </span> </a> </li> <li class="menu-item menu-item-9 menu-item-moorside-unit "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/moorside-unit"> <span class="main-link-text"> Moorside unit </span> </a> </li> <li class="menu-item menu-item-10 menu-item-maple-house "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/maple-house"> <span class="main-link-text"> Maple House </span> </a> </li> </ol> </li> <li class="menu-item menu-item-15 menu-item-services-library has-children "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/services-library"> <span class="main-link-text"> Library and Knowledge Services </span> </a> <ol class="output-level-3"> <li class="menu-item menu-item-1 menu-item-library-service-changes "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/library-service-changes"> <span class="main-link-text"> Service Changes </span> </a> </li> <li class="menu-item menu-item-2 menu-item-library-services-services "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/library-services-services"> <span class="main-link-text"> Library Services </span> </a> </li> <li class="menu-item menu-item-3 menu-item-library-membership "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/library-membership"> <span class="main-link-text"> Library Membership </span> </a> </li> <li class="menu-item menu-item-4 menu-item-library-catalogue "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/library-catalogue"> <span class="main-link-text"> Library Catalogue </span> </a> </li> <li class="menu-item menu-item-5 menu-item-training-librarian "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/training-librarian"> <span class="main-link-text"> Training </span> </a> </li> <li class="menu-item menu-item-6 menu-item-e-resources-and-external-links "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/e-resources-and-external-links"> <span class="main-link-text"> E-Resources and External Links </span> </a> </li> <li class="menu-item menu-item-7 menu-item-open-athens "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/open-athens"> <span class="main-link-text"> OpenAthens </span> </a> </li> <li class="menu-item menu-item-8 menu-item-library-contact-us "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/library-contact-us"> <span class="main-link-text"> Library and Knowledge Service Contact Details </span> </a> </li> <li class="menu-item menu-item-9 menu-item-library-keeping-up-to-date "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/library-keeping-up-to-date"> <span class="main-link-text"> Keeping Up to Date </span> </a> </li> </ol> </li> <li class="menu-item menu-item-16 menu-item-memory-and-dementia has-children "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/memory-and-dementia"> <span class="main-link-text"> Memory and Dementia Services </span> </a> <ol class="output-level-3"> <li class="menu-item menu-item-1 menu-item-admiral-nurses "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/admiral-nurses"> <span class="main-link-text"> Admiral Nurses </span> </a> </li> <li class="menu-item menu-item-2 menu-item-care-home-liaison-team "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/care-home-liaison-team"> <span class="main-link-text"> Care Home Liaison Team </span> </a> </li> <li class="menu-item menu-item-3 menu-item-memory-assessment-service has-children "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/memory-assessment-service"> <span class="main-link-text"> Memory Assessment Services </span> </a> </li> <li class="menu-item menu-item-4 menu-item-memory-clinics "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/memory-clinics"> <span class="main-link-text"> Memory Clinics </span> </a> </li> <li class="menu-item menu-item-5 menu-item-memory-skills-groups "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/memory-skills-groups"> <span class="main-link-text"> Memory Skills Groups </span> </a> </li> <li class="menu-item menu-item-6 menu-item-reach-beyond-and-open-doors-project has-children "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/reach-beyond-and-open-doors-project"> <span class="main-link-text"> Reach Beyond and Open Doors Project </span> </a> </li> </ol> </li> <li class="menu-item menu-item-17 menu-item-mother-and-baby-services has-children "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/mother-and-baby-services"> <span class="main-link-text"> Mother and Baby Services </span> </a> <ol class="output-level-3"> <li class="menu-item menu-item-1 menu-item-mother-and-baby "> <a 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href="/web/20240617130157/https://www.gmmh.nhs.uk/carer-booklets-leaflets-and-more"> <span class="main-link-text"> Carer booklets, leaflets and more </span> </a> </li> <li class="menu-item menu-item-2 menu-item-carers-assessments "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/carers-assessments"> <span class="main-link-text"> Carers assessments </span> </a> </li> <li class="menu-item menu-item-3 menu-item-carers-charter "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/carers-charter"> <span class="main-link-text"> Carers charter </span> </a> </li> <li class="menu-item menu-item-4 menu-item-local-carer-groups has-children "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/local-carer-groups"> <span class="main-link-text"> Local carer groups </span> </a> </li> <li class="menu-item menu-item-5 menu-item-triangle-of-care "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/triangle-of-care"> <span class="main-link-text"> The Triangle of Care </span> </a> </li> </ol> 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href="/web/20240617130157/https://www.gmmh.nhs.uk/work-for-us"> <span class="main-link-text"> Careers </span> </a> <ol class="output-level-2"> <li class="menu-item menu-item-1 menu-item-vacancies has-children "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/vacancies"> <span class="main-link-text"> Vacancies </span> </a> <ol class="output-level-3"> <li class="menu-item menu-item-1 menu-item-https://www.gmmh.nhs.uk/vacancies#!/job_list/s7/Administrative_Services?_ts=1 "> <a href="http://web.archive.org/web/20240617130157/https://www.gmmh.nhs.uk/vacancies#!/job_list/s7/Administrative_Services?_ts=1"> <span class="main-link-text"> Administrative Services </span> </a> </li> <li class="menu-item menu-item-2 menu-item-https://www.gmmh.nhs.uk/vacancies#!/job_list/s4/Allied_Health_Professions?_ts=1 "> <a href="http://web.archive.org/web/20240617130157/https://www.gmmh.nhs.uk/vacancies#!/job_list/s4/Allied_Health_Professions?_ts=1"> <span class="main-link-text"> Allied Health Professions 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menu-item-professionals-blog "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/professionals-blog"> <span class="main-link-text"> What Our Staff Say </span> </a> </li> <li class="menu-item menu-item-2 menu-item-living-working-manchester "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/living-working-manchester"> <span class="main-link-text"> Living and Working in Manchester </span> </a> </li> <li class="menu-item menu-item-3 menu-item-staff-benefits "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/staff-benefits"> <span class="main-link-text"> Benefits </span> </a> </li> <li class="menu-item menu-item-4 menu-item-why-choose-us "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/why-choose-us"> <span class="main-link-text"> Why choose us </span> </a> </li> </ol> </li> <li class="menu-item menu-item-8 menu-item-careers-latest-news "> <a href="/web/20240617130157/https://www.gmmh.nhs.uk/careers-latest-news"> <span class="main-link-text"> Latest News </span> </a> 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id="main-page-content" class="main-article-area-7"> <div class="placement-row-wrapper"> <div class="placement-row placement-row-1-up placement-row-1 clearfix "> <div id="placement-7-1" data-placement-stylename="default" data-placement-id="1942" data-placement-class="TextContent" class="page-placement type-textcontent instance-2148 default last-child"> <div class="placement-inner clearfix"> <div class="content-item single-content content-wrapper no-main-image-display"> <div class="content-item-inner"> <div class="content-headline"> <h2>Incidents and investigations</h2> </div> <div class="content-wrapper-inner"> <div class="main-editor-output"> <p>Greater Manchester Mental Health NHS Foundation Trust is committed to achieving and sustaining service that deliver safe, effective and efficient care, one of the ways that we strive to achieve and drive quality is to support learning through the identification and investigation of incidents.</p> <p>An incident can be defined as an unplanned or unintended occurrence that results in the potential for or actual harm, this harm or potential harm can be to a service user, their family or carer, a member of staff or the wider public.</p> <p>To read more about incidents and investigations, <a class="media-download media-ext-pdf" href="/web/20240617130157/https://www.gmmh.nhs.uk/download.cfm?doc=docm93jijm4n3485.pdf&ver=5252" title="download this document in a new window">click here.</a></p> </div> </div> </div> </div> </div> </div> </div> </div> <div class="placement-row-wrapper"> <div class="placement-row placement-row-1-up placement-row-2 clearfix "> <div id="placement-7-2" data-placement-stylename="accordion" data-placement-id="5190" data-placement-class="TextContent" class="page-placement type-textcontent instance-6215 accordion-base last-child"> <div class="placement-inner clearfix"> <div class="content-item single-content content-wrapper no-main-image-display"> <div class="content-item-inner"> <div class="content-headline"> <h2>An Independent Review of Greater Manchester Mental Health NHS Foundation Trust</h2> </div> <div class="content-wrapper-inner"> <div class="main-editor-output"> <p>An Independent Review regarding failings of care and treatment provided to patients at Greater Manchester Mental Health NHS Foundation Trust, with the Edenfield Centre being the primary focus of the review.<br/> <br/> <a href="http://web.archive.org/web/20240617130157/https://www.england.nhs.uk/north-west/our-work/publications/ind-investigation-reports/independent-review-gmmh-nhs-ft/">Read the Independent Review</a> (published 11am on Wednesday 31 January 2024)<br/> <br/> <a href="http://web.archive.org/web/20240617130157/https://www.england.nhs.uk/north-west/our-work/publications/ind-investigation-reports/independent-review-gmmh-nhs-ft/">Read the Terms of Reference</a> (published 3pm on Thursday 25 May 2023)</p> </div> </div> </div> </div> </div> </div> </div> </div> <div class="placement-row-wrapper"> <div class="placement-row placement-row-1-up placement-row-3 clearfix "> <div id="placement-7-3" data-placement-stylename="accordion" data-placement-id="5265" data-placement-class="TextContent" class="page-placement type-textcontent instance-6296 accordion-base last-child"> <div class="placement-inner clearfix"> <div class="content-item single-content content-wrapper no-main-image-display"> <div class="content-item-inner"> <div class="content-headline"> <h2>Equality and Human Rights Commission Letter and Response</h2> </div> <div class="content-wrapper-inner"> <div class="main-editor-output"> <p>In response to the BBC Panorama programme on Edenfield, we received the following letter from the Equality and Human Rights Commission (EHRC) on 29 September 2022: <a class="media-download media-ext-pdf" href="/web/20240617130157/https://www.gmmh.nhs.uk/download.cfm?doc=docm93jijm4n12709.pdf&ver=16456" title="download this document in a new window">EHRC-Letter-290922.pdf</a></p> <p>The Trust's responded to the letter on 14 October 2022, it can be read in full here: <a class="media-download media-ext-pdf" href="/web/20240617130157/https://www.gmmh.nhs.uk/download.cfm?doc=docm93jijm4n12710.pdf&ver=16457" title="download this document in a new window">Letter to Marcial Boo EHRC 14.10.22.pdf</a></p> <p> </p> </div> </div> </div> </div> </div> </div> </div> </div> <div class="placement-row-wrapper"> <div class="placement-row placement-row-1-up placement-row-4 clearfix "> <div id="placement-7-4" data-placement-stylename="accordion" data-placement-id="5207" data-placement-class="TextContent" class="page-placement type-textcontent instance-6237 accordion-base last-child"> <div class="placement-inner clearfix"> <div class="content-item single-content content-wrapper no-main-image-display"> <div class="content-item-inner"> <div class="content-headline"> <h2>An independent investigation into the care and treatment of mental health service user Mr E: Published June 2023</h2> </div> <div class="content-wrapper-inner"> <div class="main-editor-output"> <p><strong>An independent investigation into the care and treatment of mental health service user Mr E</strong></p> <ul> <li><a href="http://web.archive.org/web/20240617130157/https://www.england.nhs.uk/north-west/wp-content/uploads/sites/48/2023/06/Mr-E-Independent-Investigation-June-2023.pdf">Full report can be found here on NHS England’s website</a></li> </ul> <p>This is the full report of the independent investigation report into the care and treatment of service user Mr E.</p> <p>Following an incident in February 2020 Mr E pleaded guilty to manslaughter on the grounds of diminished responsibility and is now an inpatient at a high secure hospital. At the time of the incident, Mr E was under the care of Greater Manchester Mental Health NHS FT.</p> <p><strong>Published 10am 8 June 2023</strong></p> </div> </div> </div> </div> </div> </div> </div> </div> <div class="placement-row-wrapper"> <div class="placement-row placement-row-1-up placement-row-5 clearfix "> <div id="placement-7-5" data-placement-stylename="accordion" data-placement-id="5124" data-placement-class="TextContent" class="page-placement type-textcontent instance-6128 accordion-base last-child"> <div class="placement-inner clearfix"> <div class="content-item single-content content-wrapper no-main-image-display"> <div class="content-item-inner"> <div class="content-headline"> <h2>Good Governance Institute - Governance and assurance review</h2> </div> <div class="content-wrapper-inner"> <div class="main-editor-output"> <p>Governance and assurance review: A report from the Good Governance Institute - March 2023</p> <p>Read the full report: <a class="media-download media-ext-pdf" href="/web/20240617130157/https://www.gmmh.nhs.uk/download.cfm?doc=docm93jijm4n12151.pdf&ver=15410" title="download this document in a new window"> GGI-GoveranceAssuranceReport1-GMMH-20230327.pdf</a></p> <p>Published 4.45pm on Tuesday 28 March 2023</p> </div> </div> </div> </div> </div> </div> </div> </div> <div class="placement-row-wrapper"> <div class="placement-row placement-row-1-up placement-row-6 clearfix "> <div id="placement-7-6" data-placement-stylename="accordion" data-placement-id="4968" data-placement-class="TextContent" class="page-placement type-textcontent instance-5912 accordion-base last-child"> <div class="placement-inner clearfix"> <div class="content-item single-content content-wrapper no-main-image-display"> <div class="content-item-inner"> <div class="content-headline"> <h2>Independent Clinical Review Edenfield Centre - Dr David Fearnley, Chief Medical Officer, Lancashire & South Cumbria NHS FT</h2> </div> <div class="content-wrapper-inner"> <div class="main-editor-output"> <p>On the 8th September 2022, Greater Manchester Mental Health NHS Foundation Trust (GMMH) received correspondence from the BBC, which stated that they were conducting research into the treatment by the NHS of adults with severe psychiatric illnesses, resulting in a Panorama programme. The correspondence indicated that the allegations primarily focused on information related to, and concerns about the Edenfield Centre.</p> <p>In the immediacy of the allegations, a number of actions were taken by GMMH, which focussed on responding to the serious allegations and ensuring patient safety.</p> <p>On 22 September 2022, GMMH requested an Independent Clinical Review to be undertaken of these actions by clinicians at Lancashire and South Cumbria NHS Foundation Trust (LSCft) with the aim of providing assurance and advice regarding the effectiveness and appropriateness of the immediate response.</p> <p><strong>Published 3pm on Monday 31 October 2022</strong></p> <p><a class="media-download media-ext-pdf" href="/web/20240617130157/https://www.gmmh.nhs.uk/download.cfm?doc=docm93jijm4n11591.pdf&ver=14763" title="download this document in a new window">Independent Clinical Review Edenfield Centre - Dr David Fearnley, Chief Medical Officer, Lancashire & South Cumbria NHS FT.pdf</a></p> </div> </div> </div> </div> </div> </div> </div> </div> <div class="placement-row-wrapper"> <div class="placement-row placement-row-1-up placement-row-7 clearfix "> <div id="placement-7-7" data-placement-stylename="accordion" data-placement-id="4647" data-placement-class="TextContent" class="page-placement type-textcontent instance-5586 accordion-base last-child"> <div class="placement-inner clearfix"> <div class="content-item single-content content-wrapper no-main-image-display"> <div class="content-item-inner"> <div class="content-headline"> <h2>An independent investigation into the care and treatment of mental health service user Ms A</h2> </div> <div class="content-wrapper-inner"> <div class="main-editor-output"> <p>Ms A was convicted of manslaughter in December 2020. At the time of the homicide Ms A was receiving care and treatment provided by Greater Manchester Mental Health NHS Foundation Trust. <br/> <br/> Associated documents:<br/> <br/> <strong>Published at 10am on Thursday 12 May 2022.</strong><br/> <br/> <strong><u><a class="media-download media-ext-pdf" href="/web/20240617130157/https://www.gmmh.nhs.uk/download.cfm?doc=docm93jijm4n10765.pdf&ver=13855" title="download this document in a new window">Executive Summary</a></u> </strong><br/> <br/> This is the Executive Summary of the independent investigation report into the care and treatment of Ms A. The Executive Summary has also been published by NHS England and NHS Improvement and NHS Bolton Clinical Commissioning Group.<br/> </p> <p><strong>Published at 10am on Thursday 8 February 2024</strong></p> <p><u><strong><a href="http://web.archive.org/web/20240617130157/https://www.england.nhs.uk/north-west/wp-content/uploads/sites/48/2024/02/Ms-A-Assurance-Report-final-February-2024.pdf">Ms A Assurance Report</a></strong> </u><br/> <br/> This is the Assurance Review for the actions taken by Greater Manchester Mental Health NHS Foundation Trust following the publication of the Independent Investigation in May 2022.<br/> <br/> This document has also been published by NHS England and NHS Greater Manchester Integrated Care Board.</p> </div> </div> </div> </div> </div> </div> </div> </div> <div class="placement-row-wrapper"> <div class="placement-row placement-row-1-up placement-row-8 clearfix "> <div id="placement-7-8" data-placement-stylename="accordion" data-placement-id="4352" data-placement-class="TextContent" class="page-placement type-textcontent instance-5189 accordion-base last-child"> <div class="placement-inner clearfix"> <div class="content-item single-content content-wrapper no-main-image-display"> <div class="content-item-inner"> <div class="content-headline"> <h2>An independent investigation into the care and treatment of a mental health service user - April 2021</h2> </div> <div class="content-wrapper-inner"> <div class="main-editor-output"> <p>In October 2017, NHS England commissioned Niche Health and Social Care Consulting Ltd (Niche) to carry out an independent investigation into the care and treatment of a mental health service user (Mr A) by the Greater Manchester Mental Health NHS Foundation Trust (GMMH, ‘the Trust’), previously known as Greater Manchester West Mental Health NHS Foundation Trust.</p> <p><strong>Published at 10am on Wednesday 01 September 2021.</strong></p> <p><a class="media-download media-ext-pdf" href="/web/20240617130157/https://www.gmmh.nhs.uk/download.cfm?doc=docm93jijm4n9773.pdf&ver=12829" title="download this document in a new window">Independent Investigation Assurance Review _Final Report September 2021.pdf [pdf] 1MB</a></p> <p> </p> <p> </p> <p> </p> </div> </div> </div> </div> </div> </div> </div> </div> <div class="placement-row-wrapper"> <div class="placement-row placement-row-1-up placement-row-9 clearfix "> <div id="placement-7-9" data-placement-stylename="accordion" data-placement-id="2951" data-placement-class="TextContent" class="page-placement type-textcontent instance-3315 accordion-base last-child"> <div class="placement-inner clearfix"> <div class="content-item single-content content-wrapper no-main-image-display"> <div class="content-item-inner"> <div class="content-headline"> <h2>An independent investigation into the care and treatment of a mental health service user (M) in Manchester</h2> </div> <div class="content-wrapper-inner"> <div class="main-editor-output"> <p>An independent review of the internal investigation and action planning associated with that internal investigation and a serious case review into the care and treatment provided to a mental health service user Mr M in Manchester</p> <table border="1" cellpadding="1" cellspacing="1" style="width:100%"> <caption> <p style="text-align: left;">Associated Reports:</p> </caption> <thead> <tr> <th scope="col">Report</th> <th scope="col">Published Date</th> </tr> </thead> <tbody> <tr> <td> <p><a class="media-download media-ext-pdf" href="/web/20240617130157/https://www.gmmh.nhs.uk/download.cfm?doc=docm93jijm4n6110.pdf&ver=8607" title="download this document in a new window">Indepentent Review.pdf</a> </p> <p><a class="media-download media-ext-pdf" href="/web/20240617130157/https://www.gmmh.nhs.uk/download.cfm?doc=docm93jijm4n6108.pdf&ver=8605" title="download this document in a new window">Action Plan.pdf</a> </p> <p><a class="media-download media-ext-pdf" href="/web/20240617130157/https://www.gmmh.nhs.uk/download.cfm?doc=docm93jijm4n6109.pdf&ver=8606" title="download this document in a new window">Salford CCG Action Plan.pdf</a> </p> </td> <td>20 February 2020<strong> </strong>at 10am</td> </tr> <tr> <td><a class="media-download media-ext-pdf" href="/web/20240617130157/https://www.gmmh.nhs.uk/download.cfm?doc=docm93jijm4n10114.pdf&ver=13182" title="download this document in a new window">GMMH NIAF - Final Report October 2021.pdf [pdf] 296KB</a></td> <td>11 October 2021 at 10am</td> </tr> </tbody> </table> <p> </p> <p> </p> </div> </div> </div> </div> </div> </div> </div> </div> <div class="placement-row-wrapper"> <div class="placement-row placement-row-1-up placement-row-10 clearfix "> <div id="placement-7-10" data-placement-stylename="accordion" data-placement-id="2924" data-placement-class="TextContent" class="page-placement type-textcontent instance-3253 accordion-base last-child"> <div class="placement-inner clearfix"> <div class="content-item single-content content-wrapper no-main-image-display"> <div class="content-item-inner"> <div class="content-headline"> <h2>An independent investigation into the care and treatment of a mental health service user (L) in Manchester</h2> </div> <div class="content-wrapper-inner"> <div class="main-editor-output"> <p>In February 2017, NHS England North commissioned Niche Health & Social Care Consulting Ltd (Niche) to carry out an independent investigation into the care and treatment of a mental health service user (L) by (the legacy) Manchester Mental Health and Social Care NHS Trust (MHSCT), Pennine Care NHS Foundation Trust (PCFT) and associated agencies<br/> following the homicide of a man (W) in February 2016.</p> <p><strong>Published at 10am on 30 January 2020 </strong></p> <p><a class="media-download media-ext-pdf" href="/web/20240617130157/https://www.gmmh.nhs.uk/download.cfm?doc=docm93jijm4n5925.pdf&ver=8396" title="download this document in a new window">1. 2016 3780 - NIAF October 2019 Final Draft.pdf [pdf] 324KB</a></p> </div> </div> </div> </div> </div> </div> </div> </div> <div class="placement-row-wrapper"> <div class="placement-row placement-row-1-up placement-row-11 clearfix "> <div id="placement-7-11" data-placement-stylename="accordion" data-placement-id="2882" data-placement-class="TextContent" class="page-placement type-textcontent instance-3168 accordion-base last-child"> <div class="placement-inner clearfix"> <div class="content-item single-content content-wrapper no-main-image-display"> <div class="content-item-inner"> <div class="content-headline"> <h2>An independent investigation into the care and treatment of a mental health service user (A) in Manchester</h2> </div> <div class="content-wrapper-inner"> <div class="main-editor-output"> <p><strong>Published at 10am on 28 November 2019</strong><br/> <br/> <a class="media-download media-ext-pdf" href="/web/20240617130157/https://www.gmmh.nhs.uk/download.cfm?doc=docm93jijm4n5787.pdf&ver=8251" target="_blank" title="download this document in a new window">An independent investigation into the care and treatment of a mental health service user (A) in Manchester_Final report 2016-29151 v3.10.pdf</a><br/> <br/> <a class="media-download media-ext-pdf" href="/web/20240617130157/https://www.gmmh.nhs.uk/download.cfm?doc=docm93jijm4n5786.pdf&ver=8250" target="_blank" title="download this document in a new window">GMMH Action Plan into the care and treatment of service user A 251119.pdf</a></p> </div> </div> </div> </div> </div> </div> </div> </div> <div class="placement-row-wrapper"> <div class="placement-row placement-row-1-up placement-row-12 clearfix "> <div id="placement-7-12" data-placement-stylename="accordion" data-placement-id="2281" data-placement-class="TextContent" class="page-placement type-textcontent instance-2554 accordion-base last-child"> <div class="placement-inner clearfix"> <div class="content-item single-content content-wrapper no-main-image-display"> <div class="content-item-inner"> <div class="content-headline"> <h2>An independent investigation into the care and treatment of a mental health service user (L) in Greater Manchester</h2> </div> <div class="content-wrapper-inner"> <div class="main-editor-output"> <p><strong>Published at 10am on 28 November 2018</strong></p> <p><a class="media-download media-ext-pdf" href="/web/20240617130157/https://www.gmmh.nhs.uk/download.cfm?doc=docm93jijm4n3879.pdf&ver=5714" target="_blank" title="download this document in a new window">An independent investigation into the care and treatment of a mental health service user (V16) [pdf]</a> </p> <p><a class="media-download media-ext-pdf" href="/web/20240617130157/https://www.gmmh.nhs.uk/download.cfm?doc=docm93jijm4n3880.pdf&ver=5716" target="_blank" title="download this document in a new window">Action plan (V3) - An independent investigation into the care and treatment of a mental health service user.pdf [pdf] 405KB</a></p> <p><a class="media-download media-ext-pdf" href="/web/20240617130157/https://www.gmmh.nhs.uk/download.cfm?doc=docm93jijm4n5091.pdf&ver=7275" target="_blank" title="download this document in a new window">Action Plan - Final Version.pdf [pdf] 92KB</a></p> </div> </div> </div> </div> </div> </div> </div> </div> <div class="placement-row-wrapper"> <div class="placement-row placement-row-1-up placement-row-13 clearfix "> <div id="placement-7-13" data-placement-stylename="accordion" data-placement-id="1944" data-placement-class="TextContent" class="page-placement type-textcontent instance-2164 accordion-base last-child"> <div class="placement-inner clearfix"> <div class="content-item single-content content-wrapper no-main-image-display"> <div class="content-item-inner"> <div class="content-headline"> <h2>Information Governance terms and guidance</h2> </div> <div class="content-wrapper-inner"> <div class="main-editor-output"> <h4>Information Governance Terms and Guidance</h4> <p><a class="media-download media-ext-pdf" href="/web/20240617130157/https://www.gmmh.nhs.uk/download.cfm?doc=docm93jijm4n5348.pdf&ver=7779" title="download this document in a new window">GC21 Patient Confidentiality, Data Protection, Freedom of Information and Transparency (2.0).pdf</a></p> </div> </div> </div> </div> </div> </div> </div> </div> <div class="placement-row-wrapper"> <div class="placement-row placement-row-1-up placement-row-14 clearfix "> <div id="placement-7-14" data-placement-stylename="accordion" data-placement-id="1945" data-placement-class="TextContent" class="page-placement type-textcontent instance-2165 accordion-base last-child"> <div class="placement-inner clearfix"> <div class="content-item single-content content-wrapper no-main-image-display"> <div class="content-item-inner"> <div class="content-headline"> <h2>Safeguarding Children Declaration</h2> </div> <div class="content-wrapper-inner"> <div class="main-editor-output"> <p>On 16 July 2009, the Care Quality Commission published their review of "Safeguarding Children" whilst the report found general areas of good practice they also identified areas for further improvement.</p> <p>NHS Foundation Trusts have been asked by Monitor, the Independent Regulator for Foundation Trusts, to publish a declaration in relation to their Trust Boards being assured that appropriate and robust child safeguarding procedures are in place.</p> <p><a class="media-download media-ext-pdf" href="http://web.archive.org/web/20240617130157/https://www.gmmh.nhs.uk/download.cfm?doc=docm93jijm4n538.pdf&ver=801" title="download this document in a new window">Safeguarding Children Declaration [pdf] 81KB</a> </p> <p>Associated document: <a class="media-download media-ext-pdf" href="http://web.archive.org/web/20240617130157/https://www.gmmh.nhs.uk/download.cfm?doc=docm93jijm4n542.pdf&ver=806" title="download this document in a new window">What to do if you are worried that a child is being abused [pdf] 289KB</a></p> </div> </div> </div> </div> </div> </div> </div> </div> <div class="placement-row-wrapper"> <div class="placement-row placement-row-1-up placement-row-15 clearfix "> <div id="placement-7-15" data-placement-stylename="accordion" data-placement-id="1946" data-placement-class="TextContent" class="page-placement type-textcontent instance-2140 accordion-base last-child"> <div class="placement-inner clearfix"> <div class="content-item single-content content-wrapper no-main-image-display"> <div class="content-item-inner"> <div class="content-headline"> <h2>Learning from Deaths</h2> </div> <div class="content-wrapper-inner"> <div class="main-editor-output"> <p>In March 2017 NHS Improvement published the ‘learning from deaths framework’ to help standardise and improve the way acute, mental health and community Trusts identify, report, review, investigate and learn from deaths, and engage with bereaved families and carers.</p> <p style="text-align: justify;"><span>The Learning from Deaths framework states that trusts must collect and publish, via quarterly public board papers, information on: </span></p> <ul> <li style="text-align: justify;"><span>number of deaths in their care </span></li> <li style="text-align: justify;"><span>number of deaths subject to case record review (desktop review of case notes using a structured method) </span></li> <li style="text-align: justify;"><span>number of deaths investigated under the Serious Incident framework (and declared as serious incidents) </span></li> <li style="text-align: justify;"><span>number of deaths that were reviewed/investigated and as a result considered more likely than not to be due to problems in care </span></li> <li style="text-align: justify;"><span>themes and issues identified from review and investigation (including examples of good practice) </span></li> <li style="text-align: justify;"><span>actions taken in response, actions planned and an assessment of the impact of actions taken. </span></li> </ul> <p>To read the Learning from Deaths policy, <a class="media-download media-ext-pdf" href="/web/20240617130157/https://www.gmmh.nhs.uk/download.cfm?doc=docm93jijm4n3488.pdf&ver=5255" title="download this document in a new window">click here.</a></p> </div> </div> </div> </div> </div> </div> </div> </div> <div class="placement-row-wrapper"> <div class="placement-row placement-row-1-up placement-row-16 clearfix "> <div id="placement-7-16" data-placement-stylename="accordion" data-placement-id="1943" data-placement-class="TextContent" class="page-placement type-textcontent instance-688 accordion-base last-child"> <div class="placement-inner clearfix"> <div class="content-item single-content content-wrapper no-main-image-display"> <div class="content-item-inner"> <div class="content-headline"> <h2>Investigation into allegations related to Jimmy Savile</h2> </div> <div class="content-wrapper-inner"> <div class="main-editor-output"> <p>In November 2013, Greater Manchester West Mental Health NHS Foundation Trust (GMMH) was given information by the Department of Health from the Metropolitan Police Service. We were told that as part of investigations already underway under Operation Yewtree, specific information had come to light about Jimmy Savile and Prestwich Psychiatric Hospital. As this hospital is the responsibility of GMMH, the Trust Board investigated the matters arising out of the information available.</p> <p>We thoroughly investigated the allegations and reviewed all relevant documents, policies and procedures which exist from the time of the alleged incidences (1960s). We also interviewed ex-members of staff who may have worked around the time of these alleged incidences. The allegation was from a member of the public and did not refer to any patient-related issues or concerns, but to access to the site of Prestwich Hospital during the 1960s when it was an extremely large institution.</p> <p>We also took the opportunity to review current policies and processes, to check they are comprehensive and robust.</p> <p>What follows is the final report which incorporates the findings from our investigation.</p> <p>In terms of present day, a review of current policies, practices and procedures show a thorough and detailed framework of safeguarding arrangements, security management and employment checks. We believe these are a strong deterrent to the possibility of similar scenarios ever occurring.</p> <p>Nevertheless, we recognise the significant impact this has had on individuals. We would like to reassure everyone that throughout this investigation, we have shown care, compassion and sensitivity towards those affected and cooperated fully with all organisations involved.</p> <p><a class="media-download media-ext-pdf" href="/web/20240617130157/https://www.gmmh.nhs.uk/download.cfm?doc=docm93jijm4n988.pdf&ver=1907" title="download this document in a new window">Investigation into allegations related to Jimmy Savile [pdf] 308KB</a></p> </div> </div> </div> </div> </div> </div> </div> </div> <footer id="site-article-footer-row" class="site-article-footer-row clearfix"> <div id="footer-links" class="footer-links clearfix"> <p class="page-utils-links-wrap"> </p> </div> </footer> </main> </div> </div> </div> </div> </div> <div id="site-content-bottom-row" class="site-content-bottom-row clearfix"> <div class="placement-row-wrapper"> <div class="placement-row placement-row-1-up placement-row-1 clearfix "> <div id="placement-10-1" data-placement-stylename="redesign - 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