Dr Cox, a clinical director for Child and Adolescent Mental Health Services (CAMHS) at AWP, said: “We made the difficult decision to close the unit on the grounds of safety and quality.”<\/p>\n
Asked about plans to provide a replacement adolescent inpatient service in the region, Dr Cox said there was a commitment to establish a new unit but no confirmed timetable.<\/p>\n
As a result of the closure, young people requiring an inpatient admission are currently placed elsewhere across the south west.<\/p>\n
Dr Cox said children from the Bristol area could now be admitted to units in places such as Dorset, Cornwall or Plymouth, depending on clinical need and bed availability.<\/p>\n
The hearing also examined recommendations arising from a Patient Safety Incident Investigation (PSII), which was launched after Lucy’s death under the NHS national framework for serious incidents.<\/p>\n
Dr Cox said governance arrangements were in place to monitor progress and that findings were reported to the trust board.<\/p>\n
One recommendation related to staffing arrangements at Riverside.<\/p>\n
Jurors previously heard that on 27 December 2023 three healthcare assistants arrived at the unit to shadow staff, despite frontline workers being unaware they were coming.<\/p>\n
Dr Cox said changes had since been implemented.<\/p>\n
“These shifts can no longer be booked without prior authorisation from the nurse in charge and they have authority to turn people away on the day they arrive,” she said.<\/p>\n
She added that nurses leading a shift should be empowered to make operational decisions and said having three shadow staff on a ward at the same time would now be considered highly unusual.<\/p>\n
“Looking forward, you would expect no more than one member of shadow staff,” she said.<\/p>\n
The trust has also introduced changes to clarify staff responsibilities and strengthen induction processes.<\/p>\n","protected":false},"excerpt":{"rendered":"Dr Cox, a clinical director for Child and Adolescent Mental Health Services (CAMHS) at AWP, said: “We made…\n","protected":false},"author":2,"featured_media":533189,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[34],"tags":[163,521,85,46],"class_list":["post-533188","post","type-post","status-publish","format-standard","has-post-thumbnail","category-healthcare","tag-health","tag-healthcare","tag-il","tag-israel"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/posts\/533188","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/comments?post=533188"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/posts\/533188\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/media\/533189"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/media?parent=533188"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/categories?post=533188"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/tags?post=533188"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}