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 of Health and Social Care outlines existing NHS services and policies related to electronic health record transfer and access.

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) 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.

Noted (AI summary) The CCG acknowledges the need to update the CAMHs outpatient and community service specification to reflect new services implemented, such as alignment of CAHMs to the liaison service and the Crisis and Home Treatment service, and this pathway and contract review has commenced. The Department acknowledges the concerns around mental health provision for children in Leicestershire and highlights ongoing national work to transform children and young people's mental health services, supported by additional investment. It notes that the CCG responded separately and that a Serious Incident investigation has been undertaken.

Noted (AI summary) The surgery will raise the case as a discussion point in a practice meeting, make all doctors aware of self-referrals, and produce posters to put up in the waiting room to encourage patients with a family history of AA to self-refer for screening, also mentioning this fact in their PPG newsletter. The Trust has reviewed the process for rejecting imaging referrals and is strengthening the relevant guideline to include a clear statement of why the rejection was made. A new system has been implemented for redirecting imaging referrals sent to the incorrect team, and communication has been sent to GPs informing them how to refer into the Screening Programme. The CCG has enclosed the signed final report regarding the Serious Incident investigation into this case and confirmed that they have contacted the family to share the report.