Aneurin Bevan University Health Board

Action Taken (AI summary) The Health Board conducted a formal review of the action plan implemented in 2015 and shared lessons learned following the case with GP practices and paediatric consultants. Respiratory pharmacists developed a community pharmacy service to identify patients with outstanding reviews or overusing reliever medication and the ABUHB Medical Director issued further correspondence to all GP practices and paediatric consultants to ensure that lessons learned following this sad case are acknowledged and shared by the GP community

Action Taken (AI summary) Aneurin Bevan University Health Board describes steps taken to address ambulance handover issues, including establishing an Urgent Care Board, implementing a Standard Operating Procedure for bed management, and introducing 'Breaking the Cycle' to improve patient flow, implementing transfer teams and discharge facilitators. The Welsh Government acknowledges concerns about handover delays and outlines existing initiatives by the Welsh Ambulance Services NHS Trust to limit conveyance rates, including an enhanced clinical desk, alternative pathways, and a frequent callers project.