NHS England

Noted (AI summary) NHS England is implementing improvements to the CYMPH inpatient pathway, aiming to reduce out-of-area placements and move towards community-based care; they are also developing a national admission protocol for children and young people with multi-agency partners. The Department of Health and Social Care acknowledges the concerns and notes NHS England's response and approach to reduce reliance on inpatient mental health beds, moving towards community-based care.

Noted (AI summary) The Department of Health and Social Care outlines existing and planned initiatives to improve mental health support, including increased funding for community mental health services, expansion of NHS Talking Therapies, and investment in crisis care alternatives. They state that responsibility for staffing and operations of mental health services lies with the relevant trust.

Noted (AI summary) NHS England highlights existing national guidance and standards for following up on test results after discharge and refers to their urgent and emergency care recovery plan, noting the responsibility of Trusts to implement procedures and follow national guidance.

Noted (AI summary) NHS England outlines national guidance related to pressure ulcer prevention and refers to ongoing work as part of the National Patient Safety Strategy, but defers to the Trust regarding the specifics of service provision at Royal Stoke University Hospital. University Hospitals of North Midlands will continue to monitor the timeliness of pressure ulcer risk assessments and review referral criteria for the Tissue Viability Team, subsequently monitoring referral to response times.

Noted (AI summary) The Society of British Neurological Surgeons has written to all SBNS members, asking them to recognise the importance of measuring depth intraoperatively, and empowering them to abort surgery when findings are not consistent with expectations. The GMC acknowledges the concerns but refers them to NICE, medical royal colleges, or specialty bodies, as they do not provide guidance on specific clinical procedures. They highlight their role in setting professional standards and supporting doctors to meet them.

Noted (AI summary) NHS England acknowledges concerns about the shortage of Paediatric Pathologists and delays to reports. They describe recruitment incentives and development of a curriculum for placental pathology reporting, but provide no timeline. They will raise the SUDIC protocol revision with the Royal Colleges and relevant government departments. The GMC acknowledges the concern about the shortage of paediatric pathologists but states it does not have a direct role in recruitment or determining training numbers. They outline their role in registration processes and efforts to streamline these for overseas-trained doctors. The Department of Health and Social Care acknowledges concerns over workforce capacity, genetic screening, and sudden death in childhood, noting that NHS England is working on these issues. They mention the NHS Long Term Workforce Plan, the NHS Genomic Medicine Service, and the NHS-Coronial-Sudden Unexpected Death pilot.

Noted (AI summary) NHS England will ensure all staff, including agency and bank staff, have timely access to all joint training, including ACCT, that is necessary for them to undertake their role effectively within the prison environment and regional teams will be asked to give assurance at a meeting planned for June 2024, that the proposed action has been delivered and agency and bank staff have timely access to ACCT training. The NPCC clarifies that Custodial Nurse Practitioners (CNPs) are qualified and trained to work in police custody, with appropriate clinical support and supervision, according to the National Healthcare Specification. They assert the 2003 Home Office circular is outdated and the current healthcare model for police custody is robust. The Home Office states that Home Office Circular 020/2003 is no longer extant and therefore they propose to take no action in response to the report. They note the NPCC response regarding the National Healthcare Specification for police custody and NHS England's response regarding training of prison healthcare staff in the ACCT process.

Noted (AI summary) NHS England is increasing access to CYPMH services, with 702,000 children and young people receiving support in the 12 months to June 2023 and a 46% increase in the CYPMH workforce since the start of the LTP. They will also ensure regional leadership are aware of the report's findings and the Regulation 28 Working Group will discuss all reports received. NELFT will implement the Oxford Centre for Suicide Research’s model of risk formulation and co-produce safety plans with clients and families, including training and system changes to support the roll out. NHS North East London is developing a business case for additional CAMHS funding, including proposals for seven-day/evening working and face-to-face initial assessments. They are also reviewing the current clinical model and participating in transformation work via their Mental Health, Learning Disability and Autism Collaborative. The Department of Health and Social Care acknowledges concerns about CAMHS resourcing and highlights increased spending on mental health services and workforce development initiatives, including training programmes and a new suicide prevention strategy.