East Sussex

Noted (AI summary) The Department of Health and Social Care acknowledges receipt of the report and states that the Department for Culture, Media and Sport is leading the development of a single cross-agency response, with DHSC contributing particularly in respect of public health considerations. The Department for Education acknowledges the concerns raised but states that responsibility for the matters lies outside its remit. The Gambling Commission acknowledges the concerns but states that the action proposed in the report falls outside of the Commission’s remit, but remains willing to share information and cooperate with relevant bodies. The Department of Culture, Media and Sport stated the government has pressed technology companies to prevent promotion of illegal gambling sites and the Gambling Commission developed guidance for consumers to identify licensed sites. They are also developing a new strategy, will publish a consultation response on financial risk checks, and are working to improve gambling-related harm education.

Noted (AI summary) NHS England acknowledges concerns about smoke-free policy application in mental health settings but refers to existing NICE guidance and states that individual NHS Trusts are responsible for local implementation. They also note that regional colleagues are seeking assurances from the relevant system regarding local arrangements. NICE acknowledges the concerns but states that the issues raised regarding national policy contradictions are outside their remit and best addressed by NHS England and the CQC. They highlight their guideline NG209 on tobacco dependence. The Department of Health and Social Care acknowledges the concerns regarding the smoke-free policy's impact on mental health inpatients and refers to the legal requirement for smokefree hospital premises. They expect NHS organisations to support patients who smoke through cessation measures or safe leave arrangements, and note that NHS England will address concerns around national guidance.

Noted (AI summary) TPP reports that functionality for seamless data sharing between GPs and prisons via SystmOne has been available since before 2019, but its use depends on GPs enabling data sharing. Since the death, full GP registration has been introduced in prisons allowing automatic electronic transfer of GP records to prison GPs, regardless of the system used by the community GP. EMIS reviewed its EMIS Web system focusing on interoperability with prison systems and transfer of medical records. EMIS asserts compliance with NHS England GP2GP specifications and states that no further software developments are required, but offers training materials and support to users.

Noted (AI summary) NICE acknowledges the report but states that responsibility for the BNF content lies with BMJ Group and the Royal Pharmaceutical Society, so they cannot comment on the concerns raised. BNF Publications will use communications, including a newsletter and social media, to remind users how to find drug class information within content, including monographs and treatment summaries.

Noted (AI summary) The Nursing and Midwifery Council outlines existing standards and processes related to DNACPR understanding and fitness to practise, without describing new actions taken or planned. Avalon Nursing Home updated DNACPR and RESPECT forms in care plans, discussed clinical judgements with a local surgery and paramedics, provided refresher training in basic life support and first aid, and amended its policy on calling an ambulance and DNACPR.

Noted (AI summary) The Department of Health and Social Care acknowledges the concerns and notes the NHS England and Improvement response. They commissioned a review of the Mental Health Act and will publish a White Paper setting out the Government's response. NHS England expresses condolences and acknowledges the concerns raised, referencing existing initiatives to improve mental health services and digital tools. It notes that the Department of Health and Social Care is developing a response to the Independent Review of the Mental Health Act, and that the government has committed to publishing a White Paper.

Noted (AI summary) The RNLI recommends that landowners are responsible of implementing a range of appropriate control measures at beaches, and states that it can only establish new lifeguard units with the express permission of the relevant local authority, landowner, beach owner or operator. The council acknowledges the concerns and refers to previous reports and statements regarding beach management at Camber Sands, and states that restricting public use of beaches would be disproportionate. The Forum intends to update and expand the use of the WAID database and is seeking to identify suitable sources of funding for this development work. RoSPA states that it seeks to influence, inform, coordinate activity and advise within the existing structures for water safety, and states that significant landowners successfully manage sites with significant hazards to the public without noticeable impacts or blanket restrictions. The MCA has recently started working closely with the RNLI on coastal risk management, including a programme of visits to landowners to discuss and advise on local risks and the potential for raising public awareness through targeted safety interventions, and will conduct an independent review of its accident prevention activity.