East London

Noted (AI summary) Amazon includes a warning on e-scooter product pages stating they are prohibited on public roads in the UK, makes the warning prominent with bold font and a link to government guidance, sends communications to selling partners to remove references to public road use, and publishes education for selling partners on local legal restrictions. Escooterclinic attributes the incident to reckless user behavior, not the vehicle itself. They advise legalizing scooters with regulations and compulsory protective gear/insurance, citing confusion caused by legal rental scooters. Selfridges ensures there are clearly visible messages in stores and on their website stating that e-scooters may not be lawfully ridden on public highways. The legal team has issued reminders to stores and digital teams regarding this matter and are exploring system-based solutions for safety advisory requirements. Halfords advises potential buyers about the legal restrictions on e-scooter use at all stages of the sales process, both in-store and online, using prominent signage, legal statements on price tickets and warranties, and colleague training. They are also pushing for regulation in any Transport Bill. The MPS has published information on the MPS public website regarding the illegality of e-scooters, provides a flowchart to officers on how to deal with illegal e-scooter use and sends letters to e-scooter retailers asking them to display prominent signs about the legality of e-scooters. The MPS disputes that there is a correlation between legal enforcement of e-scooters and number of deaths and states that policy regarding head protection for licensed e-scooters was a decision made by the Department for Transport and Transport for London. Harrods is preparing notices for display in the Technology department and on their website, clarifying the illegality of e-scooter use on public roads. They also recommend helmets to customers and are implementing age verification checks. TfL highlights safety measures in the e-scooter rental trials, including speed limits, always-on lights, and minimum wheel size. They also promote safety guidance and have worked with the MPS to raise awareness of the law regarding private e-scooters. Onboards displays helmets with scooters, offers helmet discounts, encourages helmet use in-store, and features helmeted riders in online media. They display a sign about the illegality of private e-scooter use, include a disclaimer on invoices and website footer, and do not sell scooters to under-18s. The DVSA has been conducting market surveillance and has sent warning letters to retailers selling e-scooters without proper warnings about illegal use on public land. The government encourages helmet use for e-scooter trials and will consult on helmet wearing for future regulation. Evolve Skateboards is reviewing safety and legal compliance globally, including the UK, with expected rollout by June 2023. They are also a founding member of a PMD safety group advising the Land Transport Safety and Regulation Bureau in Queensland, Australia.

Noted (AI summary) The Resuscitation Council UK (RCUK) will emphasize the need to exclude major bleeding as the cause of collapse before giving fibrinolytic drugs for suspected PE in pregnancy. They will review and update the next print run of the RCUK Advanced Life Support Manual, teaching materials on the ALS course concerning pregnancy, and the Obstetric Cardiac Arrest Quick Reference Handbook. The RCOG outlines existing training and guidance related to ultrasound assessment in early pregnancy and the management of gynecological emergencies, emphasizing that excluding ectopic pregnancy is a routine part of the first scan. They state that competencies are outlined in CiP 9 and 11 and detailed knowledge criteria appears in knowledge areas 3, 13, 10, 11, 12, 14 and 15 in their MRCOG membership examination.

Noted (AI summary) The MHRA will engage with the medical device safety officers (MDSO) network to raise awareness of possible incidents involving filters and encourage reporting and will write to known manufacturers of filters to ask them to conduct a review of the labelling of filter devices against the regulatory requirements, taking into consideration the findings of the inquest, and making improvements where identified. The response provides background information on HME/filters, potential issues, and proposes solutions such as standardized color coding and clearer labeling, but does not commit to any specific action. The organisations will highlight key lessons about breathing circuit filters to their membership through the Safe Anaesthesia Liaison Group’s Patient Safety Update and FICM Safety Bulletin, and have suggested that NHS Improvement undertake a formal analysis of the NRLS database to assess the frequency of incidents arising from incorrect filter use. The MHRA will work with manufacturers, other regulators, NHS England and Improvement and other stakeholders to explore the effects of actions such as reducing filter types and improving color coding, and will engage with the medical device safety officers (MDSO) network to raise awareness and improve incident reporting.

Noted (AI summary) The Metropolitan Police Service will develop additional training on recording property, especially regarding risk, and implement it in the "Street Duties" course for probationer constables. The officer involved in the incident has been spoken to and advised on recording property and circumstances for seizure. The Trust has discussed the concerns with Borough Lead Nurses and sent letters to nursing staff, highlighting expectations for patient searches, observations, and rapid tranquilisation monitoring. The Trust now requires formal training and competency assessment for staff conducting searches and observations, with Registered Nurses exclusively performing RT monitoring within eyesight for the first hour post-administration. The Department acknowledges the concerns and outlines actions taken by the East London NHS Foundation Trust (ELFT), NHS England and NHS Improvement (NHSE & NHSI), and the Care Quality Commission (CQC). It highlights ongoing monitoring and planned inspections of ELFT.