Leicester City and South Leicestershire

Noted (AI summary) The CAA has adopted updates to Acceptable Means of Compliance to CS-27 and CS-29 relating to rolling contact fatigue in critical bearings and initiated rulemaking projects to clarify the airworthiness status and life limits of critical parts and ensure the removal of defective critical parts from service. They will also engage with international counterparts to harmonise approach to critical bearing design and certification. EASA acknowledges the concerns raised in the Prevention of Future Death Report, referring to their assistance in the AAIB safety investigation and internal procedures for addressing safety recommendations. They state that they are considering introducing new AMC to CS 29.927(a) (Additional tests) to clarify the need to support inspection intervals and retirement times with appropriate directly applicable data, but believe the existing framework is adequate.

Noted (AI summary) The response consists of the organisation's name only.

Noted (AI summary) NHS England acknowledges the concerns regarding insufficient medical staffing during the New Year bank holiday. They refer to the 7-Day Hospital Services Programme and the NHS Long Term Workforce Plan and note the actions taken by the University Hospitals of Leicester NHS Trust, also describing the R28 Working Group. The hospital trust has changed its electronic prescription system for anticoagulation, recruited new staff for an anticoagulation review service, included anticoagulation in its PSRIF, and increased medical staffing with consultant cover on bank holidays/weekends. They have also implemented a policy for patients/relatives to request an independent clinical review.

Noted (AI summary) The Department for Culture, Media and Sport outlines actions planned following the Gambling Act Review, including enhanced affordability checks, strengthened protections for young adults, and empowering consumers to control their gambling, with the main measures expected to be in force by summer 2024. Flutter provides background information on the company and its brands, particularly Betfair, explaining the difference between the Sportsbook and the Exchange. The Gambling Commission outlines several initiatives and planned actions, including collaboration with stakeholders to improve understanding of gambling-related harm, support for research, and the development of GamProtect, a 'Single Customer View' solution for identifying customers at risk of harm.

Noted (AI summary) The Department of Health and Social Care outlines existing NHS services and policies related to electronic health record transfer and access.

Noted (AI summary) The GMC updated its prescribing guidance in February 2021 to place greater emphasis on good practice principles regardless of consultation method and highlights the need for dialogue with patients and obtaining adequate history, including current medication use. The GPhC outlines its role in setting standards for registered pharmacies and pharmacy professionals and taking enforcement action when standards are not met, including actions against online pharmacies supplying high-risk medicines and referrals to Fitness to Practise process. CQC has been in formal discussion with DHSC and submitted proposals for legislative changes to improve risk management of online primary care providers, and is working with regulatory partners to ensure that gaps in regulation are mitigated. DHSC acknowledges the concerns and describes the regulatory framework for medicines, including the roles of MHRA and GPhC, without outlining specific actions beyond existing oversight.

Noted (AI summary) The document provides general guidance on safer sleep practices for newborns, focusing on recommendations for reducing the risk of sudden infant death syndrome (SIDS).

Noted (AI summary) The UK Diving Medical Committee (UKDMC) discussed the coroner's points but sees no reason to change the current system of self-certification for divers, where the onus is on the diver to provide corroborative medical information if asked.

Noted (AI summary) NHS England states that a central register of providers for specialist placements for individuals diagnosed with Asperger's Syndrome does not exist, but refers to the CQC website and mentions national initiatives aimed at improving services for autistic people. The Trust has increased mandatory autism training for staff, held meetings to ensure clear handover of patient care during bank holidays, reviewed and updated the Trust's Handover Policy, and will introduce Nerve Centre, a hand-held device for immediate access to patient information.