Somerset

Noted (AI summary) Somerset NHS Foundation Trust has developed supportive guidance for families regarding Section 17 leave from inpatient units, which is currently out for feedback and will be shared at an operational meeting for approval. They also describe planned training for mental health staff on menopause. NHS England acknowledges concerns about menopausal care and highlights increased awareness and demand. They describe training programmes, awareness sessions and e-learning packages that have been launched, some since Anne's death, to improve resources for healthcare practitioners. NICE expresses condolences and states that the concerns raised are not directly attributable to NICE but are addressed to other organizations. They reference existing NICE guidance and quality standards related to suicide prevention and menopause, and indicate that the menopause guideline was recently updated and will remain under surveillance. The RCOG extends condolences and recognises the concerns raised, highlighting that management of the menopause is covered in the core training curriculum for Obstetricians and Gynaecologists, including a Special Interest Training Module and the Diploma of the Royal College of Obstetricians and Gynaecologists. Kenny & Murphy Ltd sold the incident site in March 2024 and has no influence over tenants there. However, they have discussed electrical safety with tenants at their other sites and provided them with relevant leaflets and documents.

Noted (AI summary) The Department for Transport states that the concerns raised are not appropriate for them to respond to, as the incident occurred on a racetrack and not on a public highway, and refers the matter to DCMS. The Department for Culture, Media and Sport will work with Sport England, HSE, the ACU, the Department for Transport, and other stakeholders to assess possible actions to improve track safety and help prevent future deaths at motocross activities.

Noted (AI summary) NHS England acknowledges the concerns raised about the link between menopause and mental health decline and highlights existing NICE guidance. They also describe the role of the Regulation 28 Working Group in sharing learnings nationally. Somerset NHS Foundation Trust established a multi-disciplinary task and finish group to create guidance for clinicians on considering menopause/perimenopause during assessments, and plans to share the guidance in the coming weeks. They are also exploring national resources through the Newson Health Menopause Clinic. NICE is currently updating its guideline on menopause: diagnosis and management [NG23] with publication expected on 7 November 2024 and following publication, their surveillance team will assess if any further changes relating to mental health and menopause are needed.

Noted (AI summary) The Home Office expresses condolences and explains the English language requirements for various immigration routes. They will tighten requirements for care workers coming to the UK on the Health and Care visa and will keep immigration requirements under review as part of this work, but does not believe raising the level of the English language requirements for Skilled Workers would be appropriate.

Noted (AI summary) Aria Care will direct all future requests for riser/recliner chairs to Shackleton's, ensuring lockable handsets, and inform newly admitted residents of this requirement from December 1st, 2023. They are also working to replace existing chairs without lockable handsets and will reduce the use of riser/recliner chairs across the organization. HSE outlines the regulatory regimes applicable to the circumstances. HSE has contacted CQC on the patient safety aspects and notified OPSS regarding consumer product safety. The Department of Health and Social Care acknowledges the concerns, notes the CQC's investigation and outcome, and mentions Aria Care's move to use lockable remotes on riser-recliner chairs. The Department of Health and Social Care acknowledges the concerns, notes the CQC's investigation and outcome, and mentions Aria Care's move to use lockable remotes on riser-recliner chairs.

Noted (AI summary) NICE has updated its guideline on head injury [CG176] but the guideline committee did not find convincing evidence that a history of coagulopathies should be an indication for a head CT in the absence of other signs and symptoms, with the exception of someone taking oral anticoagulants or antiplatelets, so have not added this to recommendation 1.4.12.