Manchester South

Action Taken (AI summary) NHS England acknowledges concerns about ambulance delays at Tameside General Hospital, highlighting the Delivery plan for recovering urgent and emergency care services and the work of the North West Every Minute Matters Hospital Handover Collaborative, which has led to improved response times in Greater Manchester.

Action Taken (AI summary) L&Q took immediate action following the inquest, including self-referring to the Regulator for Social Housing. They have implemented additional processes and checks, including aligning call recording processes, instituting weekly meetings with Liberty to review all jobs raised, and automatically following up on incomplete jobs with welfare checks.

Action Taken (AI summary) NHS Greater Manchester Integrated Care shared learning from the case with the Greater Manchester System Quality Group and cascaded it to professionals through relevant governance and learning forums. Ambulance performance is reviewed regularly, and they are committed to achieving ARP standards. The DHSC describes national actions to improve urgent and emergency care, including ambulance resources, increasing hospital bed capacity, scaling up virtual wards, and funding for timely discharge. They report improvements in ambulance response times.

Action Taken (AI summary) The DHSC outlines actions taken nationally to improve urgent and emergency care, including dedicated funding, scaling up virtual ward capacity, and providing funding for timely discharge from hospitals. They report improvements in ambulance response times and A&E waiting times.

Action Taken (AI summary) NHS England acknowledges the pressures on ambulance services and highlights the Delivery plan for recovering urgent and emergency care services. The North West Every Minute Matters Hospital Handover Collaborative has seen improvements in Greater Manchester, and ambulance performance is reviewed regularly.

Action Taken (AI summary) The Trust is piloting a new paper-based 'Sepsis Six' assessment, with plans to digitize it, and has purchased additional computers on wheels for nurses to document at the patient's side. They are also participating in an electronic patient record (EPR) programme with the aim to procure and implement a single electronic patient solution to replace the majority of the Trust’s clinical systems.

Action Taken (AI summary) The Trust already holds daily ward safety huddles to discuss patients at risk of falls, and has a number of existing practices and processes for falls prevention in place. They also held a "Focus on Falls Week" in September 2022 which is now an annual event.

Action Taken (AI summary) The trust has revisited its investigation report to support review of action plans, re-established a Just Culture meeting, is considering updated training for investigation authors, established a PSIRF implementation group, made patient safety training available online, and planned to share learning slides around inquest preparation.

Action Taken (AI summary) GMP has rolled out an Aide Memoire system, enhanced training, developed a supervisor's checklist, and conducts audits every six months to improve responses to missing persons. District performance is reviewed quarterly.

Action Taken (AI summary) Following the death, Stockport introduced a new Adult Complex Safeguarding Strategy endorsed by ADASS. The Stockport Safeguarding Adults Partnership’s Multi Agency Policy for Safeguarding Adults at Risk lays out locally agreed multi-agency procedures.