2015

Action Planned (AI summary) Adult Social Care will send letters to individuals waiting for assessments from an Adult Mental Health Team, explaining Adult Social Care's role and how to contact the team if the situation changes; case records across Adult Mental Health have been reminded of the importance of feeding back to the whole multi-disciplinary team and to carers, not solely the Registered Medical Officer. The LPT will review and update its DNA policy by March 2016; CMHTs are undergoing service redesign to remove internal barriers between the Outpatients Service and the wider CMHT, including a pathfinder project in North West Leicestershire CMHT to look at a multi-disciplinary team held caseload model with the aim to roll this out across all CMHTs by April next year.

Action Planned (AI summary) Policy changes have been made so that only a manager grade can close an ACCT, and ACCTs cannot be closed unless the case review comprises at least two people and all actions on the CAREMAP have been completed; HMP & YOI Doncaster will seek to move to a case management model during 2016 whereby a nominated case manager manages a case load so that continuity of care is improved. NHS England is reviewing templates for first night screening and risk assessment as part of the deployment of a new Health & Justice Information System, with rollout expected from July 2016 to July 2017.

Action Planned (AI summary) CMF Ltd will ensure lifting operations are planned by a qualified appointed person, use their native lift plan procedure, submit plans to the Principal Contractor for approval, explain plans to the lift team, and re-brief the team if the lift supervisor is absent or the plan is in force for more than 90 days; lifting will cease if conditions change. Laing O'Rourke issued a Safety Alert requiring sign-off by their Appointed Person for Lifting on all contractor lift plans and requires project teams to review high-risk activities monthly with 'Planned vs Actual' assessments.

Action Planned (AI summary) Practices will be reminded to screen new patients for serious psychiatric illness and ensure diagnoses are recorded, highlighted, and correctly coded when patients transfer to another practice; from June 2016, practices will be able to track records and see expected delivery dates.

Action Planned (AI summary) The Leeds Teaching Hospitals NHS Trust has re-circulated the pathway document, updated in October 2014, which highlights the need for completion of the referral form as fully and accurately as possible; the team has altered the MDT reply forms to state that responsibility for patient care remains with the referring team until the patient has been seen in Leeds. The Mid Yorkshire Hospitals NHS Trust and The Leeds Teaching Hospitals NHS Trust are collaboratively revising inter-provider transfer of care processes for cancer patients in West Yorkshire and expect to embed the revised processes by the end of February 2016; the Trust will embed the revised processes and ensure junior medical staff completing MDT pro formas remain well supported by the end of February 2016.

Action Planned (AI summary) The auction mart company plans to install CCTV with night vision and movement detection, linked to mobile phones of company management, but is currently seeking financing; a final decision is expected at the December board meeting.

Action Planned (AI summary) Bolton NHS Trust will introduce a new Wardex for pharmacists to record reviews and develop a local endorsement policy by February 2016. Safe and Secure Handling of Medicines Audits (Duthie) will be presented to Medicines Safety Group for discussion and agreement of action plans by December 2015.

Action Planned (AI summary) NHS England will spend £15m in 2016/17 to boost provision in areas that lack adequate health-based places of safety and is developing commissioning guidance for effective crisis response. HEE is undertaking a root and branch review of its workforce development spend.

Action Planned (AI summary) Highways England will work with Durham Constabulary to investigate enhancements to signing and road markings on the A66 by March 2016. They will also place a bid for funding to undertake the work recommended by the investigations.

Action Planned (AI summary) The Probation Service acknowledges shortcomings in informing the deceased of his placement and will focus on earlier planning and better liaison with probation areas. It will also explore additional training options for AP staff in responding to suspected drug overdoses, including the potential administration of heroin antagonists.