2018

Action Planned (AI summary) North Yorkshire County Council will give further consideration to installing non-prescribed signs at the A59/Broughton Hall junction, despite concerns about accountability. Improvements to signing and road markings will be introduced at the nearby A59/Gargrave Road junction.

Action Planned (AI summary) The Trust will develop an escalation process for rejected referrals in Stockport, clarify and communicate target timescales for routine appointments, implement an escalation protocol for disagreements on face-to-face appointments, and co-locate alcohol liaison practitioners with the all-age liaison mental health service by the end of February 2019.

Action Planned (AI summary) • The Trust is working on strategic and operational quality improvements in patient safety to improve available resources to respond to patients. • The Trust is working collaboratively with Health Board colleagues to progress safety, effectiveness and a positive experience for patients and their carers. • The Trust is working on initiatives to deliver and enable an improved resourcing picture, including planned resources sufficient to meet overall demand, aligning production against demand, reducing sickness absence, and reducing handover duration.

Action Planned (AI summary) The Department of Health and Social Care highlights national initiatives like 'Future in Mind' and the Suicide Prevention Workplan. They also mention plans to set up 24/7 crisis care for children and young people by 2023/24 and efforts with DCMS to address harmful online content. Calderdale CCG and Calderdale Council have reviewed and revised processes and identified new actions related to CAMHS referrals and communication between professionals, overseen by the multi-agency Open Mind Partnership. Calderdale Council is progressing with the installation of anti-climb mesh and CCTV at North Bridge, with completion expected by the end of 2019.

Action Planned (AI summary) • The issue of monitoring blood plasma levels in people taking clozapine (or other antipsychotics) has been logged for consideration by the NICE guideline surveillance team undertaking the review process of clinical guideline CG178.

Action Planned (AI summary) CNWL Mental Health Trust has informed the CCG that they are commissioning a study to assess the feasibility of creating a new inpatient campus in Milton Keynes, bringing together acute wards, older adult wards and rehabilitation services. The first meeting with planners is scheduled for 28th January.

Action Planned (AI summary) NHS England acknowledges the concerns and states they have been working with hospitals to improve standards of care provided to patients under the seven-day services programme, including access to diagnostic imaging. They will disseminate learning from this case through quality structures across England and are undertaking a national review of vaccination and immunisation arrangements.

Action Planned (AI summary) The CCG acknowledges the concerns about ADHD diagnosis and treatment and states that it has committed to developing a new adult ADHD pathway for Cornwall, due to be established in 2019, to address the identified gaps in service provision.

Action Planned (AI summary) Calderdale Council submitted planning and listed building consent applications for anti-climb mesh and steeple coping on North Bridge, with works expected to be complete by May 2019. CCTV has been installed. These measures were discussed and agreed with their Public Health colleagues who lead the Suicide Prevention Group.