Oxfordshire

Noted (AI summary) NHS England acknowledges the concerns about the NHS Pathways algorithm and details its function. It highlights existing access to clinical support for health advisors and refers to work by the Regulation 28 Working Group. The practice has amended its process for new baby registrations, including removing the 'unregistered babies' folder and updating the Docman system to allow electronic rejection of incorrectly sent correspondence. The trust has already taken several actions including auditing the call, sharing learning through various channels, and providing training to staff. They have also reviewed and amended the NHS Pathways cardiac arrest algorithms following a previous case. The CQC contacted the provider, Unity Health, who confirmed they reviewed their processes and implemented a new system for creating a new profile when they are notified about a birth. They flagged this issue with the ICB and will be sharing details of this incident with the CQC’s Primary Care inspection teams.

Noted (AI summary) South Central Ambulance Service details actions taken since December 2023 including introducing the "Fit for the Future" programme, increasing paramedic apprenticeship numbers, reviewing skill levels of crews, increasing support for newly qualified paramedics, utilising specialist practitioners, implementing a new joint process with healthcare partners regarding ambulance crew wait times at hospitals and updating their fleet of vehicles. BT clarifies its procedures for handling emergency calls, including operator actions, listening practices, and the Critical Call Process, and explains that distress alone is not an agreed trigger for the Critical Control Process.