2014

Action Planned (AI summary) The Trust is developing a 'Radiology Requesting and Reporting Policy' and has established a Results Governance Steering Group to improve patient safety related to radiology. The response details responsibilities for radiologists and consultants, including communication of critical findings.

Action Planned (AI summary) Multiple CCGs and Trusts report that if a detainee has a known past mental health history, they should be taken to the 136 unit at Roseberry Park; if serious concerns regarding physical health exist, detainees should be presented to A&E. Senior A&E staff and the police will jointly decide where best to provide treatment if a detainee is violent and aggressive. The Trusts, CCGs, Ambulance Service and Tees, Esk and Wear Valleys NHS Trust have signed up to the Crisis Care Concordat. The lead Security Officer for the Trust has held discussions with Durham Constabulary lead officers to ensure that all police officers know that patients should be taken to the Emergency Department; The process is kept under review by the Trust. All agencies involved in treating or looking after patients in crises meet monthly to share learning, discuss difficult cases and monitor patients detained under a section 136 in the emergency department. Cleveland Police provides annual Personal Safety Training to all front-line officers, including training on "excited delirium." The police, along with medical directors and A&E consultants, established new guidelines for aggressive detainees in custody being taken to A&E, and are briefing staff on these new guidelines. NHS England will consider the case further with the Northern Regional Medical Director to determine whether changes need to be made to relevant policies and guidance, including liaison with Public Health England regarding substance misuse services. They also acknowledge that various local healthcare organizations have signed up to the Crisis Care Concordat.

Action Planned (AI summary) The Council will undertake an assessment of possible measures for the A690/Durham Road, East Rainton junction in 2015. It intends to commence the statutory process to reduce the speed limit to 50mph on this section of road in January 2015, with the speed reduction potentially introduced in summer 2015.

Action Planned (AI summary) The CCGs are working with colleagues to review service provision across all services and develop care pathways for service users. An external review of psychological therapies (IAPT) has been completed and commissioners and providers are working together to implement the recommendations.

Action Planned (AI summary) BSI has forwarded the coroner's letter to the chairman of the standing committee responsible for BS 1722-12:2006 to be included as part of their review and has asked the chairman to consider whether the proposed review of this Standard may be accelerated. The reviewed Standard is expected to be published in 2016.