|Title:||Mandatory Reporting of Notifiable Incidents to the Chief Psychiatrist|
|Document ID:||Operational Directive OD 0588/15|
|Date of issue:||Wednesday, 11 February 2015|
|Status:||NO LONGER APPLICABLE|
|Description:||This policy provides comprehensive advice on the reporting of deaths and serious clinical incidents of mental health patients to the Chief Psychiatrist as mandated by the Mental Health Act 1996 and the Mental Health Act 2014, the latter to be enacted late 2015 or early 2016. The policy outlines new and increased reporting requirements and also a change in the reporting process from the previous paper-based reporting system to the use of Datix-CIMS as the primary system for mandatory reporting to the Chief Psychiatrist. Further guidance on mandatory reporting to the Chief Psychiatrist is provided in the Datix-CIMS Notifier User Guide: Reporting to the Chief Psychiatrist.|
|Legal requirements:||The Mental Health Act 1996 and the Mental Health Act (MHA 2014), which was passed through Parliament in November 3, 2014 and will be enacted late 2015 or early 2016, mandate that serious clinical incidents and deaths of mental health patients are reported to the Chief Psychiatrist.
|Applicable to:||Mental Health Services, General Health Services who manage mental health patients, and Emergency Departments|
|Period of effect:||from 16 February 2015 to 16 February 2020|
|Review date:||16 November 2017|
|Authorised by:||Professor Bryant Stokes, A/Director General, Department of Health WA, 05-Feb-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 of Notifiable Incidents to the Chief Psychiatrist.
CHIEF PSYCHIATRIST’S RESPONSIBILITIES UNDER THE MENTAL HEALTH ACT
The Mental Health Act 1996 (MHA 1996) section (s.) 9(1) states that the Chief Psychiatrist has responsibility for the medical care and welfare of all involuntary patients; and section 9 (2) In respect of other patients, the Chief Psychiatrist is required to monitor the standards of psychiatric care provided throughout the State.
The Mental Health Act (MHA 2014) was passed through Parliament on November 3, 2014 and when enacted will increase the responsibilities of the Chief Psychiatrist. Under the MHA 2014, the Chief Psychiatrist is responsible for overseeing the treatment and care of all patients as described in sections 515(1)(a-e) including:
Notifiable incidents are also to be reported to the Chief Psychiatrist for:
Persons who are, for the purposes of the Hospitals and Health Services Act 1927 Part IIIB, a resident of a private psychiatric hostel (MHA 2014 s. 524(b)).
Notifiable incidents, comprising deaths and serious incidents, must be reported as soon as practicable to the Chief Psychiatrist (MHA 2014 s. 526(2)) when they occur in respect of a person referred to in the MHA 2014 s. 524(a)(b) relating to persons described above.
The range of notifiable incidents to be reported are defined in the MHA 2014 (s. 525(a-e) and s. 254(1)(a-c)), are described below. The information required to be reported to the Chief Psychiatrist (MHA 2014 s. 526(3)) is detailed in the Policy for Mandatory Reporting of Notifiable Incidents to the Chief Psychiatrist.
SCOPE OF MANDATORY REPORTING TO THE CHIEF PSYCHIATRIST
Notifications to the Chief Psychiatrist of deaths and serious incidents occurring in Western Australian mental health services should occur as a matter of priority, as soon as practicable, ideally within 48 hours of the event.
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 Office of Safety and Quality, Licensing and Accreditation Regulatory Unit (LARU), Mental Health Commission, Internal Audit and Accountability, Corruption and Crime Commission (CCC) and the State Coroner.
In addition to the completion of the reporting forms and additional details listed below regarding a death or a serious incident, services are to provide copies of briefings, reports, and summaries of investigations even if the Chief Psychiatrist does not specifically request them.
The Chief Psychiatrist is to be informed as a matter of priority, of:
The Chief Psychiatrist is to be notified as a matter or priority, of any serious incident and associated issue that may reflect on the standards of mental health care in Western Australia. The reporting is to include advice as to the potential for media or public implications in regard to the incident or associated issue. Serious incidents include, but are not limited to:
Definitions of clinical incidents and explanatory notes can be found in Glossary, pages 10-14 in the Policy for Mandatory Reporting of Notifiable Incidents to the Chief Psychiatrist accompanying this Operational Directive.
Hospital and community mental health services staff should notify the Chief Psychiatrist through the:
If the clinical incident relates to the suicide of a mental health inpatient or may receive attention by the media or the wider community please ensure the Chief Psychiatrist is notified immediately via email to MHSentinelevents@health.wa.gov.au providing the CIMS report ID.
Professor Bryant Stokes
This circular last updated: Thursday, 12 February 2015 at 11:31am