Manchester South

Noted (AI summary) NHS England explains the NHS Pathways Clinical Decision Support System and how it is used. They state the exit scripts are for local determination and cancellation of ambulances is outside the remit of the NHS Pathways system. The Department acknowledges concerns about ambulance response times and call handler scripts, and states that NHS England is addressing the script issue. The government highlights its Plan for Change and upcoming 10-Year Health Plan with reforms and investment, and promises to set out improvements to urgent and emergency care by Spring.

Noted (AI summary) GTD Healthcare has implemented changes to the standard templates used by Assistant Practitioners and provided hard copies to clinicians for use during IT issues. They have also implemented safeguards to ensure appointments with Assistant Practitioners are booked after a triage by a registered clinician and have audited and reviewed their prescribing practices. The DHSC acknowledges the concerns, states they fall under the provider's remit, and notes that NHS England and the CQC have been contacted to address them. It provides context on supervision guidance for PCNs but offers no concrete actions.

Noted (AI summary) NHS England acknowledges the coroner's concerns regarding connectivity between mental health services abroad and in the UK, but notes that information sharing cannot be mandated for overseas healthcare providers. They highlight the work of the Regulation 28 Working Group in sharing learnings from PFD reports. The Home Office outlines the Right Care, Right Person (RCRP) approach, which GMP is rolling out, to ensure the right agencies respond to people in need of support, but defers to the College of Policing and GMP for specific issues. NWAS has provided feedback and reflection to the Mental Health Practitioner involved in the incident. They continue to deploy mental health Trust practitioners in NWAS control rooms and directly employ mental health practitioners for triaging calls. The DHSC acknowledges concerns about training for police officers, notification of carers for Mental Health Act admissions, connectivity between international and UK mental health services, GP practice list removals, and communication between mental health agencies, deferring to other bodies on some points and explaining existing policy on others. GMMH has emphasized the notification of carers following admission under the Mental Health Act through daily staff huddles and implemented a process to ensure written information is provided to carers within 72 hours of admission. GMMH will also carry out an audit to ensure staff are following guidance on safe transfers between teams by the end of March 2025. The College of Policing highlights the national 'Right Care Right Person' (RCRP) framework, supported by Authorised Professional Practice (APP) and a toolkit, along with a bespoke e-learning training package. They are in contact with Greater Manchester Police, who are implementing RCRP. The CQC acknowledges the concerns but states that they fall outside of its regulatory remit, particularly regarding GP practices and information sharing between agencies. It outlines its inspection methodology but takes no direct action. Trafford Council has reinforced expectations within Adult Social Care that staff must verify if the Police are responding to a call, reviewed and strengthened safeguarding processes, and invested in mental health management and practitioner capacity. Single agency recommendations from the Safeguarding Adults Review have been actioned. Response contains only blank pages.

Noted (AI summary) Stockport Council has permanently affixed reflective panels and tape to barriers in parks, including Alexandra Park (completed November 21st, 2024), and will complete remaining work by March 31st, 2025. They also audited lighting and found it compliant with BS5489 standards, and will do remedial work by March 31st, 2025 if needed. The Department of Transport states that the matter of barrier visibility is the responsibility of the local highway authority (Stockport Metropolitan Borough Council). They provided references to relevant guidance and legislation.

Noted (AI summary) NHS England states that Stockport NHS Foundation Trust plans additional weekend lists to reduce Stress Echocardiogram waiting times and hopes to achieve a 6-week standard by 31st January 2025. NHS England is not developing an MR angiogram service at this stage. Stockport NHS Foundation Trust plans an additional 20 weekend lists for Stress Echo to clear the backlog by 31st January 2025, aiming to achieve a 6-week standard for all patients. The Trust is also reviewing CT Coronary Angiogram service provision as part of its service development programme for next year. DHSC acknowledges the concerns but states that the procurement of diagnostic equipment falls under the responsibility of the trust and NHS England, who are better positioned to respond.

Noted (AI summary) The DHSC acknowledges concerns about care shortages, communication gaps, and wound care access. A change in practice resulting from this case has been that pre-admission assessments are now always undertaken. The CQC acknowledges the concerns, states that Hilltop Hall does not have a registered manager in post and that they will write to the registered provider to seek clarification on when they propose to register a manager and may take action if dissatisfied with the actions taken. The registered provider has reflected on the circumstances of this case and identified lessons learned to mitigate the risk of such occurrences and improve the service they provide. Greater Manchester Integrated Care provides background information about the patient's attendances at Trafford Urgent Care Centre and subsequent community nursing care, without outlining specific actions.

Noted (AI summary) CQC commenced an inspection of Downshaw Lodge on 16 October 2024 to review matters in relation to ongoing risk and to assess documentation; findings will be published on the CQC website. An initial assessment concluded there was no evidence of a registered provider level failure to meet the threshold at which criminal enforcement would be considered. No information provided.

Noted (AI summary) DHSC reports that Tameside and Glossop Integrated Care NHS Foundation Trust completed work on re-developing its urgent care and emergency departments in July 2024, including front-door streaming, an Urgent Care Transformation Programme, and a review of the emergency department to avoid hospital admissions for those patients living with frailty; The Lakes Care Centre is no longer registered for nursing, and is under new management. The CQC acknowledges concerns about care at The Lakes Care Centre. The provider has ceased to deliver the regulated activity of 'Treatment for Disease, Disorder or Injury' and the CQC will seek to register a suitable candidate for the registered manager role. Response consists of the text A1, A2, and A3. Unable to classify without further content.

Noted (AI summary) The Department acknowledges the concerns raised, explains the multiple channels for patients to contact GP practices, and highlights existing regulations and CQC expectations related to patient safety and access to care. It also notes that NHS Greater Manchester ICB will be working with the practice to ensure digitised services meet national standards. SSP The Pike Practice has updated its automated email response across all SSP practices and is performing audits of email response times. The practice is also carrying out educational communications via social media, HR discussions with staff, and meetings with senior management.

Noted (AI summary) NICE acknowledges the concerns regarding clozapine and blood cancers but states that the MHRA is the responsible body for medicine regulation and safety. NICE welcomes any findings that may impact its current recommendations and advice. Viatris states its clozapine product is safe when used as prescribed and that ongoing monitoring shows no change in the benefit risk profile, so no action is proposed. Response contains no text. Response text consists only of A6 and A7.