Milton Keynes

Noted (AI summary) The Department for Transport outlined existing GB domestic and working time regulations for drivers of light goods vehicles. They stated that if the driver fell asleep due to inadequate rest, existing regulations would apply, and offered to coordinate with DVSA for an investigation if employer details are provided. NHS Milton Keynes University Hospital NHS Foundation Trust has communicated to all Registered Nurses (RNs) and senior staff via matrons and safety huddles, reiterating the importance of active monitor alarms and staff visibility. Senior nursing teams have also provided initial training on transferring data from monitors to modules, which will be added to medical equipment training.

Noted (AI summary) Milton Keynes University Hospital outlined actions taken, including managing involved individuals, sharing resources, implementing the Association of Anaesthetists Quick Reference Handbook, and standardising monitor configuration across theatres. They are also working to improve teamwork, communication, and safety culture across multidisciplinary teams. The Royal College of Anaesthetists (RCoA), in collaboration with the Association of Anaesthetists and the Difficult Airway Society (DAS), will address issues through a coordinated campaign to disseminate and embed lessons learned into practice, including developing resources for multidisciplinary team training, working with stakeholders to highlight human factors, and spreading key messages through journals, newsletters, social media, and educational events. The Department of Health expresses condolences and notes actions taken by Milton Keynes University Hospital NHS Foundation Trust and the Royal College of Anaesthetists. They highlight national initiatives such as simulation-based training and equipment standards, but describe no specific new actions. They have brought the report to the attention of the CQC and HSIB. The Royal College of Anaesthetists (RCoA), the Association of Anaesthetists and the Difficult Airway Society launched a coordinated campaign including a dedicated webpage, educational talks, articles in members' magazines, and social media promotion to disseminate learning points from the case. They will develop more resources for multidisciplinary team training and maintain work to prevent unrecognised oesophageal intubation through the Safe Anaesthesia Liaison Group.

Noted (AI summary) • The company's Clinical Application Specialist (CAS) will provide on-site training and support for a total of 4 weeks. • The training programme will incorporate the alarm classifications and the importance of maintenance of the lead attachments to ensure optimal performance of the monitors. • The company will also deliver 'Train the Trainer' with individuals to ensure future new starters can be trained following this initial period.

Noted (AI summary) Milton Keynes CCG describes community-based services that superseded a previous falls service, including a Home 1st Rapids service and the Staying Steady service, and asserts that these meet the original service's objectives.

Noted (AI summary) Milton Keynes Council has a contract for counselling services in place with MIND, which will be maintained until April 2019 whilst MIND develop additional funding opportunities for their services. Milton Keynes CCG has invested year on year into Improving Access to Psychological Therapies (IAPT) service provision and invested in a Primary Care Plus (PCP) service working with general practice to provide access to specialist support for people with serious mental illness and increasing mild and moderate need in primary care.