2018

Noted (AI summary) The Department of Health outlines existing regulations and guidance regarding controlled drugs, referencing the Shipman Inquiry, the Controlled Drugs Regulations 2006, NICE guidelines and CQC guidance; the Department suggests taking up the concern about Greater Manchester Police's actions with the Home Secretary.

Noted (AI summary) The CQC reviewed the facts and evidence in relation to the death and completed an inspection at the service. The nursing home was found to have achieved beacon status with the Gold Standard Framework for end of life care. The Department of Health and Social Care acknowledges the concerns raised regarding end-of-life care and outlines existing frameworks, guidance, and initiatives aimed at improving care and decision-making in this area. They expect the CQC to respond as regulator of health and adult social care.

Noted (AI summary) The Parliamentary Authorities confirm that they already plan to consider the automation of Carriage Gates and their general ease of use as part of the ongoing renewal project; and external reviewers have already been extensively involved in the New Palace Yard project, and will continue to be involved. The MPS will revise Post Instructions to relevant groups by direct emails, in hard copy and/or via electronic devices; MPS is working with MO19 and the National Police Chief’s Council to provide additional training on de-escalation techniques; and the MPS will ensure that there is appropriate input from tactical advisers at challenge panels, and the newly appointed PaDP OFC Sergeant will ensure that AFOs fully understand not only relevant changes to post instructions but also the rationale behind the changes. The BVRLA has increased counter terrorism training and guidance made available to vehicle rental and leasing firms, and routinely shares data and intelligence with police and counter terrorist authorities. The Department for Transport launched its Rental Vehicle Security Scheme in December 2018. The MCA states sufficient guidance already exists in the public domain for operating commercial vessels and leisure boats on navigable rivers and canals, referring to existing codes and training courses. The London Ambulance Service states that the Chief Coroner found no matters of concern regarding their actions, so they will not be taking any further action. TfL implemented internal changes in October 2017 to improve communication of security advice. TfL is currently reviewing the height of all its bridge parapets to identify those that are below 1m high, with high priority bridges expected to be completed by April 2019. The Home Office states the government accepts the Chief Coroner's recommendations and has taken action. The Department for Transport (DfT) launched the Rental Vehicle Security Scheme (RVSS) on 6th December 2018, and an industry led Advisory Panel was launched in January to oversee the development of the scheme.

Noted (AI summary) Milton Keynes Council has a contract for counselling services in place with MIND, which will be maintained until April 2019 whilst MIND develop additional funding opportunities for their services. Milton Keynes CCG has invested year on year into Improving Access to Psychological Therapies (IAPT) service provision and invested in a Primary Care Plus (PCP) service working with general practice to provide access to specialist support for people with serious mental illness and increasing mild and moderate need in primary care.

Noted (AI summary) Every person attending for pessary insertion now receives an information leaflet. Processes have been amended to tighten follow up, including letters and offering a further appointment if there is no response. Patients who have missed follow-ups are being recalled for review. The GP provides a summary of the patient's medical history and care, noting cancelled appointments and home visits. The hospital acknowledges the patient cancelled her appointment and asks the GP to inform them when she is ready to reschedule.