Better to be safe than sorry. We (crisis team) keep a list of high risk patients. We used to mark them on a board but that was deemed by an 'Inclusion Manager' to breach confidentiality. We then marked the file with high risk in red; same manager deemed it as "detrimental to the service user and prejudicial to their future care". We compromised: a big red asterisk on the file. Said manager never has to attend an assessment with the police at 2 am when a 'service user', who has a long history of violence, is drunk and threatening all and sundry. (The service user history consisted of two past psychiatric reports requested by defence counsels). Oddly enough, the same manager was on call and once phoned a colleague up at midnight to demand why the team had allowed a known service user to breach the 4 hours in A&E and were we not dealing with this. My colleague sweetly explained that if someone is booked into A&E at 3pm but the team is not informed until 8pm....She suggested the manager come out to the incident herself to address it but sadly the manager chose to return to bed leaving my colleagues to continue working thro' the night and on until 4pm later that day.