Milton Keynes

Noted (AI summary) Milton Keynes Council states that they adhere to a risk-based approach to highway maintenance, in line with national guidance, and that inspections did not reveal any actionable defect at the location. They will continue to fulfill their statutory obligations as the Highway Authority.

Noted (AI summary) Milton Keynes City Council states they have received no formal complaints about the junction, confirm that the slip road and signage are the responsibility of National Highways, and note that they will cooperate with any actions arising from the inquest that are in their power. TomTom has implemented additional safeguards to limit driver confusion at the A5 Little Brickhill junction by timing verbal commands closer to the actual exit and after passing the off-slip road; these changes require users to update their maps. Google is working on improvements to the timing of audio guidance in Google Maps, including an amended audio prompt for junctions where drivers cross an overpass and anticipate launching these changes in the near future. Apple found no data or routing error on Maps, but will add special voice guidance for drivers heading past the A5 offramp toward the A5 onramp instructing them to "Continue straight at the overpass" and then "Turn right onto A5 toward Milton Keynes, Bletchley," which will be live by the start of next week.

Noted (AI summary) The ICB will work with primary care practices to ensure patients declined registration receive details on how to find and register with a GP and ensure practices are aware of the mental health single point of access. They will also work with CNWL to ensure mental health crisis information is available in surgery waiting areas and continue to work with 111 providers on the dedicated process for mental health due in Spring 2024. Red House Surgery states it was unable to register the patient due to their address being outside the practice catchment area, and this is practice policy. They assert they provided the mother with the number for the crisis centre, which is practice policy for anyone raising a mental health concern who cannot access a GP. CNWL will discuss the case in a Care Quality Improvement Forum meeting, cascade a learning leaflet to local GPs via the Primary Care Network (PCN) alliance, and supply posters to GP surgeries with information on how to access mental health services via the ED at MKUH. Nationally, NHS England are working with NHS 111 to create a dedicated process to access MH services due in April 2024.

Noted (AI summary) NHS England are committed to moving to a ‘0-25 year service model’, offering person-centred and age-appropriate care for mental and physical health needs. A Patient Safety Bulletin was issued highlighting the need for ‘prompt measurement of ammonia and action in the event of hyperammonaemia’. The FSA expresses condolences and explains its responsibilities for food safety, noting that nutritional advice and labelling are the responsibility of the DHSC, to whom they will forward the report.

Noted (AI summary) NHS England expresses condolences and explains its role as a facilitator for system partners working to deliver recommendations from a Public Health England review on prescribed medicines. It describes national resources and notes actions taken by the BLMK ICB and Hilltop Surgery regarding opiate prescribing audits and medication reviews. The response also mentions a working group that shares learnings from PFD reports. Hilltops Surgery reviewed the case, audited patients on high-dose opioids, ensured 3-monthly reviews for certain patient groups, discussed the case with the Integrated Care Board, and arranged a meeting to review NICE guidelines on safe prescribing. The surgery also implemented face-to-face medication reviews and a call-and-recall system.