2014

Action Planned (AI summary) HMP and YOI Wetherby implemented a revised personal officer scheme in October 2013 to ensure greater continuity in the allocation of staff to young people, including a 'relief' arrangement and key points for officers' roles. Leeds City Council has agreed on a procedure between Children's Social Work Service and Youth Offending Service to share all relevant information about a young person going into custody with the Young Offender Institution staff within 24 hours of arrival.

Action Planned (AI summary) Cumbria Clinical Commissioning Group is reviewing the existing framework for wellbeing and mental health and developing a new mental health strategy in partnership with stakeholders. A review of mental health is due to report by the end of May 2014.

Action Planned (AI summary) Dorset County Council will erect additional 'Side Road Ahead' warning signs on the offside to alert those overtaking to the presence of the junction ahead at Toller Lane. The existing deflection arrows and thickened centre line will have a 'SLOW' road marking laid opposite the new sign for eastbound traffic.

Action Planned (AI summary) The Department of Health highlights a Policy Research Programme investing in projects exploring the internet's role in suicidal behaviour and identifies priorities for prevention. It also mentions that the Royal College of Psychiatrists will recommend making competencies related to media impact compulsory in the next curriculum revision and launching an e-learning tool for children and young people's mental health.

Action Planned (AI summary) The General Pharmaceutical Council acknowledges the concerns and states they are considering publishing an anonymised summary of the case in their newsletter 'Regulate'. It highlights existing guidance and standards, including the importance of patient safety and a two-person check in dispensing, and also emphasizes its work with the MHRA and NHS England to improve adverse incident reporting. NHS England describes actions underway to improve medication safety, including publishing a new Patient Safety Alert on medication errors in March 2014. It also mentions a review of community pharmacy incident data to prepare a Patient Safety Alert, that would better describe risks arising from dispensing medicines, and safer practices including better use of technology and checking systems. The Royal Pharmaceutical Society acknowledges the concerns and says it could raise awareness and encourage use of 'read-back' as one technique amongst others to reduce errors in the guidance that they produce. They also indicate they can raise awareness of additional checks within guidance that they produce. The Department of Health describes actions taken to address concerns around dispensing errors, including the MHRA working with NHS England to simplify medication error reporting. An integrated reporting route has been introduced to share reports, and a National Medication Safety Network is being established to discuss safety issues and improve the safe use of medicines.