2016

Action Planned (AI summary) South West Hampshire LIFT has reviewed the Transport Planning Consultancy report regarding proposed car parking improvement measures at Adelaide Health Centre. The Board has instructed such measures to be implemented, and will seek planning consent to progress the improvements at the earliest opportunity.

Action Planned (AI summary) Sherwood Forest Hospitals NHS Trust has determined that following referral of Mrs. S to the vascular team, a letter was sent to Mrs. Stokes on 15 July 2015. Following this case, patient contact information has been reviewed. Further to the investigations referred to, Mrs S’ case is to be discussed at the next vascular Morbidity and Mortality meeting at NUH. The legal team is to be made part of the Governance Directorate, with offices adjacent to enable a greater working relationship. The Radiology Department will review and modify its XXXX policy to take account of electronic reporting and a referrer acknowledgement system.

Action Planned (AI summary) North East London NHS Foundation Trust is undertaking a series of actions including sending FOI requests to other trusts, reviewing and updating S136 guidance and policy, creating a secure NHS net account for the S136 suite, and holding a board workshop to discuss SI investigations. They will also explore inviting the Senior Coroner to deliver a presentation. The Borough Mental Team has identified four areas for improvement: handover of patients between the police and 136 suite staff; filing and storage of 136 paperwork; supporting officers dealing with 136 incidents; and training. Changes to Form 434, a review meeting planned for early February and a video presentation with Mrs Persaud for training are planned.

Action Planned (AI summary) The Maritime Coastguard Agency has updated guidance and modified training packages. All Coastguard tactical commanders attend JESIP courses and strategic commanders attend MAGIC courses; every officer completes online JESIP training. SAR aviation is now equipped with Airwave radios, and 18 additional senior officer roles have been established. Northumberland Fire and Rescue Service reaffirmed procedures for 999 calls, implemented joint working principles with blue light partners, and trained staff in JESIP. Future plans involve including HM Coastguard and search and rescue teams in JESIP confirmation, joint exercises, and the Northumbria Local Resilience Forum. Northumbria Police and the North East Ambulance Service are considering expert advice from Mountain Rescue regarding phone tracking software. HM Coastguard is considering improving their Airwave capability to facilitate communication. NEAS has finalized their revised procedure in respect of responding to a 999 call to water based incident.

Action Planned (AI summary) The Health Centre met with the Drug and Alcohol Action Team, will host a new Addaction worker every 2 weeks, and has provided training for pharmacists to identify those at risk of harm from alcohol. They are also auditing patients with high alcohol intake and will ensure problem alcohol use is on the agenda of the Community Safety Partnership. The DAAT conducted a needs assessment with the Isles of Scilly, put in place a joint improvement plan with Addaction, trained GPs and pharmacy staff, and plans to offer training in screening for alcohol use in April 2017. A specific needs assessment and commissioning intentions for 2017-18 is in progress, due to complete by 31st March 2017 and a continuing investment in DAAT staff support for the islands will be made.

Action Planned (AI summary) The trust intends to address the need for increased capacity to conduct basic out-of-hours patient reviews and is considering options to expand out-of-hours community provision as part of its service transformation process.

Action Planned (AI summary) The Trust has introduced Complex Case Review Meetings at HMP Highdown, to commence in February 2017, to include GPs, Primary Care, Mental Health, Substance Misuse; Social Care, Safer Custody and Pharmacy to ensure regular communication with all healthcare providers. They will review governance structures and processes and mental health pathway to ensure continuous learning that enable us to positively contribute to reducing the Iikelihood that anyone under our care dies in custody.

Action Planned (AI summary) The Trust is amending its inpatient falls policy to ensure post incident monitoring is undertaken and will more clearly link standards in ED and on the wards. Face to face training time will reinforce this pathway in the months ahead and use of Vital Pac and the upcoming installation of new electronic patient record will provide decision support and alerts to reinforce standards.