Derby and Derbyshire

Noted (AI summary) The MHRA states that no action is required, explaining existing systems for unblinding clinical trials and the responsibilities of those executing the processes, particularly regarding informing participants and documenting contact with treating physicians.

Noted (AI summary) The Department for Transport clarified that local authorities are responsible for hazard signage and highway maintenance, and that existing guidance is available but not mandatory.

Noted (AI summary) England Boxing had already implemented remedial actions to increase safety and awareness, including revising the Rule Book to make safeguarding responsibilities clear, introducing mandatory DBS checks, and implementing safeguarding training. Following the inquest, they are setting up an independent inquiry to investigate adherence to regulations. DCMS acknowledges the concerns, describes existing safeguarding measures and engagement with sports bodies, but states they do not intend to introduce further sport-specific legislation at this time. They will work with Sport England and England Boxing to review the specific concerns raised.

Noted (AI summary) NHS England has reviewed Mr Ball’s care and identified actions, including; sharing lessons from deaths through a Midlands Learning from Deaths Forum, which will consider system improvements complimentary to the move to a Shared Care Record, which is not likely to be completed until 2024. NHS Digital explains their role in providing the Summary Care Record (SCR), confirms that Mr. Ball's record was checked and no anomalies were found, and notes that the discharge care plan is not the kind of information held within the SCR. They also note that there are initiatives to introduce systems that enable patient records to be shared and accessible between all health and care providers in a locality.

Noted (AI summary) Coxbench Hall Residential Home asserts that they have clear and robust policies and procedures in place in relation to falls risk assessment and management, including a policy checklist for staff, accident report forms, and a Falls Audit form.

Noted (AI summary) The Department of Health states that officials have made enquiries with the Trust and have been assured that it will respond appropriately. The CQC will follow up any actions identified as a result of the Trust's response and will reinforce the duties of the Trust in relation to its duty of candour. Tameside Hospital has made considerable changes to improve internal investigations and patient discharge processes, including a review of senior nursing and medical staffing and revised procedures for incident investigations. A system for the urgent recall of patients discharged with potentially life-threatening conditions has been addressed by the Patient Flow Manager.