Cambridgeshire and Peterborough

Action Planned (AI summary) NHS England and NHS Improvement are improving adult eating disorder services with a national programme backed by investment. They are also improving data on the prevalence of eating disorders in adults, joining the APMS steering group to influence questionnaires. The GMC has used its regulatory powers to address inconsistency in training to address patient safety concerns, and is working with medical schools to ensure ED training is delivered more consistently. A new e-learning programme for medical students and foundation doctors has been launched, and existing curricula have been updated. The Department of Health and Social Care acknowledges concerns about eating disorder treatment and highlights the Mental Health Recovery Action Plan, which includes significant funding to expand children's and adult mental health services, including eating disorder services. HEE has a range of high quality training available via its e-Learning arm, e-Learning for Healthcare, around eating disorders, particularly on its MindEd programme, which is targeted at professionals and their families. This training includes a new programme for medical students and foundation doctors, developed in partnership with RCPsych and the eating disorder charity, Beat.

Action Planned (AI summary) The Trust will review externally reported deaths weekly as part of a Morbidity and Mortality session to identify lessons and feedback to referring hospitals, as part of the ongoing SIR investigation. They have developed a 'Learning from Deaths' policy to respond to and learn from deaths of patients under their management. The CQC has requested written confirmation and evidence from Barking, Havering and Redbridge University Hospital NHS Trust (BHRUT) regarding actions taken following the death and any additional actions they intend to take. They are planning to inspect specific core services at BHRUT in the first part of 2018, including a 3-day in-depth inspection of the leadership and governance of the trust. NHS England will work with the Society of British Neurological Surgeons (SBNS) and the Royal College of Emergency Medicine to produce and distribute a guidance statement nationally within the next 6 months, focusing on treating patients with raised intracranial pressure and urging extreme caution in relation to the use of opiates. NHS England will also seek assurances from the Trust that they have addressed the concerns raised and will suggest an independent review of the case management.

Action Planned (AI summary) East of England Ambulance Service is reviewing the East Midlands Ambulance Service's Paramedic Pathfinder Programme to determine its potential implementation within the Trust and implications for current training.