2016

Action Planned (AI summary) The trust has improvement measures in place including implementation of a single anti barricade system, replacement of 70 observation panels and piloting of a new clinical handover tool. The trust will also implement a more robust approach to Environmental and ligature risk assessments and extend the simulation of medical emergencies on wards.

Action Planned (AI summary) • GMP is investing significantly in the replacement of technology through the IS Transformation Programme to replace existing separate command and control, custody, intelligence, work allocation, and property systems with one user experience and more intelligence information management process that enables partner agency information sharing (iOPS). • Mobile technology is distributed to operational staff which is already demonstrating through pilot site a significant forwards steps in information access, input, and decision-making. • GMP is undertaking comprehensive procurement, design and testing process before implementation which is currently scheduled for late 2017.

Action Planned (AI summary) An action plan is in place to ensure correct management of oral paracetamol for adult patients of extremely low body weight, including updating the drug chart, developing information for staff, and providing additional training. An audit of documentation of weights recorded in relevant nursing records and charts and on prescription charts will be undertaken.

Action Planned (AI summary) Senior clinical staff will be provided with further bespoke training about Deprivation of Liberty safeguards. The Trust's Clinical Improvement Lead Nurse for Dementia, Older People and Carers Services is currently undertaking a review of end of life care and will consider the most appropriate legal framework to use.

Action Planned (AI summary) The Trust has been working with Greater Manchester Police to learn lessons and address concerns including the security of patients under arrest and the protection of other patients. A final draft of the 'Patient Under Escort Record' is to be agreed and training on its use will be rolled out. The Department of Health has shared a report with NHS Protect to support a joint DH Home Office initiative to develop protocols, policies and procedures, to provide a national framework for joint risk assessments between police and NHS staff for patients detained at a hospital under arrest. The Minister for Policing will write to the National Policing Lead for Custody, Chief Constable to raise the matter with Chief Constables across England and Wales. The College of Policing is leading a programme of work aiming to set a national framework clarifying the roles and responsibilities of health and policing partners to maintain safety in mental health settings.

Action Planned (AI summary) Surrey County Council will request funding for a feasibility study to determine if a pedestrian crossing facility is possible and safe, will inspect and recondition the existing Vehicle Activated Sign and investigate the provision of signs to warn drivers that pedestrians are crossing the A25.

Action Planned (AI summary) Devon County Council will erect a left-hand bend warning sign in advance of the crest of the hill on the A3079; work is anticipated to be completed by 31st July 2016.

Action Planned (AI summary) The council is implementing a scheme to improve highway drainage by replacing side gullies with more effective open gullies, expecting completion by the end of July 2016. They have arranged for temporary flood warning signs to be deployed until the works are complete.

Action Planned (AI summary) The hotel has posted signage about the lack of smoking area on the canal side and risks of deep water. They also plan to install a new CCTV unit on the canal side. The Canal & River Trust proposes placing two additional life rings on the side of the basin closest to the hotel and placing additional "Danger deep water" signs at locations around the basin.