Manchester South

Noted (AI summary) DWP expresses condolences and explains the policy regarding spare room subsidy, but states they cannot comment on the specifics of the case. They state that the policy is clear and additional support is available through the DHP scheme.

Noted (AI summary) NHS England highlights the Mental Health, Learning Disability and Autism Inpatient Quality Transformation programme, designed to localize and realign care. They have published a Commissioning Framework and required ICBs to develop 3-year plans to cease sending people to distant or outdated inpatient services and are working with the Greater Manchester ICB re oversight of The Priory Cheadle. The DHSC acknowledges concerns about mental health service funding, reliance on independent providers, and availability of specialist units. They highlight existing initiatives to improve patient flow, localise care, and ensure quality regardless of provider.

Noted (AI summary) NHS England acknowledges the concerns and explains that interstitial lung disease is listed as a side effect in relevant resources. They suggest the coroner direct concerns about nilotinib and guidance to the MHRA. They also note work is being done nationally to share learnings from PFD reports. The MHRA has added the side effects experienced by Mrs. Mclaughlin to the Yellow Card database and requested the BNF editorial team consider including interstitial lung disease as a separate side-effect term in the nilotinib drug monograph; this will be included in the January 2025 online updates of BNF and BNFC.

Noted (AI summary) NHS England expresses condolences and states that concerns have been listened to and reflected upon. They highlight the remit of other organisations (NWAS and Tameside and Glossop Integrated Care NHS Foundation Trust) regarding some of the concerns, and reference workstreams to increase ambulance capacity and improvements to Tameside's ED. They also note the discussion of PFD reports by their Regulation 28 Working Group to share learnings.

Noted (AI summary) The College has a new Standard Operating Procedure for all referrals received from external agencies. The Trust is developing an organisational approach to investigations as part of the nationally mandated work to implement the Patient Safety Incident Response Framework and is commissioning a training programme that will provide attendees with enhanced skills in reviewing and learning from patient safety incidents; the Executive Director of Quality, Nursing and Health Professionals has also introduced new governance processes. The Trust's safeguarding leads have supported College leads in developing a more robust safeguarding policy for enrolees, provided additional learning sessions to college staff and volunteers, and have a rolling programme of support in place; Additionally, the Executive Director of Quality, Nursing and Health Professionals has introduced new governance processes including a Central Safety Summit with an approved scope and purpose agreed at Board level with reporting into the Trust’s Quality Committee for continuous oversight at a Non-Executive Director level. The Home Office is working with police forces to ensure improvements in effectiveness and efficiency of the system to manage sex offenders and prevent them from committing further harm, and is working with the National Police Chiefs’ Council’s Violence and Public Protection and Violence Against Women and Girls portfolios. The VKPP engages with forces and key partners to identify promising practice and share knowledge to shape future responses to serious crime that exploits vulnerability. HMPPS is developing a new Continuing Professional Development risk learning product to be piloted towards the end of this year before being launched from February 2025, and has identified SEEDS2 as a strategic learning priority for 2024-2025 with Probation Officers required to complete the learning by September 2025 as part of their Continuing Professional Development requirement. No actions or plans described.

Noted (AI summary) The Department of Health and Social Care outlines the planned phased implementation of Martha's Rule, giving patients the right to request a rapid review of their case by someone outside their immediate care team, and describes NHS England's broader Managing Deterioration Safety Improvement Programme. The response contains no text and cannot be classified.

Noted (AI summary) The Ministry of Housing acknowledges the concerns regarding window restrictors but argues that current legislative arrangements are proportionate and appropriate. They state that the Building Safety Regulator will consider how Building Regulations and Approved Documents ensure protection from falling.

Noted (AI summary) The Department of Health and Social Care highlights the role of Integrated Care Systems (ICSs) in planning and delivering integrated health and care services. It notes a Joint Action Plan is being developed to improve mental health treatment for people using drugs and alcohol, and DHSC and DLUHC will write to Directors of Housing, Adult Social Services, and Chairs of Safeguarding Adult Boards to emphasize their role in the homelessness system. The Tameside Adults Safeguarding Partnership Board (TASPB) is developing an action plan based on a Safeguarding Adults Review, with a workshop planned and an Action Plan Review Group monitoring progress. Additionally, TASPB launched the TASPB-Tiered-Assessment-and-Management-(TRAM) Protocol in November 2023 to support practitioners working with adults at high risk. The response contains no text.

Noted (AI summary) The Department of Health and Social Care acknowledges the concerns regarding ambulance call triage systems and notes that NHS England has a process to map 999 call triage system outcomes against ambulance response time categories. The Emergency Call Prioritisation Advisory Group (ECPAG) keeps the categorisation of calls under continual review.

Noted (AI summary) The Department of Health and Social Care acknowledges concerns about ambulance response times, refers to the NWAS response, and highlights the 'Delivery plan for recovering urgent and emergency care services' and related initiatives.

Noted (AI summary) The College of Policing updated the First Aid Learning Programme (FALP) in 2020, increasing recommended training time for both refresher and initial training for public-facing officers, now including basic life support and airway techniques. Annual refresher training is a core requirement of the FALP license. Response is a placeholder document.

Noted (AI summary) Greater Manchester Integrated Care has delivered training sessions on ARFID and made all Stockport pediatricians aware of the recent Royal College of Child Psychiatrists published guidance in relation to ARFID. Information/learning has been shared across NHS Greater Manchester ICB. NICE has concluded that it is not best placed to develop guidance on avoidant/restrictive food intake disorder, and in particular in medical emergencies in eating disorders. They will refer the report to their surveillance team for consideration when the eating disorders guideline is next reviewed.

Noted (AI summary) The Ministry of Defence expresses condolences and states that Mr Day received significant medical input, including mental healthcare, occupational health, and primary medical care. While open to improvements, they don't feel a need to change MOD policies in response to the report, given existing mental health services.

Noted (AI summary) The Integrated Care Partnership states that District Nurses share advice via a Communication Book and that the Trust has provided a timeline of communication with the care home. They describe the process for Tissue Viability Nurses to review and provide advice, including the use of wound photography and communication with the nursing service. CQC will follow up with Stockport NHS Foundation Trust at future engagement meetings to ensure that appropriate reflection has taken place and learning from this incident disseminated. CQC are continually monitoring the service and liaising with the Integrated Care Board to review any ongoing risks and feedback.