Bedfordshire and Luton

Action Planned (AI summary) The Trust states that it has adequate neonatal facilities but acknowledges that the Neonatal Unit requires modernisation. The Trust Board approved a redevelopment plan including the NICU and the Strategic Outline Case is awaiting consideration.

Action Planned (AI summary) Network Rail has commissioned works to enhance the fencing and gates in the area, including installing over 600m of fencing and upgrading the gate height and construction, to deter unauthorised access to the railway by January 15, 2017.

Action Planned (AI summary) The officers involved will shortly receive training on when and how to administer CPR, and all officers will be reminded during their annual refresher training of when it is necessary and appropriate to commence CPR; all officers will be trained further as to the management of scenes following a RTC where a major injury is suspected.

Action Planned (AI summary) • Colchester Hospital University NHS Foundation Trust worked with the Clinical Commissioning Group to develop a pathway for thromboprohylaxis in ambulatory patients requiring temporary limb immobilisation, signed off in September 2015. • An education programme for the Emergency Department has been introduced to support the implementation of the guidance. • The new pathway across primary and secondary care will commence on 2 November 2015, and the commissioning CCG will monitor implementation and compliance. • The working relationship between Devon and Cornwall Police and the local Mental Health Services has been improved, and a Memorandum of Understanding has been drawn up. • NHS Kernow CCG has agreed to carry out a full review of acute psychiatric beds in Cornwall and the staffing of the place of safety service and will produce an action plan and commissioning strategy. • The implementation of this plan will be monitored by NHS England.

Action Planned (AI summary) Health Education East of England describes actions planned by Bedford Hospital NHS Trust and the University of Bedfordshire to improve the learning environment for student midwives, including a student forum, revisiting the mentorship program, and reviewing serious incidents, with HEEE continuing to provide support and share learning.

Action Planned (AI summary) The Council is recruiting temporary qualified staff and training additional staff to perform the Best Interests Assessor function and is currently in the process of procuring external specialist support to undertake all of the assessments on the waiting list.

Action Planned (AI summary) The CCG developed a protocol for reconciliation of medications when people are transferred into care homes and are registered with a new GP. An action plan has been written to drive this work forward and progress will be monitored by their Patient Safety and Quality Committee.

Action Planned (AI summary) Bedfordshire Clinical Commissioning Group is considering support for people with ADHD as part of a procurement of mental health services, due by April 2015. In the interim, they will work with South Essex Partnership Trust to develop a pathway outlining responsibilities for the care of people with ADHD and psychiatric illness by the end of October 2014.

Action Planned (AI summary) Luton and Dunstable University Hospital will ensure Feeding Packs are created containing a UNICEF leaflet in Bengali, Punjabi, and Urdu to advise of the dangers of co-sleeping. Community Midwives will also be equipped with iPads to facilitate communication.

Action Planned (AI summary) Luton and Dunstable University Hospital are commissioning a further report from an independent general neurologist to assess whether the individual clinician's practice regarding NICE guidelines on epilepsy referrals fell outside the threshold of reasonable practice.