Norfolk

Noted (AI summary) Norfolk County Council plans to issue a communication to all operational managers and reablement liaison officers to remind them to record every referral (accepted or declined) and all attempts to obtain access details in the Service User’s Liquid Logic record, to prevent recurrence of recording errors. Careline365 reviewed its internal procedures for recording and communicating property access information, confirming adherence to TEC Monitoring module standards and no operational failing on their part. They clarified that the ultimate provision of access details in multi-agency pathways is beyond their operational visibility once a call is escalated.

Noted (AI summary) The Department of Health and Social Care acknowledges the concerns about district nurse numbers but states the responsibility lies with local Integrated Care Boards and NHS trusts, while mentioning a forthcoming 10 Year Workforce Plan.

Noted (AI summary) The Department for Transport confirms that it is not the owner of the wreck and has no legal responsibility pertaining to it, as the wreck was sold to a private individual in 1957.

Noted (AI summary) NHS England has asked ambulance trusts to confirm compliance with NHSE guidance and has escalated the issue with the 25-C codes to the International Academies for Emergency Dispatch for rapid resolution. AACE states that the primary ownership of the concerns regarding 999 call categorisation lies with NHS England and that they have liaised with NHS England to ensure the matters of concern are being considered.

Noted (AI summary) An observational peer review was completed in August 2024 by a Consultant Cardiothoracic Radiologist at Cambridge University Hospitals, and the Trust received the written outcome report. An SOP for deterioration of patients following lung biopsy is in place, and an air embolism training module is now available. The British Thoracic Society will propose a patient safety alert to the NHSE Patient Safety Committee to ensure a timely and appropriate response to air embolism following invasive procedures. The Royal College of Physicians supports the British Thoracic Society recommendation of an NHS Patient Safety Alert to raise wider awareness of air embolus. The Royal College of Emergency Medicine intends to raise awareness of air embolism among members by re-issuing a case report and considering specific guidance on recognition and management on its eLearning platform. The Royal Society of Medicine has asked Presidents of relevant specialist sections to include the risks of air embolism and its management in upcoming educational events. The Patient Safety section will elevate the profile of air embolism risks at its Patient Safety Summit in November 2024. The Royal College of Surgeons of England will flag the risk of air embolism within their governance mechanisms for ATLS and CCrlSP and will draw attention to the risk with their membership through regular communications. The Royal College of Anaesthetists and Association of Anaesthetists confirm that air embolism risks are included in anaesthetists' training and guidelines. They highlight the Quick Reference Handbook for managing anaesthesia-related emergencies and the Anaesthesia Clinical Services Accreditation scheme standards. A standard operating procedure for managing a deteriorating patient after image-guided lung biopsy has been implemented. A consultant anaesthetist has confirmed that an air embolism training module is now available to all Royal College of Radiologists members, and a REAL talk has been scheduled.

Noted (AI summary) Norfolk and Norwich University Hospitals NHS Foundation Trust acknowledges receipt of the Regulation 28 report and states it is reviewing the comments and discussing the matters raised with staff. It requests an extension of time to finalise the response.