NHS Greater Manchester ICB

Noted (AI summary) NHS Greater Manchester acknowledges concerns about the Right Care Right Person system and its implementation and highlights existing mental health crisis support. They state they will share learning from the PFD report and continue working with partners. The Deputy Mayor clarifies their role in overseeing the implementation of the RCRP system, stating that the responsibility for operational implementation lies with the Chief Constable. They will discuss the case with the Chief Constable and seek assurance that lessons have been learned.

Noted (AI summary) NHS England has requested that all ICBs put in place integrated crisis text services, with delivery expected across all areas by Spring 2026. Greater Manchester ICB plans to implement commissioned crisis text services as part of crisis transformation, with a phased approach: a contracted service will be launched first, followed by a fully established service. The Department of Health and Social Care acknowledges concerns about the delayed rollout of crisis text support services, highlights existing mental health support initiatives, and notes that NHS England and Greater Manchester ICB are addressing the specific concerns raised.

Noted (AI summary) The Department acknowledges the concerns regarding delayed hospital discharges due to limited social care capacity and describes existing initiatives like the Better Care Fund and care transfer hubs, without committing to new actions. NHS GM will create a GM Falls Prevention Strategy with recommendations for each locality. They will identify the number of GM residents at risk of falls and estimate the cost of falls to health and care services.

Noted (AI summary) The DHSC acknowledges concerns about care shortages, communication gaps, and wound care access. A change in practice resulting from this case has been that pre-admission assessments are now always undertaken. The CQC acknowledges the concerns, states that Hilltop Hall does not have a registered manager in post and that they will write to the registered provider to seek clarification on when they propose to register a manager and may take action if dissatisfied with the actions taken. The registered provider has reflected on the circumstances of this case and identified lessons learned to mitigate the risk of such occurrences and improve the service they provide. Greater Manchester Integrated Care provides background information about the patient's attendances at Trafford Urgent Care Centre and subsequent community nursing care, without outlining specific actions.

Noted (AI summary) The Department of Health and Social Care highlights the role of Integrated Care Systems (ICSs) in planning and delivering integrated health and care services. It notes a Joint Action Plan is being developed to improve mental health treatment for people using drugs and alcohol, and DHSC and DLUHC will write to Directors of Housing, Adult Social Services, and Chairs of Safeguarding Adult Boards to emphasize their role in the homelessness system. The Tameside Adults Safeguarding Partnership Board (TASPB) is developing an action plan based on a Safeguarding Adults Review, with a workshop planned and an Action Plan Review Group monitoring progress. Additionally, TASPB launched the TASPB-Tiered-Assessment-and-Management-(TRAM) Protocol in November 2023 to support practitioners working with adults at high risk. The response contains no text.

Noted (AI summary) Greater Manchester Integrated Care has delivered training sessions on ARFID and made all Stockport pediatricians aware of the recent Royal College of Child Psychiatrists published guidance in relation to ARFID. Information/learning has been shared across NHS Greater Manchester ICB. NICE has concluded that it is not best placed to develop guidance on avoidant/restrictive food intake disorder, and in particular in medical emergencies in eating disorders. They will refer the report to their surveillance team for consideration when the eating disorders guideline is next reviewed.

Noted (AI summary) Greater Manchester Integrated Care reports on a review of Mr. Briney's case with the GP and hospital, noting efforts to identify treatable causes and investigations ordered. They acknowledged that communication with the family was not always timely and offered apologies for the delay in contacting them at the end of Mr. Briney's life.

Noted (AI summary) North West Fire Control is supporting the embedding of Joint Emergency Services Interoperability Principles (JESIP) and working with partners to implement electronic data transfer for improved information sharing, expected by March 2024. NHS England outlines existing guidance for ambulance services relating to overdoses and suicidal intent issued in April 2021, and describes ongoing work to improve ambulance performance. Cheshire Constabulary has signed the Joint Operating Protocol (JOP) with NWAS and supports its endorsement by other parties, with a coordination meeting scheduled for January 16, 2024. Lancashire and South Cumbria ICB reports that four North West police forces have agreed and gone live with their Joint Operating Protocols (JOPs) with NWAS, with Greater Manchester Police in the final stages of agreement, and learning will be overseen by the NWAS Regional Clinical Quality Assurance Committee. Cumbria Constabulary has signed a regional Information Sharing Agreement (ISA) and has been working under a Joint Operating Procedure (JOP) since October 2023; it also provides clinical support through its "treat and hear" facility. Lancashire Fire and Rescue Service states that it was not involved in the incident, but is committed to improvement and learning. The service outlines its support for JESIP, reviews policies/procedures/training, and has an Immediate Emergency Care SOP with guidance on various areas. Four of the North West police forces, including Cheshire Constabulary and Merseyside Police, have agreed and implemented Joint Operating Protocols (JOPs) with the North West Ambulance Service to improve information sharing and escalation processes. The North West Ambulance Service (NWAS) have engaged with all the North West Police Forces to develop a Joint Operating Protocol (JOP). Four forces have agreed and gone live with their JOPs, ensuring clear process for sharing information, primacy understanding, and a clear escalation process for any operational issues. BTP has adopted the "Ten Second Triage" (TST) tool nationally and is delivering associated training in 2024. They also use ESICTRL radio talk groups for direct communication between emergency service control rooms. NWAS reports that a Joint Operating Protocol (JOP) has gone live with Cheshire, Cumbria, Lancashire and Merseyside Police Forces, and that an updated version has been agreed with Greater Manchester Police and is scheduled for implementation across the whole North West following a meeting in late February 2024; also, the JOP has been extended to include British Transport Police, North West Fire Control, and Fire and Rescue Services. Merseyside Fire and Rescue Service states that its existing procedures for communicating casualty information to NWAS are sufficient, including written instructions and escalation options. Lancashire Police has agreed to Version 1.3 of a Joint Operating Protocol (JOP) with regional forces and NWAS to provide clarity and guidance to Control Room staff regarding escalation of incidents due to delays; awaiting final sign-off from GMP and Fire and Rescue. Response not parsable

Noted (AI summary) NHS Greater Manchester Integrated Care acknowledges concerns about the demand and availability of social care and has connected with Trafford Local Authority. Supported by NHS GM funding, localities have commissioned home from hospital support; NHS GM has undertaken capacity and demand modelling of home care and care home markets and will share learning across Greater Manchester. The Department of Health and Social Care acknowledges concerns over delayed hospital discharge due to social care package challenges. It notes that Trafford Council has redesigned the homecare offer, and Greater Manchester ICB has undertaken capacity and demand modelling of home care. The response also mentions national initiatives like the Hospital Discharge and Community Support Guidance.