Greater Lincolnshire

Action Planned (AI summary) Lincolnshire County Council plans to improve public awareness of road hazard reporting by increasing visibility at public events, using social media, and developing the FixMyStreet platform. They will measure performance via user numbers and feedback, aiming for annual improvement. Lincolnshire Police will support National Highways in promoting their 24/7 Customer Contact Centre for road-related issues. They will incorporate the contact number into public materials, engagement sessions, and digital communications. National Highways will include contact details in all communications, incorporate their website into fleet vehicle livery, establish a Social Media Response Team, explore wayfinding services, and better inform on-road staff. They will also investigate hard plate signage to guide road users.

Action Planned (AI summary) The ICB will add a statement to the Lincolnshire Formulary reminding users to prescribe PPIs with NSAIDs, and will highlight NICE guidelines in the Medicines Optimisation newsletter and primary care Bulletin. It will also share a case study at the Medicine Safety Network meeting and the Prescribing Forum.

Action Planned (AI summary) The care home manager will personalise existing generic policies. The care home manager will personalise existing generic policies.

Action Planned (AI summary) Lincolnshire County Council intends to review its AMHP policies to incorporate references to 'masking' and will discuss the coroner's concerns at the next AMHP Forum.

Action Planned (AI summary) Lincolnshire County Council plans to implement a working protocol for mental health and substance misuse services, take into account best practice when re-commissioning drug and alcohol services, review dual diagnosis provision, and consider partnership commissioning with the CCG. We Are With You charity has jointly agreed to review Dual Diagnosis pathways, embedded information sharing expectations, and reviewed staff structures to introduce specialist Dual Diagnosis roles. They have also enhanced reciprocal training to LPFT and regularly attend interface meetings and provide opportunities for staff from various organisations to spend time within their teams. The Trust plans to update training programmes to focus on dual diagnosis, reinforce the role of carers, review the Care Programme Approach, and engage with commissioners to ensure appropriate funding for patients with dual diagnoses. They also aim to remove barriers to information sharing and promote data gathering and benchmarking.

Action Planned (AI summary) EMAS acknowledges exceeding response times and states that additional funding was agreed to address this. The funding will be used for clinical staff, ambulances, and other resources to improve response times and consistency across the East Midlands.

Action Planned (AI summary) The HSE acknowledges the need to engage with voluntary organizations and volunteers and improve signposting to relevant guidance so they have a better understanding of their duties. They are actively working to improve web pages and develop further guidance and support networks for voluntary organizations including assisting them in finding bespoke guarding and risk control solutions to include heritage machinery.

Action Planned (AI summary) The Trust is implementing a new SI process which incorporates training across the Trust and a new Risk Manager will start in February 2018. The updated clerking proforma risk assessment will be sent to stores to be re-printed and then circulated to the clinical teams.

Action Planned (AI summary) National Highways will complete a study considering collisions between Toll Bar Road and Gonerby Moor to identify cost-effective remedial measures, which may include engineering, education, or enforcement in partnership with the Lincolnshire Road Safety Partnership. Action identified will be submitted for funding in the Spring/Summer.