Key recommendations
- All services should review their implementation of the "specified persons" regulations. The regulations should be used only in those circumstances where it is clear that the individual, following a reasoned medical opinion, meets the criteria for "specification" and that the actions or restrictions are appropriate and proportionate. The principle that searches should only take place in response to an incident is one which we would commend.
- Services should ensure that all staff are fully conversant with the requirements of the Adults with Incapacity Act in relation to consent to treatment issues and the management of peoples finances.
- All services should ensure that the physical health of patients is given the appropriate priority and that the commitments of the Mental Health Delivery Plan are met. This includes smoking cessation advice and diet and exercise advice as appropriate. Access to complementary specialist services such as substance misuse services should be available where appropriate.
- Policies in relation to locked doors, both internal and external should be reviewed to ensure that unnecessary restrictions are not put in place. Unless clinically necessary, no patients should have their access to fresh drinking water restricted or their access to bedrooms and kitchens limited.


