2014

Noted (AI summary) The Snowdonia National Park Authority explains its purposes and duties and argues that its accident rate is lower than other activities. Signage and re-routing of the Watkin Path will hopefully ensure walkers are provided with more information and a clearer route.

Noted (AI summary) HMP Woodhill staffing levels have been benchmarked and agreed upon, with ongoing local and national recruitment efforts to address vacancies. Information sharing between prison staff and contractors is a priority.

Noted (AI summary) The Royal College of Anaesthetists will ensure particular attention is attached to correct site location at the next curriculum review. They have also issued an alert to their network of senior anaesthetists and requested reports related to chest drain insertion incidents be forwarded to them. The British Thoracic Society notes the concerns and refers to their existing guidelines on safe chest drain insertion, highlighting that these are more comprehensive than the NPSA information. They are unsure if local guidelines were available at the Trust where the event occurred. NHS England has established a Reference Group to develop National Standards for Operating Department Practice by early 2015. If North Bristol Healthcare NHS Trust shares its checklist, there may be an opportunity to include it as a resource for other Trusts when the standards are implemented. The College of Emergency Medicine will highlight the case and investigation findings in its next Safety Newsflash and share the North Bristol NHS Trust's safety checklist and guidelines on their website once received.