Care Home Health related deaths

Noted (AI summary) The London Ambulance Service provides a statement regarding the clinical review of the incident and details the assessment and actions taken by the paramedic at the scene, including confirming a valid DNACPR and finding no evidence of airway obstruction.

Noted (AI summary) The CQC acknowledges the concerns, noting that the care home in question is now dormant and outlining CQC's role and inspection methodology. They state that the Secretary of State for Health and Social Care is better placed to address concerns about pressures on the ED. Tameside Metropolitan Borough Council has revised its Multi Agency Concern (MAC) process to ensure providers notify families of concerns and has increased the number of quality monitoring officers to conduct more robust contract monitoring. The Department of Health and Social Care highlights the opening of an additional ward at Tameside General Hospital in November 2024 to provide additional capacity and support patient flow, as well as the £9 billion committed to the Better Care Fund to tackle delayed discharges.

Noted (AI summary) HSE states it is not the appropriate regulator to address concerns about anti-choking devices in care settings, deferring to the CQC for registered providers and the MHRA for medical device regulation. The ICB commissioned training for nursing homes, including a guest speaker on choking prevention and provided free training on modified diets and choking risk. The ICB also shared resources from the RCUK, MHRA and DSI.

Noted (AI summary) NHS England acknowledges concerns and outlines existing oversight mechanisms, offering support to connect TCT's clinical team to specialists within the NHS and supporting TCT in connecting within the local integrated care system to improve flow to clinical appointments. CQC states that The Children's Trust (TCT) have strengthened their frequency of monitoring policy and increased their audits of the implementation of this policy; have a Frequency of Monitoring Policy in place since July 2022 which continues to be reviewed and updated. CQC have seen evidence of a strengthened learning culture at TCT through inspection and routine engagement conversations. The DHSC acknowledges the concerns raised in the report and states that they have sought assurances from the CQC and NHS England that responses are being prepared to address concerns respective to each organisation. They highlight ongoing monitoring by the CQC and clarify commissioning responsibilities. The Children's Trust has revised its Frequency of Monitoring Policy, enhanced clinical governance frameworks, and strengthened integration with NHS services following the death of Mia Gauci-Lamport.