Sync address/

ethnicity

*

Allergies

*

Safeguarding child/adults section completed on RIO? If applicable

*

Progress note & named ED contact where applicable

*

Physical Health assessment

(Alcohol and drugs)

*

Incident form?

- Self harm (CMHT Pt’s)

- No bed

- Unable to provide service

- Safeguarding Children

*

Core completed and plan and summary placed in formulation section

*

Social inclusion

*

Cluster?

CMHT/HTT referrals

*

Service user and carers view in core assessment

*

Consent to share completed and updated on RIO

*

Friends and Family (please circle)

Not given/ given/ inappropriate/ Refused

Risk assessment

*

Treatment Plan Given (please circle)

Yes

No

Contacts updated (Carer/NOK)

*

Diary entry & outcome

*

GP letter/Service user copied in

*

Discharge referral from caseload

*