2015

Action Planned (AI summary) AACE has been working with the NPCC, Home Office and the Department of Health to drive further improvements in both the speed of ambulance response and the proportion of patients conveyed by ambulance rather than police vehicles. The College of Policing, Health and Ambulance Service representatives are currently working together to devise a national protocol for the management of ABD in the pre-hospital setting. The Metropolitan Police national instruction is to monitor and review all service requests to mental health environments and for escalation and supervisory involvement on every occasion where police are requested to, or effect, restraint in health environment whatever the circumstances. Multi-agency membership includes NHS England, the Royal College of Psychiatrists, the Royal College of Nursing, and NICE. The Department published the Crisis Care Concordat in 2014 to ensure that anyone experiencing a mental health crisis receives the right support in the right place. The Department has also funded a number of street triage pilot schemes where mental health professionals provide on the spot advice to police when dealing with people with possible mental health problems.

Action Planned (AI summary) Coventry City Council proposes to enhance the zebra crossing's conspicuity by installing more intensely illuminated Belisha beacon heads and illuminated poles, with work anticipated in the next three to six months.

Action Planned (AI summary) Leicester City Council will investigate potential improvements to the junction, including advanced cycle stop lines, road markings, parking restrictions, and signal timing changes to reduce conflict between cyclists and vehicles, with a view to including improvements in future works programmes.

Action Planned (AI summary) Sussex Police highlights that the East Grinstead Neighbourhood Joint Action Group implemented 6 Samaritans signs on the bridge, and the Street Pastors and police continue to patrol the bridge. West Sussex County Council will investigate the technical feasibility of increasing the height of the parapet on College Lane Bridge and intends to undertake alterations within this financial year if an appropriate solution can be determined.

Action Planned (AI summary) East of England Ambulance Service is reviewing the East Midlands Ambulance Service's Paramedic Pathfinder Programme to determine its potential implementation within the Trust and implications for current training.

Action Planned (AI summary) The MOD will investigate the inclusion of automated secure voice logs in the next generation tactical command system, with a decision expected by 2018. The Army Chief Information Officer will determine how such a capability will be used.

Action Planned (AI summary) The Trust is implementing a new staffing model on surgical wards with 5 RNs and 2 HCAs on days, and 3 RNs and 1 HCA on nights. Medical wards will transition to this model when nurse recruitment allows, anticipated in 12 months.

Action Planned (AI summary) NHS England will work with partners to explore ways to develop a wider understanding of C. diff testing and the implications of the results, including GDH testing. NHS England will also consider the specific circumstances of this case to determine if any further action is merited and explore methods to support local health communities in the reporting and sharing of information in relation to a patient's CDI status.

Action Planned (AI summary) University Hospitals of Leicester NHS Trust's Interim Medical Director has written to all doctors reminding them of their obligations to ensure that switchboard are informed of any amendments to the on-call rota and their Director of Estates and Facilities will remind the switchboard staff of their responsibilities to keep the on-call rota updated. The Trust is in the process of procuring a trust-wide web-based system to manage on-call rotas, expected to be available for use throughout the Trust by the end of this calendar year.