West Yorkshire Western

Action Planned (AI summary) Highways England is planning to deliver a bridgeworks scheme including a new pedestrian barrier and vehicle barrier at Scammonden Bridge, pending funding. It will also deliver an alert/help telephone system and share learning with East Sussex County Council regarding vulnerable passengers accessing similar sites.

Action Planned (AI summary) Calderdale Council is undertaking a feasibility study to assess options for improving safety at the Carr House Road/Cooper Lane junction, with a preferred scheme option expected by the end of March 2020 for delivery during the 2020/21 financial year. The study will consider traffic calming, junction improvements, and pedestrian crossing points.

Action Planned (AI summary) The Department for Education will jointly host a roundtable with UCAS to consider the student journey from sitting exams to receiving results, to agree how they can ensure pupils are supported should they encounter difficulties. JCQ is reviewing the possibility of a later embargo to reduce the likelihood that students will receive results without support available. UCAS will jointly host a roundtable with the DfE to explore how to support students throughout the examination and results periods, particularly those who do not receive the grades they had hoped for. They will also seek to improve the information and advice provided to students at this time.

Action Planned (AI summary) Calderdale MBC will continue to inspect the white lining and renew it as required and will commission a study of similar accidents regarding the roundabout layout to determine if any remediation is needed.

Action Planned (AI summary) West Yorkshire Fire and Rescue Service has agreed to a multi-agency programme of awareness training for staff from WYFRS, Together Housing and SWYFT to be delivered in June and July 2019.

Action Planned (AI summary) The Department of Health and Social Care highlights national initiatives like 'Future in Mind' and the Suicide Prevention Workplan. They also mention plans to set up 24/7 crisis care for children and young people by 2023/24 and efforts with DCMS to address harmful online content. Calderdale CCG and Calderdale Council have reviewed and revised processes and identified new actions related to CAMHS referrals and communication between professionals, overseen by the multi-agency Open Mind Partnership. Calderdale Council is progressing with the installation of anti-climb mesh and CCTV at North Bridge, with completion expected by the end of 2019.

Action Planned (AI summary) Calderdale Council submitted planning and listed building consent applications for anti-climb mesh and steeple coping on North Bridge, with works expected to be complete by May 2019. CCTV has been installed. These measures were discussed and agreed with their Public Health colleagues who lead the Suicide Prevention Group.

Action Planned (AI summary) The Trust has developed a revised patient leaflet regarding blood clot risk assessment, to be introduced on 1st December 2018. The Quality Committee will review the leaflet's use and impact.

Action Planned (AI summary) Bradford District Care NHS Foundation Trust has produced a safety information leaflet and fire hazard poster for patients using paraffin-based products. An alert has been created on the clinical records system and staff awareness is being raised through training and surveys. Alliance Pharmaceuticals has completed a product labelling review to improve prominence, clarity, and content related to fire hazards of Hydromol, with revised labeling expected throughout 2018 and 2019. Bayer is updating its consumer-facing website for Diprobase products to include warnings about flammability, to be completed by the end of October 2018. The MHRA is reviewing evidence and has convened an expert group to advise on regulatory action for paraffin-containing medicines and devices, considering coroners' reports and other data. They will provide an update following the group's meeting on November 30th, 2018.

Action Planned (AI summary) Calderdale Council completed a feasibility study to identify suicide prevention options for the North Bridge, but the parapet option was rejected due to structural concerns. They plan to install anti-climb mesh and a steeple coping, and are working on additional CCTV. Calderdale has a multi-agency suicide prevention group aiming to reduce suicides to zero, which is working on a suicide prevention plan based on government areas of action.

Action Planned (AI summary) MHRA has liaised with ArjoHuntleigh to confirm risk mitigation factors are appropriate and are working to communicate important healthcare information to healthcare professionals and the public through established alert systems. MHRA were also aware of and highlighted the work undertaken by the National Patient Safety Agency (NPSA) in 2007 regarding emollients. PAGB will provide a written submission to the MHRA by September 30th, 2017 regarding paraffin-containing products and will work with the MHRA, fire brigades, and other stakeholders to ensure clear and consistent communication about the risks. Locala has shared learning from the case internally, raised awareness about paraffin-containing products in their monthly medicines management report, and is developing a flowchart, documentation, and training for staff to identify patients at risk and ensure further risk assessments are completed when circumstances change. NHS Improvement notified of the death in 2015 and included actions taken in response to the death in the Patient safety review and response report published in June 2017. The UK Homecare Association has provided information to homecare providers including a fact sheet prepared by the London Fire Brigade, an article in their magazine, and an email briefing regarding the fire risks of paraffin-based emollients.