2017

Action Taken (AI summary) Northampton Borough Council outlines its existing strategy to tackle homelessness, including borough-wide rough sleeper counts, street outreach workers, a 3-year strategy, and the opening of an all-year-round Nightshelter.

Action Taken (AI summary) Brighton and Sussex University Hospitals NHS Trust has circulated a message to staff about correct containers for sterile body fluids, altered the lab SOP to include an educational message when the wrong container is received, and discussed the case at a clinical governance meeting to improve prioritization of urgent follow-ups.

Action Taken (AI summary) Sheffield Teaching Hospital NHS Trust has discussed the incident with the doctor concerned and included reference to on-call responsibilities in the local induction program. An emergency epistaxis bag is now available and monitored on ward I1, and the incident will be presented at the Trust's Safety and Risk Management Board meeting.

Action Taken (AI summary) Aneurin Bevan University Health Board describes steps taken to address ambulance handover issues, including establishing an Urgent Care Board, implementing a Standard Operating Procedure for bed management, and introducing 'Breaking the Cycle' to improve patient flow, implementing transfer teams and discharge facilitators. The Welsh Government acknowledges concerns about handover delays and outlines existing initiatives by the Welsh Ambulance Services NHS Trust to limit conveyance rates, including an enhanced clinical desk, alternative pathways, and a frequent callers project.

Action Taken (AI summary) Dorset County Council installed kerb stones on 19 August 2016 to define the edge of the footway and address concerns with the footway surface; they will also erect a marker post (bollard) in the footway to prevent vehicles from overrunning the footway at Howard's Lane.

Action Taken (AI summary) The organisation has written to doctors, nurses and pharmacists highlighting learning points. They raised the issues at the Medical Committee and reintroduced patient leaflets about pulmonary emboli on inpatient wards, with spot audits to ensure they are in place.

Action Taken (AI summary) The trust has compiled a spreadsheet of clients identified as being worked with by Adult Mental Health and Substance Misuse Services, which is updated at the Southampton Alcohol Recovery Service Management meeting. They will identify if there is any involvement from mental health services with Change Grow Live Manager with the Solent NHS Trust Clinical Manager and contact the mental health treating team.

Action Taken (AI summary) The bus bay has been extended to accommodate seven buses, and the school site is now subject to a lockdown, with no vehicles allowed to enter or move around the site until the children have boarded/alighted. A new drop-off area has been developed approximately 200m from the school gates. The bus bay has been extended, a school lockdown occurs during bus loading, staff supervision has increased, a speed limit is in place, and a vehicle drop-off point has been created.

Action Taken (AI summary) Extensive suicide and self-harm prevention training has been delivered to staff since 2015, new procedures have been introduced to improve ACCT management, prisoners will be able to register with a GP practice before leaving prison from July 2017, and future disclosure to the Coroner's Court will be done through GLD. The Section 17 leave form has been amended, and a new SOP for managing leave includes discussions with family. The Trust also reports on weekly monitoring processes and has introduced the appointment of a Named Professional to offer support and guidance to families.