2016

Noted (AI summary) The MHRA has brought the Coroner's concerns to the attention of the manufacturer and requested that they evaluate whether additional clarity in information could be incorporated at the next Instructions for Use review. They have not identified a systemic problem with cracks associated to Oxylitre flowmeters. All oxygen flowmeters across the Trust have been checked and faults logged. Equipment Controllers/Department Managers are now performing weekly checks of all flowmeters, using a checklist devised by the Medical Devices Nurse.

Noted (AI summary) ABTA highlights its role as a trade association and provides context about its guidance to members on health and safety. They have drawn the concerns to the attention of consultants reviewing the Technical Guide and are calling for a European Tourism Accommodation Safety Directive.

Noted (AI summary) The Department of Health acknowledges the concerns raised, refers to the government's mandate for accessible and high-quality crisis services, and notes that the availability of mental health beds is a matter for local commissioners, addressed by NHS England's response. NHS England highlights the establishment of an adult mental health programme taking a whole system approach and reiterates the national ambition of reducing suicides, with Clinical Commissioning Groups expected to develop local multi-agency suicide prevention plans by 2017, supported by further national investment from 2018/19. The Senior Nurse for Professional Standards issued a formal practice alert regarding risk assessments, and a Clinical Risk Management Group has been established. The Head of Pharmacy will review the Medicines Code by the end of November 2016. The CQC is requiring the Trust to clarify the role of non-registered staff in the crisis team. The CQC will formally review the actions put in place by the Trust and their impact of those actions on patients at the quarterly meeting with the Trust in December 2016.