|Title:||Mandatory Reporting of Notifiable Incidents to the Chief Psychiatrist|
|Document ID:||Operational Directive OD 0635/15|
|Date of issue:||Thursday, 26 November 2015|
|Description:||The purpose of the Policy for Mandatory Reporting of Notifiable Incidents to the Chief Psychiatrist is to inform mental health and other health staff of the statutory requirement to report notifiable incidents to the Chief Psychiatrist MHA 2014 section (s) 526(2).|
|Legal requirements:||The Mental Health Act MHA 2014, commences on 30 November 2015.
|Applicable to:||Mental Health Services, General Health Services who manage mental health patients, and Emergency Departments|
|Framework:||Mental Health Policy Framework|
|Period of effect:||from 27 November 2015 to 27 November 2018|
|Review date:||16 February 2018|
|Authorised by:||Dr David Russell-Weisz, Director General, Department of Health WA, 25-Nov-2015|
|Print version:||View print version|
Mandatory Reporting of Notifiable Incidents to the Chief Psychiatrist
This Operational Directive is to be read in conjunction with the Policy for Mandatory Reporting Notifiable Incidents to the Chief Psychiatrist.
CHIEF PSYCHIATRIST’S RESPONSIBILITIES UNDER THE MENTAL HEALTH ACT
Under the MHA 2014, the Chief Psychiatrist is responsible for overseeing the treatment and care of all patients as described in section (s.) 515(1)(a-e) including:
Notifiable incidents are also to be reported to the Chief Psychiatrist for:
Notifiable incidents must be reported as soon as practicable, ideally within 48 hours, to the Chief Psychiatrist (MHA 2014 s. 526(1)(2)) when they occur in respect of a person referred to above. The range of notifiable incidents to be reported are defined in the MHA 2014 (s. 525(a-e) and 254(1)(a-c)) and described below.
Reporting to the Chief Psychiatrist is required in addition to all other reporting requirements which may include internal management structures within the service, the Director General of Health, the Minister for Mental Health, the Patient Safety and Clinical Quality, Internal Audit and Accountability, the Corruption and Crime Commission and the State Coroner. A notifiable incident where a staff member has/could have been harmed also needs to be reported via the Occupational Safety & Health pathway and allegations or suspicions of misconduct should be handled in accordance with the WA Health Misconduct Policy. The Children and Community Services Act 2004 should be followed for incidents involving children.
The Chief Psychiatrist is to be informed as a matter of priority, of any death of a mental health patient while under the care of any mental health or other health service and any death that may implicate or involve mental health or other health services or stakeholders (MHA 2014 section 525(a)). The Chief Psychiatrist is also to be advised of deaths, that mental health services become aware of, occurring within three months of a person being discharged or deactivated from mental health services.
Other notifiable incidents include, but are not limited to:
Definitions of clinical incidents and explanatory notes can be found in the Policy for Mandatory Reporting Notifiable Incidents to the Chief Psychiatrist accompanying this Operational Directive.
The Datix Clinical Incident Management System (CIMS) should be used by hospital and community health service staff to notify the Chief Psychiatrist of:
Notifiable incidents and information required by the Chief Psychiatrist, which is outside the CIM policy to be reported directly to the Chief Psychiatrist through the reporting form located on the OCP website (http://www.chiefpsychiatrist.wa.gov.au). These include:
The completed notifiable incident form should be emailed to email@example.com.
A notifiable incident related to the suicide of a mental health inpatient or an incident that may receive attention by the media or the wider community need to be reported to the Chief Psychiatrist immediately via email to firstname.lastname@example.org providing the Datix CIMS reference number (if reported on Datix CIMS) in addition to the above reporting processes. If a notifiable incident requires URGENT attention of the Chief Psychiatrist, the consultant psychiatrist or the executive director or their delegate should report directly to the Chief Psychiatrist and/or the manager of the OCP in addition to the above reporting processes.
Information to be reported to the Chief Psychiatrist
The information required to be reported to the Chief Psychiatrist (MHA 2014 s. 526(3)) is detailed in the Policy for Mandatory Reporting Notifiable Incidents to the Chief Psychiatrist.
The MHA 2014 section 526(3) requires that the names of staff, patients, and others involved in, or witness to, the incident are reported to the Chief Psychiatrist. The CIM Policy 2015 does not allow the reporting of names of staff and others to be reported through Datix CIMS. Relevant names, with the CIMS reference number, should therefore be reported directly to the Chief Psychiatrist via completion of the approved form on the website and emailed to email@example.com
Dr David Russell-Weisz
This circular last updated: Wednesday, 16 December 2015 at 3:33pm