Essex Partnership University NHS Foundation Trust

Noted (AI summary) The Trust has implemented measures to ensure staff are competent, including mandatory training checks and escalation procedures. They have also formed a Physical Health Task and Finish Group to review physical health provision on inpatient wards, piloted a Physical Health Secondary Care planning Cycle, and provided staff training. HMPPS published guidance on managing self-neglect in prisons in July 2024. They implemented a new booking tool for ACCT reviews in August 2024, introduced a new shift pattern for key workers in September 2024, and issued a Notice to Staff mandating ambulance calls for emergency codes. The Minister acknowledges the concerns and offers condolences, deferring to the Director General of Operations at HMPPS for a detailed response.

Noted (AI summary) NHS England acknowledges the concerns and highlights existing national guidance on liaison mental health services. They note actions taken by the Trusts involved, including a joint working group, and describe internal processes for reviewing PFD reports. The trust has reviewed the Mental Health Liaison SOP to provide clearer direction for staff in supporting patients awaiting assessment under the Mental Health Act, focusing on risk management. A Joint Working Protocol is being put in place and the SLA between MSE and EPUT is being addressed at a senior level. The trust has reviewed its policy on the admission and treatment of patients with mental health disorders in acute settings, reinforcing mental health support available in ED. They have also provided guidance on assessing patient capacity and detaining patients under Section 5(2) of the Mental Health Act, including notification procedures and patient rights.

Noted (AI summary) The Ambulance Service has disseminated posters addressing human factors, developed a new training package on decision-making under pressure, and is providing regular updates on best practice for asthma management. They have removed the skill of intubation for general paramedics and are rolling out Advanced Paramedics in Critical Care cars across the region. They have also implemented the Patient Safety Improvement Response Framework. Mid and South Essex NHS Foundation Trust has shared learning with teams about the JRCALC protocol on managing severe asthma in children and is delivering training sessions focusing on the role of Adrenaline; they have also sent an email to staff regarding the use of Adrenaline in pre-hospital asthma resuscitation. AACE will review the JRCALC asthma guideline and make changes if required, and will share the concerns with their national ambulance service medical directors’ group (NASMeD) to consider further education or awareness for clinicians regarding airway management and adrenaline administration. Essex Partnership University NHS Foundation Trust has implemented several changes in the Asthma & Allergy Children’s and Young Persons Service, including staff training, caseload reviews, translated care plans, smoking cessation courses, and links between universal services and the CAAS to improve education and training. Essex Partnership University NHS Foundation Trust has implemented several changes in the Asthma & Allergy Children’s and Young Persons Service, including staff training, caseload reviews, translated care plans, smoking cessation courses, and links between universal services and the CAAS to improve education and training. The Department acknowledges the concerns and describes the existing framework for healthcare professional training, including the National Capabilities Framework for Professionals who care for Children and Young People with Asthma. They note that employers are responsible for ensuring staff are trained to the required standards.