2015

Action Taken (AI summary) Pennine Acute Hospitals NHS Trust has been undertaking a review of current documentation and monthly audits of nursing metrics on Ward T7, and implemented measures trust-wide. They are also reviewing and ratifying nursing documents to implement a more rigorous governance process.

Action Taken (AI summary) The Department of Health provided NHS England with £7 million in 2014/15 to increase CAMHS Tier 4 bed provision and improve access. Health Education England plans to commission 340 training places for school nurses in 2015-16, representing a 71.7% increase, and will review curriculums to include recognised areas of health. NHS England has invested in inpatient CAMHS beds, developed national service specifications for acute inpatient mental health units, and is planning to commission inpatient beds based on need. They highlight the MindEd e-portal and are piloting a single point of access programme for CAMHS and schools. The Trust has communicated with Nottinghamshire Health Care Foundation Trust, offering a formal service level agreement and a named consultant to support patients from the Bassetlaw area receiving treatment at Thorneywood Adolescent Unit. Although not required, the Trust has identified a consultant and will actively engage with Nottinghamshire Healthcare Trust as needed.

Action Taken (AI summary) HMP Swaleside issued a notice to staff on 10 August 2015 setting out local procedure for welfare checks and requiring staff to sign to confirm checks have taken place. NOMS is compiling a learning bulletin for all staff on their intranet by the end of September.

Action Taken (AI summary) The Metropolitan Police Service has rolled out an RT Operators Course since 2011 to selected elements of the uniformed workforce and since July 2014 to all new recruits. They are also planning to implement enhanced driver training, pending release of funds, and are working to ensure officers serving prior to the course introduction may have an opportunity to take the course in the near future, most likely re-worked as a computer-delivered package.

Action Taken (AI summary) The Ministry of Defence improved the training package for DROPS operators qualified to tow the KINGS trailer, supported by a video detailing coupling and uncoupling procedures. The Army will include clearer guidance for operation of the Shunt Valve in the AESP, and amend the Trainer instructor Specifications (ISpec).

Action Taken (AI summary) Greater Manchester Police has provided feedback and management advice to the officers concerned. The officer who attended is to remain on an action development plan to be managed by their line manager, and Detective Inspector Stainton is to remain on an action development plan which will continue to be managed by his immediate line manager.

Action Taken (AI summary) The City Council has measures in place or to be implemented to maintain an accurate inventory of traffic signs, ensure remedial work is ordered promptly, and update the inventory database. Additional training on regulatory signage is being provided to inspectors in January 2016.

Action Taken (AI summary) East Kent University Hospitals NHS Trust has an approved algorithm in place to assess and treat patients with trauma and bleeding risk. A governor's order was issued at HMP Wayland on June 30, 2015, instructing staff to record medical issues in the wing observation book and the Local Security Strategy has been amended to reflect this procedure.

Action Taken (AI summary) The University Hospitals of North Midlands NHS Trust has reviewed the consultant's job plan, which will be updated from October 2015 to allow for a better work-life balance. The consultant is also now supported by a second consultant and has been encouraged to use administrative support.

Action Taken (AI summary) Hammerson PLC is making access to the parapet walls of the car park more difficult with 'hostile planting', installing similar planting on lower level walls and installing vehicle stopping barriers along the floor adjacent to the walls. They are also exploring the feasibility of raising the height of the parapet walls.

Action Taken (AI summary) HMP Wayland published a Governor's Order clarifying the recording of medical issues occurring overnight and amended the Local Security Strategy to support this. They also introduced a new radio system with more radios for healthcare staff. HMP Wayland has issued a Governor's Order instructing staff to record medical issues during the night in the wing observation book and amended the Local Security Strategy to reflect this procedure. A new radio system has been introduced at HMP Wayland and all healthcare staff are now routinely issued with radios.

Action Taken (AI summary) Sussex Partnership NHS Trust implemented an improved system for reviewing care coordinator caseloads, especially when a care coordinator leaves. Staff in East ATS and MHRRS have undergone Applied Suicide Intervention Skills Training (ASIST), and a new approach to calls is underway in East ATS.

Action Taken (AI summary) Brighton and Sussex University Hospitals Trust has discussed the incident with general surgeons and the nursing and pharmacy teams, leading the general surgeons to decide that codeine should no longer be routinely available for them to prescribe.

Action Taken (AI summary) The Health Board has implemented a system where patients have a named care coordinator responsible for maintaining contact and reviewing medication, including a prescribing guideline for review and discontinuation of medication at 6 or 12 weeks. The Mental Health Improvement Group is working to improve communication between transferring and receiving wards.