2015

Action Planned (AI summary) The University Health Board will implement a pre-discharge checklist, provide patients with information leaflets outlining symptoms of concern and contact numbers, ensure care aligns with planned surgery, and have patients report by telephone to the ward daily until contacted by a Colo-Rectal Nurse Specialist.

Action Planned (AI summary) The Ministry of Defence is conducting a review of the vehicle suspension system, including data analysis and investigation into alternative bolts. They are also addressing the Vehicle Emergency Lighting System (VELS) modification, aiming for completion by the end of 2016.

Action Planned (AI summary) NHS Wales, through the Pathology Clinical Programme Group, has reviewed the process for requesting urgent samples from primary care and is distributing a memorandum to GPs and Practice Managers with instructions on labeling and transportation to minimize delay, along with contact numbers for laboratories.

Action Planned (AI summary) While the Director of Probation believes existing guidance on offender recall is clear, Deputy Directors will ensure probation staff are reminded of procedures by 31 August. The Public Protection Casework Section (PPCS) will issue a Senior Leaders Bulletin covering recall actions and will organise Recall Practitioner Forums in each National Probation Service (NPS) division at the end of the year.

Action Planned (AI summary) The Department for Education is developing an assessment and accreditation system for child and family social workers. DCLG is focussed on supporting local services to provide early, integrated support for people who need the most help and supports local authorities on the delivery of the expanded troubled families programme.

Action Planned (AI summary) An advisory 20 mph speed limit was introduced and temporary pedestrian barriers were installed. First Cymru is decommissioning the Metro bus and the Authority is revising the road layout, removing the eastbound bus movements along the Kingsway with an anticipated layout change in October 2015.

Action Planned (AI summary) The College of Paramedics commits to writing to NHS ambulance services and HEIs to offer assistance in recruiting paramedics, advising them of revised Paramedic Curriculum Guidance. It will also advise the JRCALC on the recommendation made by the Consultant Gynaecologist and the issue of triage tools. London Ambulance Service secured additional investment of £27.2m to improve response times, increase staffing, and improve productivity and are on track to recruit 850 staff in 2015/16. The LAS has also updated its Serious Incident Policy to ensure staff receive feedback from investigations. NHS England details actions taken with the LAS, including weekly performance reviews, additional funding of £27.2m for 2015/16 to increase staffing and capacity, and improve ambulance response times, with a goal to meet national standards by September 2015. They also cite initiatives to reduce unnecessary vehicle dispatches.

Action Planned (AI summary) East Kent Hospitals will include an article in the "Risk Wise" publication reminding staff of the importance of reassessing and completing outstanding actions, and considering contacting tertiary treatment centers for guidance. They also highlight existing handover and review processes.

Action Planned (AI summary) The Trust is implementing the 'Triangle of Care' model and nearing completion of the first stage of this multi-year plan. Localities are reviewing their escalation plans for services such as CRHT and the Dementia Intensive Support Teams.

Action Planned (AI summary) South Yorkshire Police will highlight the importance of opening a custody record and completing a risk assessment, even when a detainee is uncooperative, in training and through a briefing document and rotational training. They will also incorporate information about acute alcohol withdrawal syndrome into first aid training for custody staff.

Action Planned (AI summary) Handicare has adjusted internal processes and training for in-house engineers. It will also raise the issue of sharing safety information with all manufacturers at the next BHTA stairlift section meeting and via letter during the week commencing 15th June 2015. BHTA will remind manufacturer members to continue training to address field safety issues until all products have been traced and necessary action taken. BHTA will recommend that the Health & Safety Executive talk to the MHRA and see if they might tap into the alerting system for alerts regarding products sold into the care sector.