Care and Treatment Reviews – After

Last modified: February 28, 2019
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What happens next?

The commissioner will now go away and complete the report. Hopefully, you will receive a thank you letter, which should also outline how you will be kept informed of progress.

Within a week of the CTR, the person will be supported to fill in the feedback form in their CTR Planner booklet by someone they choose, if they wish.

Everyone who took part in the meeting will be sent a copy of the finished report within two weeks of the review. This should include those helping with actions (for example, the Care Programme Approach (CPA) Care Co-ordinator or provider named nurse). The completed Excel review template containing recommendations and actions will be submitted and stored securely as part of the individual’s medical record.

NB: If you don’t receive the report within two weeks of the CTR, contact the care manager or the commission responsible.

The commissioner or nominated person will try and make sure that everyone is kept informed of progress regularly. They will also check that all recommendations are followed up and the action plan completed within the agreed timetable.

If there are any concerns that recommendations are not being achieved, the commissioner will escalate these in accordance with local policy and procedures.

The commissioner will also follow up on any specific quality or safeguarding concerns identified during the review to make sure that they are dealt with appropriately. Feedback will be given to the panel members as appropriate.

After a Community CTR

If you are caring for your son or daughter at home, it is vital that you all get the right support to avoid a further crisis situation developing. This was the whole point of the review after all.

Try to work as closely and constructively with the care team as possible to help complete the actions and recommendations that have been outlined. If problems emerge, don’t struggle. You can’t do it all yourself. If something is not right, let the care coordinator and the provider know straightaway. Make sure you spell out what is happening, the risks and the resulting impact on the family. Keep a record of all issues in your diary and copies of all correspondence. This may be stating the obvious, but it is very important to maintain evidence, including the timeline, just in case.

Make sure you have easy access to the contact details of the local services and team members supporting you, including crisis intervention support. It would be a good idea to have a crisis plan ready and to share it with your team.  You can find our Crisis Planning Guide and template here.

If your son or daughter lives elsewhere, for example in supported living or a residential setting, try to work positively with the Care Provider. Depending on the age of the person and consent if this is required, offer them the benefit of your lived experience and knowledge. This can be a difficult situation as the Care Provider is responsible for the care they provide and sadly, once young people reach the age of 16, your rights as parents diminish substantially. However, a good provider will try their best to work in partnership with you as much as possible.

To make this work, there has to be mutual respect and trust between you and the provider. Sometimes, it may feel as if this is almost impossible to maintain and this can result in mistrust, arguments and ill will. Share concerns with the care coordinator.  If unsure, you can get some support here.

After an Inpatient CTR

The main aims of the CTR is to make sure that the care being provided is person-centred and meets the needs of the individual. It also ensures that any care and treatment facilitates discharge as soon as possible.

In hospital, ongoing assessment, treatment and care will be governed by day-to-day needs, local policies and procedures. The CTR recommendations and action plan, however, are key to driving everything forward, and must be supported and monitored closely by the CPA/commissioning teams to avoid the development of further problems and delays.

Try to maintain a good relationship with the Unit care coordinator or hospital liaison nurse. Assuming consent is appropriate, ask if they would be able to give you regular updates on progress. The CTR report does not personally give you any authority to try to hold others to account, but you have a huge amount of lived experience to share and have plenty to offer in a spirit of partnership and mutual support.

Ask if there are any significant issues or health problems and monitor activities and the outcomes of CPA meetings. Ask if there has been any advocacy involvement and, if so, what about? If you are concerned about  anything, speak to the CPA care coordinator or team manager. If problems persist, also let the commissioner’s office know.

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