Suffolk

Action Planned (AI summary) A flow pathway for Autoimmune Haemolytic Anaemia has been established and published in the Trust’s ‘Pink Book’ and will be included in the ‘Heads Up book’ (HUB), which is currently under development. The VTE assessment tool will be updated to include a prompt for haemolytic anaemia.

Action Planned (AI summary) Norfolk and Suffolk NHS Foundation Trust has increased capacity through the opening of four crisis house beds in Norwich, with plans to open two additional crisis houses in the coming months, as well as extra ward capacity for older people. The Trust has reviewed its bed management processes to ensure clinically-led admissions.

Action Planned (AI summary) The Limes will contact receiving care homes to share information when a resident is considering a move. They will also invite local Social Services and GP practice to coffee mornings to build a working relationship. Suffolk County Council is undertaking a Safeguarding Adults Review, with themed learning points to be defined. The review is expected to be completed by mid-December 2020, with full sign off by the SAB in February 2021.

Action Planned (AI summary) The MHRA will consider with the marketing authorisation holder whether improvements could be made to assist clinical staff to more easily assimilate the statutory information on intravenous fluid bags to reduce the likelihood of errors. West Suffolk NHS Foundation Trust implemented enhanced procedures and safeguards, including more robust processes for prescribing and checking fluid bags, introducing clear medication bags, and altering medication bag displays. They have seen a reduction in intensive care medication errors as a result.

Action Planned (AI summary) Suffolk County Council will review the junction design and layout to identify engineering solutions to reduce the opportunity for drivers to turn right in advance of the centre island, and will continue to monitor collisions across the county.

Action Planned (AI summary) AACE has asked JRCALC to consider whether there is sufficient evidence to change their current guidance for ambulance staff regarding pulse rate ranges for children with suspected sepsis. NICE reviewed and amended the CKS Meningitis topic to ensure consistency with NICE guideline NG51 (sepsis recognition, diagnosis and early management). EEAST is drafting an instruction for dispatch staff outlining pertinent information from 111 calls that needs to be passed to attending resources, and consulting with other ambulance trusts on best practices for information recording and transmission.

Action Planned (AI summary) The Trust is implementing a new Personality Disorder Service with a phased approach, including needs-based interventions, crisis support, peer support workers, and training for all staff, with regular review points to assess impact and adjust the service as needed. The Trust has co-produced patient-facing information, is reviewing its personality disorders strategy, has rolled out a training program, upskilled community teams, and is supporting MHPs to offer evidence-informed approaches, and is recruiting a specialist post and setting up a working group to provide for people with comorbid ASD and personality disorder.

Action Planned (AI summary) The Trust will assess medications prescribed upon discharge, which will continue across the Trust. The Trust is planning the technical changes required to build electronic bridges between different elements of the health system, but there is no confirmed date for completion.

Action Planned (AI summary) Highways England commissioned a review of preventative measures for suicides on the Orwell Bridge and are reviewing the effectiveness of the telephones located at either end of the bridge, and will implement changes at the earliest opportunity. They are not intending to take further action regarding toe holds on the outer face of the bridge.