2019

Action Planned (AI summary) The Trust will document care planning meetings, offer experiential training for carers including an overnight stay, and include carer guidelines in the discharge information. These changes will be reviewed within the monthly stroke governance meeting.

Action Planned (AI summary) National Highways is investigating ownership of missing footpath signs and will arrange for reinstatement of the missing sign at the southbound bus layby. They do not feel additional signage to the underpass would be justified.

Action Planned (AI summary) Persimmon Homes attended meetings with North Somerset District Council and agreed to attend a further meeting with Network Rail to explore an acceptable resolution, including a significant financial contribution for construction of the footbridge. North Somerset Council will meet with Persimmon Homes, seek Network Rail's engagement, and consider measures to improve crossing safety. By specific dates, they will seek Network Rail's confirmation of design requirements, agree to a draft project plan, and use best endeavors to determine any planning application.

Action Planned (AI summary) Manchester City Council conducted a review and will implement an overview and assessment of the MSIL's waiting list, agreeing on a prioritization process by May 30th, 2019. They will also review agency escalation processes with GMMH and include effective joint working and information sharing as a standing agenda item in monthly partnership meetings.

Action Planned (AI summary) RoSPA intends to invite all Greater Manchester Local Authorities to a workshop to discuss findings from a City Centre review of drowning incidents and develop plans to prevent future incidents.

Action Planned (AI summary) NHS Pathways is undertaking a detailed review to determine whether additional discriminators can be used over the phone to enhance the triage process, including utilizing risk factors and specific questions to determine the onset and nature of pain. Changes will be incorporated into release 18 (due for deployment 7th October 2019). South East Coast Ambulance Service has discussed the coroner's concerns with NHS Pathways, who are reviewing care instructions and considering amendments to the Pathways script for inclusion in version 18 or 19, due for release in Autumn 2019. NHS Pathways will review the inclusion of additional questions to exclude abdominal aortic aneurysm as part of a review into severe abdominal pain.

Action Planned (AI summary) South Wales Police have developed a procedure for call handlers that incorporates guidance highlighting the presumption that 'life is not extinct' in hanging scenarios. This procedure is now part of call handler training. The College of Policing will amend learning standards for contact management staff within the next month to reflect the importance of preserving life. They have also asked for a summary of the issue to be circulated to heads of contact management across England and Wales.

Action Planned (AI summary) The Home Office will write to all parties in IRCs by the end of April 2019 to reiterate the requirements for sharing information on detainees being managed under ACDT procedures. They will use learning from the HMPPS pilot to improve suicide and self-harm prevention guidance and procedures.

Action Planned (AI summary) The CCG has invested £600,000 to improve staffing on inpatient mental health wards. The service's waiting times have improved due to internal actions, with the current waiting time for Cognitive Analytical Therapy at 13 weeks. NHS England will test four-week waiting times to appropriate care and is expected to publish a Community Mental Health Framework to support local areas in the transformation of community mental health services. NHS England is also investing to improve the therapeutic skill mix of staff.