Dorset HealthCare NHS Trust - Ligature Management Plan Edn 8

Information

Site / Area Name:
Address:
Date:
Conducted by:
Site / Ward Manager:
Date sent to Locality Director:
Date sent to Locality Manager:
Date sent to Site / Ward Manager

Cover Sheet

Site Information:

Directorate / Locality
Ward / Department:
Risk Code Factors for Type of Ward/Client/Patient Group: PICU / AAU Acute / Severe Long Stay Dementia / Elderly / Rehab Outpatients
Manager: (Ward / Department:)
Conducted on:
Inspected by:
Personnel / Department Involved:

Ligature 1

Ligature / Anchor Point 1

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 2

Ligature / Anchor Point 2

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 3

Ligature / Anchor Point 3

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 4

Ligature / Anchor Point 4

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 5

Ligature / Anchor Point 5

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 6

Ligature / Anchor Point 6

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 7

Ligature / Anchor Point 7

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 8

Ligature / Anchor Point 8

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 9

Ligature / Anchor Point 9

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 10

Ligature / Anchor Point 10

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 11

Ligature / Anchor Point 11

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 12

Ligature / Anchor Point 12

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 13

Ligature / Anchor Point 13

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 14

Ligature / Anchor Point 14

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 15

Ligature / Anchor Point 15

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 16

Ligature / Anchor Point 16

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 17

Ligature / Anchor Point 17

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 18

Ligature / Anchor Point 18

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 19

Ligature / Anchor Point 19

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 20

Ligature / Anchor Point 20

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 21

Ligature / Anchor Point 21

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 22

Ligature / Anchor Point 22

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 23

Ligature / Anchor Point 23

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 24

Ligature / Anchor Point 24

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 25

Ligature / Anchor Point 25

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 26

Ligature / Anchor Point 26

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 27

Ligature / Anchor Point 27

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 28

Ligature / Anchor Point 28

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 29

Ligature / Anchor Point 29

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 30

Ligature / Anchor Point 30

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 31

Ligature / Anchor Point 31

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 32

Ligature / Anchor Point 32

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 33

Ligature / Anchor Point 33

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 34

Ligature / Anchor Point 34

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 35

Ligature / Anchor Point 35

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 36

Ligature / Anchor Point 36

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 37

Ligature / Anchor Point 37

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 38

Ligature / Anchor Point 38

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 39

Ligature / Anchor Point 39

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 40

Ligature / Anchor Point 40

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 41

Ligature / Anchor Point 41

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 42

Ligature / Anchor Point 42

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 43

Ligature / Anchor Point 43

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 44

Ligature / Anchor Point 44

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 45

Ligature / Anchor Point 45

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 46

Ligature / Anchor Point 46

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 47

Ligature / Anchor Point 47

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 48

Ligature / Anchor Point 48

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 49

Ligature / Anchor Point 49

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 50

Ligature / Anchor Point 50

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 51

Ligature / Anchor Point 51

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 52

Ligature / Anchor Point 52

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 53

Ligature / Anchor Point 53

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 54

Ligature / Anchor Point 54

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 55

Ligature / Anchor Point 55

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 56

Ligature / Anchor Point 56

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 57

Ligature / Anchor Point 57

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 58

Ligature / Anchor Point 58

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 59

Ligature / Anchor Point 59

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 60

Ligature / Anchor Point 60

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 61

Ligature / Anchor Point 61

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 62

Ligature / Anchor Point 62

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 63

Ligature / Anchor Point 63

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 64

Ligature / Anchor Point 64

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 65

Ligature / Anchor Point 65

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 66

Ligature / Anchor Point 66

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 67

Ligature / Anchor Point 67

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 68

Ligature / Anchor Point 68

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 69

Ligature / Anchor Point 69

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 70

Ligature / Anchor Point 70

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 71

Ligature / Anchor Point 71

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 72

Ligature / Anchor Point 72

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 73

Ligature / Anchor Point 73

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 74

Ligature / Anchor Point 74

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 75

Ligature / Anchor Point 75

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 76

Ligature / Anchor Point 76

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 77

Ligature / Anchor Point 77

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 78

Ligature / Anchor Point 78

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 79

Ligature / Anchor Point 79

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 80

Ligature / Anchor Point 80

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 81

Ligature / Anchor Point 81

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 82

Ligature / Anchor Point 82

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 83

Ligature / Anchor Point 83

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 84

Ligature / Anchor Point 84

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 85

Ligature / Anchor Point 85

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 86

Ligature / Anchor Point 86

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 87

Ligature / Anchor Point 87

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 88

Ligature / Anchor Point 88

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 89

Ligature / Anchor Point 89

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 90

Ligature / Anchor Point 90

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 91

Ligature / Anchor Point 91

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 92

Ligature / Anchor Point 92

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 93

Ligature / Anchor Point 93

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 94

Ligature / Anchor Point 94

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 95

Ligature / Anchor Point 95

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 96

Ligature / Anchor Point 96

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 97

Ligature / Anchor Point 97

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 98

Ligature / Anchor Point 98

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 99

Ligature / Anchor Point 99

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Ligature 100

Ligature / Anchor Point 100

Room No / Identifier / Name:
Room / MICAD Reference:
Select Room / Area Type: 5 = Bathroom / Toilet 4 = Bedroom 3 = External Areas 2 = Day / Dining Room / Lounge 1 = Corridor / Communal Area
Ligature Anchor Point Description:
Select Ligature Height Code: 5 = 800mm - 2.2m 4 = 500mm - 800mm 3 = 2.2 = 3.5 2 = 300mm - 500mm = 2 1 = < less 300mm or more > 3.5m
Ward Type Values (+ / - ) PICU / AAU +5 Acute / Severe +4 Long Stay +3 Dementia / Elderly / Rehab + 0 Outpatients - Divide by 2
Enter Risk Grading: (Room / Area Type x Height Code, + / - = Ward Type Value) 14 - 30 = HIGH 6 - 13 = MEDIUM 1 - 5 = LOW
Ligature Anchor Point Photo:
Any Mitigating Factors e.g. Communal Area, Line of Sight, Non-Secure Unit?
Can the Ligature Anchor Point be removed, replaced or modified YES/NO?
If No, can it be managed clinically? If so, how?
Is further action required Yes / No? If Yes, please describe:
Next Review Date: (Agreed date with manager) Within 1 Week, Within 1 Month, Within 6 Months

Please use the record sheet at the end of this document to record local actions

Local Action Plan

LOCAL LIGATURE ACTION PLAN

Please use the space provided to record any local actions. If you are recording individual actions; please precede each entry with the Ligature number shown in this report along with the location and description.

Dorset HealthCare NHS Trust - Ligature Management Plan Edn 8

Free Dorset HealthCare NHS Trust - Ligature Management Plan Edn 8 Checklist

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Ligature / Anchor Point 1

Please use the record sheet at the end of this document to record local actions

Ligature / Anchor Point 2

Please use the record sheet at the end of this document to record local actions

Ligature / Anchor Point 3

Please use the record sheet at the end of this document to record local actions

Ligature / Anchor Point 4

Please use the record sheet at the end of this document to record local actions

Ligature / Anchor Point 5

Please use the record sheet at the end of this document to record local actions

Ligature / Anchor Point 6

Please use the record sheet at the end of this document to record local actions

Ligature / Anchor Point 7

Please use the record sheet at the end of this document to record local actions

Ligature / Anchor Point 8

Please use the record sheet at the end of this document to record local actions

Ligature / Anchor Point 9

Please use the record sheet at the end of this document to record local actions

Ligature / Anchor Point 10

Please use the record sheet at the end of this document to record local actions

Ligature / Anchor Point 11

Please use the record sheet at the end of this document to record local actions

Ligature / Anchor Point 12

Please use the record sheet at the end of this document to record local actions

Ligature / Anchor Point 13

Please use the record sheet at the end of this document to record local actions

Ligature / Anchor Point 14

Please use the record sheet at the end of this document to record local actions

Ligature / Anchor Point 15

Please use the record sheet at the end of this document to record local actions

Ligature / Anchor Point 16

Please use the record sheet at the end of this document to record local actions

Ligature / Anchor Point 17

Please use the record sheet at the end of this document to record local actions

Ligature / Anchor Point 18

Please use the record sheet at the end of this document to record local actions

Ligature / Anchor Point 19

Please use the record sheet at the end of this document to record local actions

Ligature / Anchor Point 20

Please use the record sheet at the end of this document to record local actions

Ligature / Anchor Point 21

Please use the record sheet at the end of this document to record local actions

Ligature / Anchor Point 22

Please use the record sheet at the end of this document to record local actions

Ligature / Anchor Point 23

Please use the record sheet at the end of this document to record local actions

Ligature / Anchor Point 24

Please use the record sheet at the end of this document to record local actions

Ligature / Anchor Point 25

Please use the record sheet at the end of this document to record local actions

Ligature / Anchor Point 26

Please use the record sheet at the end of this document to record local actions

Ligature / Anchor Point 27

Please use the record sheet at the end of this document to record local actions

Ligature / Anchor Point 28

Please use the record sheet at the end of this document to record local actions

Ligature / Anchor Point 29

Please use the record sheet at the end of this document to record local actions

Ligature / Anchor Point 30

Please use the record sheet at the end of this document to record local actions

Ligature / Anchor Point 31

Please use the record sheet at the end of this document to record local actions

Ligature / Anchor Point 32

Please use the record sheet at the end of this document to record local actions

Ligature / Anchor Point 33

Please use the record sheet at the end of this document to record local actions

Ligature / Anchor Point 34

Please use the record sheet at the end of this document to record local actions

Ligature / Anchor Point 35

Please use the record sheet at the end of this document to record local actions

Ligature / Anchor Point 36

Please use the record sheet at the end of this document to record local actions

Ligature / Anchor Point 37

Please use the record sheet at the end of this document to record local actions

Ligature / Anchor Point 38