Inner South London

Noted (AI summary) The City of London Police (CoLP) are working with partner agencies to test interoperability of communications and enhance training scenarios, including a 7 day live trial in February 2020 to station staff in the MPS control room, with a review in Autumn 2020, and are engaging with the MPS in ICCS and CAD upgrade projects, planning an interim solution until upgrades are complete. The BVRLA has worked with the DfT and law enforcement to prevent the use of rental vehicles in terrorist attacks, providing training, guidance and engagement opportunities to members, and has included additional criteria within member audits from Jan 2020 to monitor awareness, training and compliance against the Rental Vehicle Security Scheme. The LAS is planning a live trial for seven days in February 2020, with LAS and LFB staff based in the MPS control room, and will analyze the outcome and consider a recommendation for approval by Autumn 2020; it is also working with its emergency service partners and increased visibility of the HART and TRU teams. The Home Office acknowledges the coroner's concerns and provides context, stating that the issues raised are technical and will be considered by the police in collaboration with the Emergency Services Network programme. It also mentions ongoing work led by the National Police Chiefs' Council. The MPS is trialing a "London Emergency Services Contact Centre" with representatives from the LFB and LAS deployed within the Specialist Operations Room, with a table top exercise followed by a real-life 7-day trial planned for early 2020.

Noted (AI summary) The Trust has implemented a new triage process managed by Site Nurse Practitioners, enabling prioritization of patients needing urgent admission within 48 hours. They are also looking at an electronic referral system and increasing the number of beds for Thoracic Surgery patients by Q1 2020. The Department of Health acknowledges the concerns, notes that NHS England is responding separately, and highlights peer review activities of thoracic services in London and oversight to ensure timely access to thoracic surgery. The response also references the legal duty of candour for NHS trusts during investigations. NHS England is reviewing capacity for thoracic surgery, including critical care beds, in light of new lung cancer pilots and concerns raised. They will keep pathways under review to ensure timely access to high-quality services.

Noted (AI summary) Byron has rectified the lack of records kept of on-job training immediately and each employee will now have records kept, and are investing in a market leading training system called "Flow" which is launched in the business from November where every employee will have their own personal training modules and records. BSACI will write to the chair of the FSA to advocate for funding for the UK Fatal Anaphylaxis Registry (UKFAR), which they are exploring closer working with to ensure its sustainability. National Trading Standards states that food safety and allergen regulation is outside their remit, which focuses on regional or national issues like complex consumer fraud. They note the Food Standards Agency is responsible for allergen legislation and policy. The FSA plans to develop an online reporting system and improve data sharing for allergic reactions, including those not resulting in death, to enable timely identification of trends and action by local authorities. DHSC will work to increase information prevalence on anaphylactic deaths and will support the FSA's reporting platform.

Noted (AI summary) The Department for Transport states it is updating the Traffic Signs Regulations and General Directions (TSRGD), including Chapter 5 on pedestrian crossings, with updated advice on the design of pedestrian facilities, therefore no further action is considered necessary.

Noted (AI summary) Oxleas NHS Foundation Trust states that Mr. Vukovic was not referred to the Home Treatment Team and explains why. They note that Lifeline would not have been able to provide support and state Mr. Vukovic was discharged to a family who had been involved in his care.

Noted (AI summary) Following the incident, the cardiomyopathy service now ensures that email correspondence with patients is added to the patient's health record. Trust-wide guidelines are being developed regarding email communication with patients. The Department of Health acknowledges the coroner's concerns, references existing GMC guidance on communication, and notes that Barts Health NHS Trust is addressing the issue. They state that concerns about individual clinicians should be raised with the GMC. The Trust is exploring current practice regarding email correspondence between clinicians and patients and will consider local guidance based on NHS England's Accessible Information Standard, pending national guidelines.

Noted (AI summary) The Royal College of Emergency Medicine discussed the case and unanimously concluded that it would not be justifiable or effective to amend the Paediatric Emergency Warning Score to include jaundice.

Noted (AI summary) The MHRA reviewed the SUSAR report and determined that the symptoms were in line with the known safety profile for nivolumab, and no further action is required for participants in nivolumab clinical trials. They also stated that conflict of interest lies outside the remit of MHRA for clinical trials.