Birmingham and Solihull

Action Planned (AI summary) The Trust will change the communication process for specialist radiological investigation queries by having the consultant radiologist speak directly with the senior neurosurgeon. A standard operating procedure (SOP) will be developed to articulate the strengthened process, and the family will be contacted directly.

Action Planned (AI summary) NHS England will oversee a specific action plan to address deficiencies in care, particularly regarding pressure sore risk assessment. The matter has been tabled for discussion in the Quality Surveillance Group.

Action Planned (AI summary) An upgrade to the tracker system is scheduled to take place before the end of the calendar year to address data volume issues. The policy for endurance exercises will be reviewed and revised by March 2016, and two further inquiries will be conducted by the Ministry of Defence.

Action Planned (AI summary) Birmingham Heartlands Hospital is piloting new documentation within palliative care for clarity of prescribing. Dissemination of information about the Intermediate Care Procedure to all wards at Good Hope Hospital and staff at the intermediate care facility can check the patient's prescribed medication by telephoning the discharging ward directly.

Action Planned (AI summary) AACE has been working with the NPCC, Home Office and the Department of Health to drive further improvements in both the speed of ambulance response and the proportion of patients conveyed by ambulance rather than police vehicles. The College of Policing, Health and Ambulance Service representatives are currently working together to devise a national protocol for the management of ABD in the pre-hospital setting. The Metropolitan Police national instruction is to monitor and review all service requests to mental health environments and for escalation and supervisory involvement on every occasion where police are requested to, or effect, restraint in health environment whatever the circumstances. Multi-agency membership includes NHS England, the Royal College of Psychiatrists, the Royal College of Nursing, and NICE. The Department published the Crisis Care Concordat in 2014 to ensure that anyone experiencing a mental health crisis receives the right support in the right place. The Department has also funded a number of street triage pilot schemes where mental health professionals provide on the spot advice to police when dealing with people with possible mental health problems.

Action Planned (AI summary) Crescent Pharma has scheduled a meeting with the MHRA to discuss packaging redesign and the use of colour to differentiate products and strengths, after their request to do so in May 2014. Agreement of design and product range colour chart will lead to the creation of new artwork for all Crescent products, submission for MHRA approval and co-ordination of new artwork introduction after MHRA approval.

Action Planned (AI summary) Birmingham City Council will install Vehicle Activated Speed Signs on Kyotts Lake Road, with completion anticipated by the end of July 2014. The City Council will consider further works as part of the Local Safety Scheme element of its Capital Programme for 2014/15.