Other related deaths

Noted (AI summary) NHS Brighton & Hove CCG, NHS East Sussex CCG, and NHS West Sussex CCG have reviewed preventable deaths messaging related to flammable products and are raising awareness of the risks from emollient creams, including publishing warnings and providing information to GPs, care homes, and patients about the fire risks associated with these products, based on previous alerts from the MHRA. The BMA acknowledges the concern about patient awareness of risks associated with emollient creams, but states they are not the appropriate organisation to address it. They suggest contacting the MHRA, NHS England, the Royal College of General Practitioners, and medical defence bodies instead.

Noted (AI summary) NHS England explains that vaccinations were initially prioritized for staff, discusses discharge policies aligned with national guidance, and highlights the use of Criteria to Reside for discharge decisions, with efforts to expedite discharges where possible. The Department of Health and Social Care extends condolences and explains the JCVI's role in vaccine prioritisation, highlighting the initial focus on reducing mortality and protecting healthcare staff. It also mentions support for hospital discharge pathways and ongoing reviews of COVID-19 deaths.

Noted (AI summary) NHS E/I acknowledge a systemic weakness existed and is working with NHS Digital to allow information about local prescription plans to be added to Summary Care Records. They highlight existing NICE and GMC guidance on sharing information and safe medicine use. The RPS welcomes guidance/standards to ensure the NHS and other providers of care inform community pharmacies of patient safety plans. They highlight their existing guidance and campaigns on patient health records and safe transfers of care. The GPhC outlines its role in setting standards for pharmacies and pharmacists, noting that NHS England is better placed to provide information on national medication safety plans. They will share learnings from the case with stakeholders and encourage pharmacies to work more effectively with healthcare teams. The CCA will discuss the case at the next Community Pharmacy Patient Safety Group meeting to identify learnings and share best practice. They will also work with other organizations (GPhC, RPS, and NHS England) to consider how practice can be improved.

Noted (AI summary) NHS England and NHS Improvement acknowledge concerns about individuals obtaining excess medications and checking prescriptions across providers. They cite GMC guidance on prescribing practices and describe ongoing programs to improve information sharing and mental health services.

Noted (AI summary) Wakefield Council is undertaking physical works, including building robust barriers and installing a safe viewing platform at Kirkthorpe Weir, expected to be completed in mid-July 2021. They are also linking still water body health and safety policies to flowing water areas. Yorkshire Hydropower Limited has undertaken a detailed review of trespasser routes and plans to improve signage, install additional CCTV cameras with remote monitoring, and engage with the local community and police to deter further trespass. Foresight Group states it is the investment advisor to Yorkshire Hydropower Limited (YHL), and does not exercise control over YHL's affairs, so YHL are taking steps to ensure there is no repetition of this tragic accident. Foresight endorses the proposed security measures outlined by YHL, which include additional fencing, warning signs, enhanced CCTV, improved PA system, barriers, covering channels, ongoing liaison with emergency services, and daily manned security presence during summer months. The Canal & River Trust's national Education team produced a Schools Water Safety Awareness Communication and a water safety video aimed at children aged 5-11 years which focuses on the Trust's ‘Stay Away From the Edge’ campaign.