Avon

Noted (AI summary) The response outlines NICE's role in providing guidance and signposts to other organisations responsible for commissioning services, providing education and training, and funding research. The NIHR is planning a funding opportunity for a development award focussed on evaluating repurposed pharmaceutical inventions and a showcase event for post-acute infection conditions (including ME/CFS and long COVID) research later this year to stimulate further research in this field.

Noted (AI summary) NHS England expresses condolences and describes the Maternal Medicine Networks established across England; they support revision of the Royal College of Pathologists’ guidelines for urgent reporting of LFTs to incorporate different levels for pregnancy. UHBW will await national guidance from the Royal Colleges regarding a recommended reference range for urgent reporting of LFTs in pregnancy, and then set up a task and finish group to implement these across the Trust. If no national guidance is available, UHBW will look to change the reference range locally. The RCOG acknowledges the concerns raised and highlights existing online learning resources and escalation protocols, while suggesting the Royal College of Pathologists review its guidance on urgent reporting levels of LFTs for pregnant women. The Royal College of Pathologists states that its guidance on communicating critical pathology results is advice to pathologists and that individual cut-offs should be agreed locally with clinicians. The need to agree local cut offs with clinicians will be emphasised in the next revision of this document.

Noted (AI summary) NHS England acknowledges concerns about oesophageal intubation and the PUMA guidelines and states they will clarify the future direction of the Never Events Framework. They also note that all PFD reports are discussed by a working group to share learnings. The organisations agree with the coroner's concerns and highlight their existing work, including the 'no trace = wrong place' campaign, endorsement of PUMA guidelines, and emphasis on capnography in anaesthesia standards. They also express support for unrecognised oesophageal intubation to be a nationally reportable incident. The RCEM expresses support for adequate staffing, multidisciplinary simulation training, equipment standardization, intubation checklists, and capnography use, referencing an existing framework for collaboration between Emergency Medicine and Intensive Care Medicine.

Noted (AI summary) The Department of Transport refers to existing published guidance for users of e-cycles and e-scooters on battery safety, and states that pending the outcome of further research, no additional action is appropriate at this stage. The West of England Combined Authority states that specific actions to address the concerns raised by the Coroner do not lie within its strategic functions, requiring national government action in the first instance. They believe their provision of on-street rental e-scooters, e-bikes, and e-cargo bikes reduces the number of privately owned vehicles kept at home. OPSS has undertaken a program of work including commissioning research, engaging with gig economy firms to share safety information, and working with other government departments to publish guidance on e-bike and e-scooter safety. A new safety campaign with consumer messaging is expected to launch in the autumn.

Noted (AI summary) The RCN acknowledges the report and highlights its learning resources for nurses and the importance of safe staffing levels, referring to external reports and standards, but does not comment on the performance of individual nurses or actions it will take.

Noted (AI summary) NHS England acknowledges concerns about accessing Summary Care Records and allergy information but primarily describes existing requirements and procedures. They highlight national work to share learnings from PFD reports. The trust is exploring non-smartcard-based access to NCRS, with access planned for all staff in Q1 2024. They are also commissioning EPMA (Electronic Prescribing and Medicines Administration) for deployment in Q3 2024 and planning to implement 'Red Wrist Bands' for patients with allergy alerts by Q3 2024.

Noted (AI summary) The UK Health Security Agency states that responsibility for establishing systems related to food policy and anaphylaxis sits outside of their remit, and instead lies with the Food Standards Agency and the Health and Safety Executive. UKHospitality commits to carrying out a consultation with members on managing the risk of vegan dishes for people with hypersensitivity, and reflecting any recommendations in future updates to the Industry Guidance. The Food and Drink Federation highlights existing guidance on allergen labelling, particularly regarding the differences between 'free-from' and vegan claims and will continue to support the work of the FSA. The Food Standards Agency will focus on a smaller subset of priorities including Precautionary Allergen Labelling (PAL), improving information in the non-prepacked sector, and enabling a step-change in the knowledge, skills, and food safety culture of staff in the 'non-prepacked' sector through training. The British Retail Consortium supports members with label decisions but emphasizes company responsibility, noting challenges with 'free-from' and vegan definitions and the potential for unintended consequences with specific dietary statements. The British Society for Allergy and Clinical Immunology will consider holding an educational event on food avoidance in relation to adults with eczema and will address the need for improved recording and analysis of anaphylaxis fatalities. The Department of Health and Social Care acknowledges the recommendation to establish a robust system of capturing and recording cases of food-related anaphylaxis and notes that data regarding all anaphylaxis-related deaths in England and Wales are documented by the Office for National Statistics and the British Society for Allergy and Clinical Immunology also holds a register. The Royal College of Pathologists is updating its autopsy practice guidelines for suspected acute anaphylaxis to include contact details for the UKFAR and direct pathologists to report fatal anaphylaxis cases.

Noted (AI summary) The Department highlights resources such as Practitioner Health for healthcare workers and mentions national efforts to prevent suicide, including the cross-government strategy and investments in local prevention plans and bereavement services. They also reference the wellbeing support offer for healthcare staff and mental health hubs. The RCGP acknowledges the issue of suicide among health professionals and details the support and resources available, including Practitioner Health, The Doctors' Support Network, HHP Wales and the Sick Doctors Trust. They also collaborate with other stakeholders and are piloting a project supporting teams affected by sudden bereavement.