Manchester South

Noted (AI summary) NHS Greater Manchester will present learning from the case to the Greater Manchester System Quality Group and cascade shared learning to professionals through relevant governance and learning forums. No content in response.

Noted (AI summary) GMP is creating a training schedule to deliver an Initial Pursuit course (IPP) to traffic officers over the next 6-9 months, a 4-day tactical phase commanders' course in the final stages of design, and training for Team 3 dispatch operators, which is planned to take place within the next 6-9 months. Cheshire Constabulary, as lead force of the NWMPG, will deliver a training package regarding command protocols for cross-border pursuits and will monitor GMP's training package to disseminate best practices. Cheshire Police (on behalf of the NWMPG) and GMP have revised the managing pursuits protocol and produced a clearer document which removes the previous ambiguity on the issue of Command and Control. No content in response. Cheshire Constabulary, as lead force of the NWMPG, will deliver a training package regarding command protocols for cross-border pursuits and will monitor GMP's training package to disseminate best practices. Cheshire Police (on behalf of the NWMPG) and GMP have revised the managing pursuits protocol and produced a clearer document which removes the previous ambiguity on the issue of Command and Control.

Noted (AI summary) The response acknowledges the concerns raised and references actions taken by Tameside and Glossop Integrated Care NHS Foundation Trust, including a Root Cause Analysis and increased medical rota. It also notes that the CQC received assurance regarding a review of the sepsis pathway and retraining for staff. The Trust is planning to pilot an eNEWS application across its surgical wards to improve the accuracy and speed of data recording and to eliminate errors in early score warning calculation. The Trust's incident trigger lists have been circulated widely throughout the organisation with a reiteration of the importance of incident reporting.

Noted (AI summary) The Department acknowledges the concerns, states that NHS England engaged with the Trust, and that the CQC did not identify a need for further investigation of this specific case but continues to monitor the Trust’s performance.

Noted (AI summary) Learning from this case will be presented/shared with the Greater Manchester System Quality Group and cascaded to professionals through relevant governance and learning forums to improve outcomes for the population of Greater Manchester. Response contains no content.

Noted (AI summary) The GM Mental Health System Quality and Safety Group commissioned a whole system peer panel review of the Regulation 28. Key learning points will be presented/shared with the Greater Manchester Mental Health System Quality Group and cascaded to professionals through relevant governance and learning forums. GM will consider the development of a GM standardised set of principles for the role of adult community mental health teams. The Department acknowledges concerns about the Care Coordinator role, referencing increased mental health workforce numbers, and the NHS Long Term Plan's commitment to expand community mental health services. It also highlights that local systems are reviewing CPA processes and investing in mental health crisis care provision.

Noted (AI summary) Priory reviewed shift handovers and found them satisfactory. Additionally, a detailed handover template is being introduced across Priory Healthcare sites and is currently being trialled on Rivendell ward at Altrincham. Risk assessments have been completed on courtyards/gardens and a programme of works is underway to increase courtyard and garden fencing. The Department acknowledges concerns about the security of outside areas in mental health wards and notes actions taken by the Priory Group to improve security around the garden area of Tatton Ward. The response also provides information about national guidance and regulations related to security levels and reporting of unauthorised absences.