East Riding and Hull

Noted (AI summary) • The Trust has established daily operational controls to mitigate staffing pressures in real time. • Daily staffing meetings take place across all sites, where ward-level escalations relating to actual versus planned staffing, changes in acuity, and red flag indicators are reviewed by dedicated staffing representatives. • Information from these meetings feeds directly into twice-daily Trust-wide safe staffing meetings chaired by a Nurse Director, providing senior clinical oversight of staffing gaps, mitigations and risk management. NHS England stated the local staffing concerns for Ward 90 fall outside its usual role and remit, noting that Hull University Teaching Hospitals NHS Trust is best placed to respond and has presented a business case to increase nursing staff. NHS England also disputed the clarity of the term “TAG nursing care.”

Noted (AI summary) NHS England acknowledges the concerns raised and explains its commitment to improving Electronic Patient Records (EPRs) across all NHS Trusts and supporting the sharing of critical clinical information across NHS organisations. It highlights ongoing national work to address Reports to Prevent Future Deaths.

Noted (AI summary) East Riding Council confirms it does not have powers to specify equipment in first aid kits or publish guidance, instead signposting businesses to HSE guidance, and recommends the Regulation 28 be served to the HSE. HSE outlines health and safety legislation regarding workplace first aid provision and clarifies that there is no requirement for employers to provide specific equipment such as anti-choking devices, advising that the MHRA is responsible for regulation of medical equipment.

Noted (AI summary) NHS England highlights existing functionalities such as the National Care Records Service (NCRS) and the SystmOne out-of-hours system that enable access to patient's Summary Care Record (SCR). They also note that Holderness Health migrated from EMIS to TPP SystmOne with GP Connect enabled to improve interoperability. Holderness Health confirms it migrated to TPP SystmOne with GP Connect enabled for interoperability, but the patient's surgery was 14 years ago and not considered a significant active problem. The CQC contacted the GP practice and Out of Hours provider to establish circumstances and intended actions. They state they ensure that they look closely at how providers deal with incoming correspondence, coding, and sharing of information during inspections, and were satisfied with the significant event analysis undertaken. The RCGP will highlight the case to their health informatics group to influence discussions with NHS England and will also highlight the concerns to The Professional Record Standards Body (PRSB).

Noted (AI summary) Following a site check, the council confirms existing signage is in place and in good condition. They request further information regarding the reported number of previous collisions at the location.

Noted (AI summary) The DVLA acknowledges the coroner's concerns, explains the current driver licensing requirements, and states that their processes and policies are kept under review. They mention a call for evidence to gather views on the medical driver licensing process, and the responses are being analyzed.