Essex

Noted (AI summary) • All officers—regular and Special Constabulary—now receive the same level of training in relation to ABD. • ABD training has been moved from the First Aid Learning Programme refresher sessions into the College of Policing’s Scenario-Based Training programme.

Noted (AI summary) NHS England acknowledges the concern and highlights its national role in providing guidance and support, specifically through Controlled Drugs Accountable Officers (CDAOs). The response notes that commissioning of services now lies with ICBs. An Opioid Reduction/Discontinuation Pathway is planned within the Community Musculoskeletal (MSK) Service, due for implementation in February 2026. The ICB Executive Committee has endorsed a proposal to scale up the Aegros Primary Care Network (PCN)-based model across the ICB. The Minister acknowledges the concerns about the lack of specialist services for managing dependency-forming medicines and outlines national initiatives, including NHS England's work and the MHRA's review of codeine. It also described actions being taken for those with substance use and mental health needs.

Noted (AI summary) The Trust has implemented measures to ensure staff are competent, including mandatory training checks and escalation procedures. They have also formed a Physical Health Task and Finish Group to review physical health provision on inpatient wards, piloted a Physical Health Secondary Care planning Cycle, and provided staff training. The Minister acknowledges the concerns and offers condolences, deferring to the Director General of Operations at HMPPS for a detailed response. HMPPS published guidance on managing self-neglect in prisons in July 2024. They implemented a new booking tool for ACCT reviews in August 2024, introduced a new shift pattern for key workers in September 2024, and issued a Notice to Staff mandating ambulance calls for emergency codes.