Surrey

Action Planned (AI summary) HSB issued a technical document instructing surveyors to record pad wear on reports for vehicle lifting tables. They are also working with SAFed to establish a common approach to torque settings assessment, who are liaising with the HSE. The HSE intends to issue additional guidance concerning the inspection of two post ramps by thorough examiners, highlighting the risks and checks needed for the locking mechanism and lateral movement.

Action Planned (AI summary) Surrey County Council is preparing additional training for highway inspectors in relation to risk assessment for vulnerable users, including cyclists, to be completed by the end of August 2017.

Action Planned (AI summary) The Trust has introduced Complex Case Review Meetings at HMP Highdown, to commence in February 2017, to include GPs, Primary Care, Mental Health, Substance Misuse; Social Care, Safer Custody and Pharmacy to ensure regular communication with all healthcare providers. They will review governance structures and processes and mental health pathway to ensure continuous learning that enable us to positively contribute to reducing the Iikelihood that anyone under our care dies in custody.

Action Planned (AI summary) The DfE intends to consult on a revised version of guidance on school transport in the autumn and will consider whether they should further clarify the description of the training that drivers and escorts should receive. The DfT will reinforce the importance of basic life support training for drivers through targeted communications and social media, and raise the profile of the issue with bus industry and local authority stakeholders.

Action Planned (AI summary) The Caravan Club will include a reminder of fire safety, specifically the need for smoke detectors, in their monthly members' magazine and other publications. Surrey Fire and Rescue Service, working with partners, has visited identified mobile home sites in Surrey, conducting fire safety visits and fitting smoke and carbon monoxide alarms. They are planning to continue to raise awareness and have brought the coroner's recommendation to the attention of all Chief Fire Officers in England and Wales.

Action Planned (AI summary) The Royal College of Radiologists will make its Fellows and members aware of the British Thoracic Society Pleural Disease Guidelines 2010. Following concerns about admitting acutely unwell patients without HDU/ITU facilities, BMI Mount Alvernia Hospital updated its admission policy to ensure all patients meet admission criteria. They also introduced mandatory training details for consultants and conduct monthly audits of consultant input into medical records.

Action Planned (AI summary) The Trust will include a statement within the newsletter sent to GPs within the Trust's catchment area reminding them of 24-hour access to the Trust's pathology department. They will also be sending a letter to each of their three local CCGs requesting that this information is passed on to all registered care homes in their area. The CCG's Quality Committee has undertaken an in-depth analysis of the issues relating to nursing and residential care home quality, which will lead to changes in the way they commission and assure quality of services. They are at the final stages of developing a nursing home Primary Care Standard, recruiting a specialist dietician and the CHC team will raise concerns should they find poor documentation either from the nursing/residential home andlor poorly documented communication between general practitioner and care home staff. The practice has drafted a policy regarding telephone advice to nursing homes, and will audit responses to nursing home phone requests 6 months after implementation. They are waiting for BMA clarity on multi-disciplinary notes before committing to a stance, but are in agreement with the nursing home regarding contemporaneous notes.

Action Planned (AI summary) Surrey County Council will request funding for a feasibility study to determine if a pedestrian crossing facility is possible and safe, will inspect and recondition the existing Vehicle Activated Sign and investigate the provision of signs to warn drivers that pedestrians are crossing the A25.

Action Planned (AI summary) Bateman Engineering has changed the design of their cabs to include seat restraints, and now fits them on all vehicles before they leave the workshop. HSE will raise the issue of seat restraints on self-propelled sprayers at the next appropriate meeting for consideration in future revisions of applicable standards and will consider revising guidance to better inform the choice of vehicle when working on slopes.