2016

Action Planned (AI summary) The company will be submitting an application to the MHRA to update the labelling of several E45 products to include guidance on potential flammability. The warning to be added to the product labelling is: "If using large quantities, regularly change clothing, bedding or dressings impregnated with the product and keep away from fire as may pose a fire hazard". CFOA has circulated the report to Chief Fire Officers/Chief Executives and other practitioners in the fire and rescue services and Chief Fire Officers/Chief Executives will ensure that the information and details contained within your report are shared with the appropriate staff. The MHRA included an article in Drug Safety Update on paraffin-based skin emollients and fire risk, reminding healthcare professionals to advise patients on the risks and to change clothing and bedding regularly. NHS Improvement have informed the editors of the BNF that the risk also applies to less concentrated aqueous based paraffin containing products, and the BNF will in future include a revised warning that will inform healthcare professionals of the risk applying to all paraffin containing products. NHS Improvement will communicate this risk to the Medication Safety Officers (MSOs) network so the risk can be appropriately communicated and addressed within their organisations. NHS Improvement have also asked the Care Quality Commission, the Royal College of Nursing, and networks within the care home sector to communicate the risk via suitable newsletter and bulletin articles.

Action Planned (AI summary) The Trust will include a statement within the newsletter sent to GPs within the Trust's catchment area reminding them of 24-hour access to the Trust's pathology department. They will also be sending a letter to each of their three local CCGs requesting that this information is passed on to all registered care homes in their area. The CCG's Quality Committee has undertaken an in-depth analysis of the issues relating to nursing and residential care home quality, which will lead to changes in the way they commission and assure quality of services. They are at the final stages of developing a nursing home Primary Care Standard, recruiting a specialist dietician and the CHC team will raise concerns should they find poor documentation either from the nursing/residential home andlor poorly documented communication between general practitioner and care home staff. The practice has drafted a policy regarding telephone advice to nursing homes, and will audit responses to nursing home phone requests 6 months after implementation. They are waiting for BMA clarity on multi-disciplinary notes before committing to a stance, but are in agreement with the nursing home regarding contemporaneous notes.

Action Planned (AI summary) The Welsh Ambulance Services NHS Trust has developed an action plan and is monitoring progress through a Task and Finish Group of senior staff, led by the Director of Quality, Safety and Patient Experience.