Berkshire

Noted (AI summary) NHS England acknowledges concerns around anaphylaxis and highlights discussions with stakeholders to improve data collection, understanding, and research. They reference the Immunology and Allergy Clinical Reference Group, specialised allergy service specifications, and initiatives by BSACI and the Royal College of Physicians. The Department of Health and Social Care acknowledges the concerns about national leadership on allergy services and capturing anaphylaxis cases. They mention that NHS England is responsible for clinical policy and strategy and highlight the establishment of an Expert Advisory Group for Allergy and the UK Fatal Anaphylaxis Registry.

Noted (AI summary) ENA has asked each DNO and TNO member company to check that emergency services have contact details and know how to respond to incidents; ENA will open dialogue with the HSE to see whether it can support them to further enhance awareness and will review and update its safety leaflet - Safety advice for the Emergency Services. NHS Digital explains the function and governance of NHS Pathways, noting that standard operating procedures and contact numbers are the remit of local service providers and do not fall under NHS Pathways' responsibility. AACE shared South Central Ambulance Service NHS Trust's updated SOPs, including a map and contact details for electricity Distribution Network Operators, across all NHS ambulance services. They are also discussing the matter with all Heads of Emergency Operations Centres. HSE shared concerns with the Care Quality Commission (CQC) and Healthcare Inspectorate Wales (HIW), the Association of Police Health and Safety Advisors (APHSA), the National Police Chiefs Council (NPCC) and the National Fire Chiefs Council Health and Safety Committee, and the Energy Networks Association (ENA), who have requested that DNOs and TNOs check their arrangements with the emergency services on an annual basis; the ENA is currently reviewing their information leaflet on Safety Advice for the Emergency Services.

Noted (AI summary) The National Trust will conduct an immediate review of its risk assessment for Cock Marsh, including control measures and signage, and a signage pilot will commence prior to the early spring Bank Holiday to test the location, wording and effectiveness of such measures. There are plans for the Property Team to share this information Jordan's family and reviewing website visitor information. The Environment Agency acknowledges the coroner's concerns regarding safety measures at a specific site, but states that the National Trust, as landowner, holds primary responsibility for implementing measures like warning signs and rescue devices. The EA outlines its responsibilities as the navigation authority for the River Thames and its regular inspection of assets, but refers to case law indicating individuals should take responsibility for their own safety during potentially dangerous activities.

Noted (AI summary) Highways England acknowledges receipt of the report and briefly summarises their procedures for temporary road closures, stating that closures are kept to the shortest time possible and safety is prioritised. Ford acknowledges the report and emphasises their commitment to customer safety and quality control, highlighting their monitoring and improvement processes, but doesn't commit to any specific action as a result of this case. Highways England clarifies the oversight role of the Department for Transport (DfT) and Office of Road and Rail (ORR), and explains its statutory powers regarding traffic regulation orders under the Road Traffic Regulation Act 1984. It notes the absence of incentives or penalties related to hard shoulder closures.