2018

Action Planned (AI summary) The Welsh Ambulance Services NHS Trust and Cardiff and Vale University Health Board confirmed the continued actions of reminding CCC Clinical Leads to address Protocol 23 cases promptly, approach the Police to extend the MOU to include overdose cases, expand the clinical desks, rolling out the APP model across Wales and implementing a Level 1 response to people who have fallen and are not injured. The Welsh Ambulance Services NHS Trust (WAST) is considering options to increase capacity on its clinical support desk and exploring options for third sector organisations to support delivery of welfare checks. The Cabinet Secretary has commissioned a review of the ‘Amber’ category.

Action Planned (AI summary) NHS England is developing a framework for community mental health services to improve joint working between primary and secondary services. They will also write to GP practices about monitoring antipsychotic medication prescriptions and explore alerts within primary care clinical systems.

Action Planned (AI summary) The Trust will circulate a reminder to all staff regarding the CPA policy and how to access it. Pennine Care NHS is a signatory to the Greater Manchester Strategic suicide prevention strategy and will work collaboratively to bring the NCISH recommendations to practice.

Action Planned (AI summary) Commissioners plan a total overall investment of £13.8m to support achievement of the ARP standards. SWASFT have provided a draft business case and performance standards are expected to be met by September 2020, with Category 2 in June 2021. NHS Kernow will be working with current providers to extend their current contracts, as the procurement process was not successful. The CCG will finalise future commissioning arrangements for one universal non-emergency patient transport service.

Action Planned (AI summary) Sheffield City Council plans to install a length of barrier rail around the corner of the junction within 10 weeks to deter pedestrians from crossing in the wrong location and guide them to the designated crossing point.

Action Planned (AI summary) Lancashire Care NHS Trust will prompt nursing teams to fully consider patient risks prior to leave, consider a minor amendment to the Leave Policy by 28 September 2018, pilot leave diaries in secure services, and the Clinical Director will write to consultants and ward managers about these actions by 14 September 2018. The impact of these actions will be included in a clinical audit in January 2019.

Action Planned (AI summary) Network Rail is planning to apply mitigation measures (wire mesh panels with base plated fence posts fixed to the top of the parapet walls) to further deter access to the track below, with an anticipated completion date of the end of September 2018. They will also erect a warning sign of the dangers presented.

Action Planned (AI summary) The London Borough of Camden is migrating records to a new IT system for Careline, to be in place by the end of 2018, including a checklist for referring to emergency services with full patient history; a referral has been made to the SAR panel for review, and the Careline service has contacted LAS to discuss better information sharing.

Action Planned (AI summary) Lambeth Council has offered safeguarding training to the South Lambeth Islamic Centre, scheduled for September 19th, and shared a model safeguarding policy for schools; the Council's Food, Health and Safety Manager will follow up on the actions via a visit.

Action Planned (AI summary) The Department of Health and Social Care acknowledges the concerns and states that the North West Ambulance Service NHS Trust (NWAS) is conducting a full investigation into the incident and concerns raised. It also references NHS England's Urgent and Emergency Care review and the introduction of new urgent treatment centres.

Action Planned (AI summary) Careworld London Ltd updated keyholder details for all service users using dedicated scheduling software. They reinforced requirements for carers to contact office staff for advice on failed visits, and revised their Failed Visits policy to emphasize involving the police. London Borough of Tower Hamlets is piloting a new carers’ assessment, developing a single point of access for health and social care, and revising the Adult Social Care Failed Visits Policy & Process, emphasizing keeping front-sheet information up-to-date and highlighting the importance of calling the Police if serious harm is suspected. They have also terminated their contract with Careworld.

Action Planned (AI summary) The Home Office will encourage "professional curiosity" through new accreditation standards for Firearms Enquiry Officers being developed by the College of Policing. They intend to consult on draft statutory guidance to the police on firearms licensing, inviting the police to consider any wider family members when they are likely to be relevant. Durham Constabulary outlines that the Home Office is preparing to go to public consultation on their guidance to forces on issuing firearms certificates later this year, and they will endeavour to include the lessons learned from Mr Hill's death, in particular, for FEO's to ensure that they examine the domestic and family circumstances of an applicant should this appear to be relevant under Section 27 of the Firearms Act 1968. CFOA has disseminated information about the dangers posed by emollient creams to all fire and rescue services through internal communications channels, and will promote safety warnings relating to these creams through their own safety campaign weeks and online/press channels.