Cornwall and the Isles of Scilly

Noted (AI summary) Devon Doctors no longer provides out-of-hours services in Cornwall and has passed the report to the new provider. They reviewed the concerns in relation to their Devon services, noting that information sharing is partly outside their control but that clinicians have appropriate pathways to escalate concerns, including Community Mental Health Practitioners in their Clinical Assessment Service. A Rapid Reassessment Pathway for individuals with mental health needs discharged from secondary to primary care has been developed by Livewell Southwest. Cornwall NHS Trust has implemented a new assessment service with designated administrators to manage referrals, and developed new Safety Plans for patients containing crisis information. The Trust is also reviewing the Out of Hours services and any changes will be communicated to external providers. NHS England proposes to disseminate a reminder to GPs to safety net urgent mental health referrals, and to consider giving patients written guidance on what to expect and when following a referral.

Noted (AI summary) South Western Ambulance Service NHS Trust provides context on the ambulance delay and describes the NHS England Ambulance Response Programme (ARP), a clinically led review of call coding systems being trialled in two sites.

Noted (AI summary) Cornwall Council has investigated the collision and determined that adding safety measures such as crash barriers is unlikely to improve safety and may cause additional injuries; they will continue to monitor the site.