2015

Noted (AI summary) The response acknowledges concerns about PEWS scores and describes ongoing national work by NHS England and the Royal College of Paediatrics and Child Health to develop a framework for recognising and responding to children at risk of deterioration.

Noted (AI summary) The response acknowledges concerns, noting that local providers are best placed to address system issues. It highlights the move to digital care records and the development of standards for clinical structure and content of patient records by the Academy of Royal Medical Colleges. The CCG has requested that SBP have a service agreement in place with a provider for physiotherapy and occupational therapy; SBP has confirmed that all requests for these therapies will be flagged to their Clinical Director. The Trust has developed a proforma for telephone advice, has updated the radiology information system and implemented 'hot reporting' during weekdays. Specialist Radiographer chest X-ray reporting has been introduced. The Trust has developed a standardised proforma for transfer between Trusts, shared with colleagues in Wrightington, Wigan and Leigh NHS Foundation Trust and discussed at the Wigan Medical Staff Committee. Discussions are taking place between 5 Boroughs Partnership NHS Foundation Trust and Bridgewater NHS Foundation Trust to clarify arrangements for the provision of physiotherapy and occupational therapy.

Noted (AI summary) Plymouth Hospitals NHS Trust has reviewed processes so that all Emergency Department films and inpatient films between Sunday am and Friday 5pm are reported within 24 hours. They have also developed a fast code for radiologists and sent out a safety alert to physicians regarding MR protocols for potential hip injuries. The Department of Health acknowledges the concerns regarding delays in X-ray reporting and highlights actions being taken by Health Education England to increase the number of radiologists. Cornwall Council is asking for guidance to be produced and disseminated to staff regarding timely placements for people who need such placements.

Noted (AI summary) SubC Partner refers to Danish authority findings, states it performs pre-dive checks according to standards and customer approval, and uses certified personnel. The response appears to be a pre-dive checklist form.

Noted (AI summary) The response acknowledges the concerns raised and references existing guidance and resources, including work by NHS England, NICE and the NPSA, but describes no specific actions taken or planned by the Department of Health.

Noted (AI summary) The response explains existing protocols and guidance related to the Mental Health Act and assessment/discharge procedures, but does not describe any specific action taken or planned in response to the concerns.

Noted (AI summary) The Department of Health acknowledges the concerns and states that adequate guidance already exists for tracheostomy management through the UK National Tracheostomy Safety Project and other resources, with NHS England continuing to work with stakeholders.

Noted (AI summary) The Department of Health acknowledges the coroner's concerns regarding advice and support for pregnant women about whooping cough vaccination. They note that NHS England is responding on behalf of the Department of Health, Public Health England and NHS England. NHS England will consider the coroner's concerns about integrating pertussis and immunisation services into routine maternity care as part of an independent review of maternity services in England. Public Health England also manages the situation as a national level incident.