Abstract
AIMS AND METHODWe aimed to determine, using clinical audit, the effect of implementing national guidelines on the quality of responsible medical officers' (RMOs’) reports to the mental health review tribunal (MHRT). We blindly assessed the quality of 50 consecutive reports concerning patients detained under Sections 3 and 37. Twenty-five reports were written before guidelines were circulated; a further 25 were written following the distribution of guidelines and a checklist with every request for a report.RESULTSThe quality of reports, as measured by our checklist, significantly improved following the circulation of guidelines.CLINICAL IMPLICATIONSIncreasing the awareness of guidelines by widespread circulation and the audit process is an effective way of improving the quality of RMOs' reports to the MHRT.
Highlights
Increasing the awareness of guidelines by widespread circulation and the audit process is an effective way of improving the quality of responsible medical officers' (RMOs)' reports to the mental health review tribunal (MHRT)
Previous literature regarding the quality of reports has, for the most part, offered expert opinion as to which points should be included by RMO authors (Woolf, 1991; Langley, 1993)
Audit has demonstrated that the majority of reports do not address the basic criteria for detention required by the Mental Health Act (MHA) (Ismail et al, 1998) but that improvement might follow the formulation of local guidelines
Summary
We aimed to determine, using clinical audit, the effect of implementing national guidelines on the quality of responsible medical officers' (RMOs') reports to the mental health review tribunal (MHRT). Twenty-five reports were written before guidelines were circulated; a further 25 were written following the distribution of guidelines and a checklist with every request for a report
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