Manchester South

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.

Noted (AI summary) Greater Manchester Integrated Care reports on a review of Mr. Briney's case with the GP and hospital, noting efforts to identify treatable causes and investigations ordered. They acknowledged that communication with the family was not always timely and offered apologies for the delay in contacting them at the end of Mr. Briney's life.

Noted (AI summary) North West Fire Control is supporting the embedding of Joint Emergency Services Interoperability Principles (JESIP) and working with partners to implement electronic data transfer for improved information sharing, expected by March 2024. NHS England outlines existing guidance for ambulance services relating to overdoses and suicidal intent issued in April 2021, and describes ongoing work to improve ambulance performance. Cheshire Constabulary has signed the Joint Operating Protocol (JOP) with NWAS and supports its endorsement by other parties, with a coordination meeting scheduled for January 16, 2024. Lancashire and South Cumbria ICB reports that four North West police forces have agreed and gone live with their Joint Operating Protocols (JOPs) with NWAS, with Greater Manchester Police in the final stages of agreement, and learning will be overseen by the NWAS Regional Clinical Quality Assurance Committee. Cumbria Constabulary has signed a regional Information Sharing Agreement (ISA) and has been working under a Joint Operating Procedure (JOP) since October 2023; it also provides clinical support through its "treat and hear" facility. Lancashire Fire and Rescue Service states that it was not involved in the incident, but is committed to improvement and learning. The service outlines its support for JESIP, reviews policies/procedures/training, and has an Immediate Emergency Care SOP with guidance on various areas. Four of the North West police forces, including Cheshire Constabulary and Merseyside Police, have agreed and implemented Joint Operating Protocols (JOPs) with the North West Ambulance Service to improve information sharing and escalation processes. The North West Ambulance Service (NWAS) have engaged with all the North West Police Forces to develop a Joint Operating Protocol (JOP). Four forces have agreed and gone live with their JOPs, ensuring clear process for sharing information, primacy understanding, and a clear escalation process for any operational issues. BTP has adopted the "Ten Second Triage" (TST) tool nationally and is delivering associated training in 2024. They also use ESICTRL radio talk groups for direct communication between emergency service control rooms. NWAS reports that a Joint Operating Protocol (JOP) has gone live with Cheshire, Cumbria, Lancashire and Merseyside Police Forces, and that an updated version has been agreed with Greater Manchester Police and is scheduled for implementation across the whole North West following a meeting in late February 2024; also, the JOP has been extended to include British Transport Police, North West Fire Control, and Fire and Rescue Services. Merseyside Fire and Rescue Service states that its existing procedures for communicating casualty information to NWAS are sufficient, including written instructions and escalation options. Lancashire Police has agreed to Version 1.3 of a Joint Operating Protocol (JOP) with regional forces and NWAS to provide clarity and guidance to Control Room staff regarding escalation of incidents due to delays; awaiting final sign-off from GMP and Fire and Rescue. Response not parsable

Noted (AI summary) The Department acknowledges the concerns regarding prolonged opiate prescriptions, explains the role of clinicians and the MHRA, and highlights existing guidance and monitoring processes, including updates to product information and labeling.

Noted (AI summary) The Council provides a summary of Adult Social Care involvement prior to Mr. Hall's admission and highlights existing procedures and challenges in the social care market, including working with the independent sector and addressing gaps. It acknowledges challenges in the social care market and are continually working to address these through more flexible, sustainable and outcome focussed services.

Noted (AI summary) ABTA acknowledges the coroner's concerns and outlines its role in providing guidance to travel industry members and consumers, particularly regarding health and safety. They highlight their work with the FCDO and their consumer safety information, but state they are not aware of the full facts in the specific case. The FCDO has enhanced its Travel Advice on swimming safety to include a link to the Royal Life Saving Society’s (RLSS) “Water Safety on Holiday” page in the “Swimming safety” section of the “Safety and Security” page.

Noted (AI summary) The Department acknowledges concerns over physical healthcare in mental health settings and compatibility of electronic patient records, noting expectations for the Trust's response and describing the use of shared care records in Greater Manchester.

Noted (AI summary) NHS Greater Manchester Integrated Care acknowledges concerns about the demand and availability of social care and has connected with Trafford Local Authority. Supported by NHS GM funding, localities have commissioned home from hospital support; NHS GM has undertaken capacity and demand modelling of home care and care home markets and will share learning across Greater Manchester. The Department of Health and Social Care acknowledges concerns over delayed hospital discharge due to social care package challenges. It notes that Trafford Council has redesigned the homecare offer, and Greater Manchester ICB has undertaken capacity and demand modelling of home care. The response also mentions national initiatives like the Hospital Discharge and Community Support Guidance.