Local SAR themes
• Evidence of 'silo working & poor communication between agencies:
• The need for improved communication between agencies.
• Someone to take the lead role in the management of risk.
• The use of multi agency team meeting to further explore risk management strategies.
• Hospital Discharge Planning:
• Current policy and procedure for resumption of pre-existing care packages following
hospital admission should be reviewed and revised
• Pre-existing care packages to be reviewed prior to discharge, especially in complex
cases
• Roles and responsibilities on discharge should be clarified to ensure robust discharge
and prevent re-admission
• Communication between in patient and community based health and social care
services should increase
• Staff require training in professional curiosity and trauma informed
practice to understand why a person maybe refusing an
intervention.