2014

Noted (AI summary) The University Health Board states that its radiology service operates a full service during weekday hours, with emergency on-call service at all other times, and a CT scan would have been performed had a ruptured abdominal aortic aneurysm been indicated. They are working to develop increased access outside of normal office hours.

Noted (AI summary) The Department of Health acknowledges the concerns about the Home Treatment Team's caseload and refers the Coroner to existing national guidance and resources for Crisis Home Treatment Teams. NHS England intends to map this best practice guidance on to the mental health intelligence network, but there is currently no set timeline.

Noted (AI summary) The Trading Standards Institute states that it is a professional body without powers to get involved and that the matter is for local authority trading standards departments. It highlights a workforce survey demonstrating severe cuts to trading standards services. Oldham Council will ensure the trader concerned is visited and spoken to by officers on the safety/health implications and moral obligations related to addictions, and about sales to minors of age-restricted products. Public Health England has been working with the Department of Health to restrict access to volatile substances, has refined information collected on VSA as part of the National Treatment Monitoring System, and is looking to improve national collection of drug-related mortality data. The Department of Health acknowledges the concerns and refers to the response from Public Health England, expressing full support for their views and advice.

Noted (AI summary) Sheffield City Council found no breach of planning control or building regulations at the car park. However, they have suggested alterations to Q Park Ltd to prevent similar incidents and are open to working with the company on a solution.

Noted (AI summary) The Health Board agrees that familial support improves patient recovery and routinely encourages service users to engage with their families. The policy of the Health Board is to use a confidentiality form.

Noted (AI summary) The MHRA reviewed the post-mortem report and the pharmacokinetics/dynamics of morphine, concluding that the case does not prompt a review of the maximum permitted dose or a need to adjust it based on body weight or co-morbidities. They emphasize the importance of careful titration and review of opioid dosing, as recommended in current treatment guidelines.

Noted (AI summary) The Department of Health has passed concerns about a GP's conduct to the GMC and CQC; NHS England is addressing transfers of care with its patient safety expert group and considering the long-term implications of the role of GPs in managing Type 1 diabetes.

Noted (AI summary) BIS acknowledges the concerns and describes existing campaigns and partnerships promoting blind cord safety led by the British Blind and Shutters Association (BBSA) and the Royal Society for the Prevention of Accidents (ROSPA).