Inner North London

Action Planned (AI summary) The London Borough of Camden is migrating records to a new IT system for Careline, to be in place by the end of 2018, including a checklist for referring to emergency services with full patient history; a referral has been made to the SAR panel for review, and the Careline service has contacted LAS to discuss better information sharing.

Action Planned (AI summary) Hackney Council and East London Foundation Trust have formulated and are implementing a multi-agency action plan to ensure staff fluency with mental health assessment processes, review escalation pathways for service refusals, and review the AMHP referral risk assessment process; expected completion by 30th September 2018.

Action Planned (AI summary) London Borough of Tower Hamlets is piloting a new carers’ assessment, developing a single point of access for health and social care, and revising the Adult Social Care Failed Visits Policy & Process, emphasizing keeping front-sheet information up-to-date and highlighting the importance of calling the Police if serious harm is suspected. They have also terminated their contract with Careworld. Careworld London Ltd updated keyholder details for all service users using dedicated scheduling software. They reinforced requirements for carers to contact office staff for advice on failed visits, and revised their Failed Visits policy to emphasize involving the police.

Action Planned (AI summary) NHS England London Region Public Health Commissioners will continue to support London AAA screening programmes to improve men's awareness of their options to attend screening. Targeted work with GPs in areas of higher deprivation and potential inequalities in access.

Action Planned (AI summary) The RCoA will publish information on central venous access line safety in the Patient Safety Update and include these issues in the updated AAGBI guideline Safe Vascular Access. The FICM and ICS are developing national guidelines on the prevention, detection, referral and treatment of air embolism associated with central venous access. Barts NHS Trust has rewritten its policy on the use of central lines and three-way taps, stating that three-way taps should not be used on central lines but self-sealing injection ports should be used. They are also discussing with their current supplier a change in design to allow a clamp to be fitted; they are interested in working with us as they see this as a problem nationally which has not been raised before in relation to this complication.

Action Planned (AI summary) Subject to Camden Council agreement, Transport for London intends to progress a banned turning movement in order to provide a signal controlled crossing on Dukes Road, to be implemented next year.

Action Planned (AI summary) RLSS UK will raise swimming pool safety matters at the CIMSPA annual conference, which will host the launch of the HSE's revised guidance, Managing Health and Safety in Swimming Pools (HSG 179). The RLSS UK, CIMSPA and ukactive are committed to providing a summary of the changes and reminders about lifeguard vigilance.

Action Planned (AI summary) The organisation plans to provide Highbury Grove Crisis House staff with access to their IT system in early 2018, following training and checks. It has also agreed to jointly investigate all deaths connected to the Crisis House.

Action Planned (AI summary) Homerton University Hospital is implementing electronic referrals via e-RS for GPs by April 2018. They are taking actions to mitigate risks related to dentists not being able to use the system, as they cannot fix the issues locally. Kindandental has applied for an NHS net email address and plans to use it for electronic referrals within two weeks of access and training. They also plan to build functionality into their system to send referrals via other email services with patient consent, and reviewed/updated their referral pathways and associated checklist to ensure thorough referral processes, emphasizing verification of patient details.