UK Inquiry Tracker

Grace Mary Bates

All Responded

2014-0007 7 Jan 2014 London (North)

Barnet and Chase Farm Hospitals NHS Tru… Department of Health and Social Care

Concerns summary (AI summary) The hospital lacked a specialist diabetic nurse available over the weekend, posing a risk to patients requiring specific care.

Noted (AI summary) A business case for the appointment of a minimum of one WTE IPDSN to complement the current diabetes team, to provide improved cover for the Hospital across the calendar week has been approved and an appointment is awaited. The Secretary of State for Health acknowledges the coroner's concerns regarding diabetes management at Barnet Hospital and refers to existing NICE quality standards and NHS England initiatives for improving patient outcomes and weekend services. The response emphasizes local organizations' responsibility for delivering high-quality care.

Daniel Williams

All Responded

2014-0009 6 Jan 2014 South Yorkshire (East)

Rotherham, Doncaster and South Humbersi…

Concerns summary (AI summary) Key concerns include inadequate staff training in record-keeping and communication, absence of clear guidance for checking for self-harm items, and no central summary sheet for key patient information.

Action Taken (AI summary) The Trust has implemented a patient record development programme which provides alerts to staff, states a patient centred approach, and has rolled out training for staff and improved patient handovers. They also state to have developed guidance for staff and patients to provide detailed information.

Martin McGlasson

All Responded

2014-0001 6 Jan 2014 Cumbria (North & West)

British Precast Concrete Federation

Concerns summary (AI summary) Widespread use of an unsafe work method, failure to implement inexpensive safety measures despite known risks, and inadequate dissemination of risk assessments to operating staff were key concerns.

Action Taken (AI summary) Lightwater Quarries Ltd has implemented a newly adopted Risk Assessment & Method Statement as the basis for training, Turning Circle awareness and management, changes in lifting from the crane, safety talks, newly employed services of external training providers and has created a Safety Committee in order to improve and raise standards of health and safety at work.