2018

Noted (AI summary) The MHRA reviewed complaints and adverse incident databases regarding Ecolab sheaths and found few reports. They are unable to compare "softness" of sheaths and will continue to monitor the safety of TOE probe covers and take action if necessary.

Noted (AI summary) Oxleas NHS Foundation Trust states that Mr. Vukovic was not referred to the Home Treatment Team and explains why. They note that Lifeline would not have been able to provide support and state Mr. Vukovic was discharged to a family who had been involved in his care.

Noted (AI summary) Devon Doctors no longer provides out-of-hours services in Cornwall and has passed the report to the new provider. They reviewed the concerns in relation to their Devon services, noting that information sharing is partly outside their control but that clinicians have appropriate pathways to escalate concerns, including Community Mental Health Practitioners in their Clinical Assessment Service. A Rapid Reassessment Pathway for individuals with mental health needs discharged from secondary to primary care has been developed by Livewell Southwest. NHS England proposes to disseminate a reminder to GPs to safety net urgent mental health referrals, and to consider giving patients written guidance on what to expect and when following a referral. Cornwall NHS Trust has implemented a new assessment service with designated administrators to manage referrals, and developed new Safety Plans for patients containing crisis information. The Trust is also reviewing the Out of Hours services and any changes will be communicated to external providers.