Inner North London

Action Planned (AI summary) The London Ambulance Service updated its Computerised Gazetteer to include multiple entrances to HMP Pentonville, and included specific reference to HMP Pentonville in refresher training for EOC staff, requiring confirmation of the gate to attend at the start of a call. They have also held meetings with senior prison staff to promote effective communication. Care UK refers to the response provided by BEH-MHT for some concerns, and states they will collaborate with them to ensure their action plan is implemented. They have implemented a training plan to ensure most healthcare staff will be ILS trained by December 2016, with yearly refresher trainings. NOMS states that the local risk assessment at Pentonville is up to date, and there is a sufficient number of staff trained in first aid. Prison control room staff have been briefed to provide the prison gate location at the beginning of calls to the London Ambulance Service.

Action Planned (AI summary) Public Health England will submit work on the cost-effectiveness of extending the HPV vaccination programme to adolescent boys to JCVI by early 2017. In November 2015 JCVI advised that a targeted HPV vaccination programme for MSM aged up to 45 who attend GUM and HIV clinics should be undertaken subject to procurement of the vaccine and delivery of the programme at a cost-effective price.

Action Planned (AI summary) The Trust has developed an 'In-patient leave agreement' and an 'In-patient leave checklist' to be completed before a patient goes on leave, with a pilot on older persons wards aiming for full introduction by the end of the month and quarterly audits starting in July 2016.

Action Planned (AI summary) The DWP believes its processes were followed correctly but will issue a reminder to all staff about guidance related to suicidal ideation. Following the incident, the involved crew undertook Reflective Learning, and a Clinical Update reinforcing the assessment of Capacity was published. A new Operational Management Structure was implemented, including Stakeholder Engagement Manager and Quality Assurance & Governance Manager roles, as well as funding for Mental Health Nurses in the control room. The Metropolitan Police will ensure that the future structure and resourcing model of Sapphire teams meets the demands of increased reporting levels and promotes a supportive working environment, and invest in training for first responders and investigators.

Action Planned (AI summary) CMF Ltd will ensure lifting operations are planned by a qualified appointed person, use their native lift plan procedure, submit plans to the Principal Contractor for approval, explain plans to the lift team, and re-brief the team if the lift supervisor is absent or the plan is in force for more than 90 days; lifting will cease if conditions change. Laing O'Rourke issued a Safety Alert requiring sign-off by their Appointed Person for Lifting on all contractor lift plans and requires project teams to review high-risk activities monthly with 'Planned vs Actual' assessments.