2019

Noted (AI summary) The Greater Manchester Cardiac Network will review how they can support and extend work at MFT to improve the heart care pathway for quicker diagnosis and treatment of patients requiring TAVI. The Department of Health and Social Care acknowledges the concerns and notes that NICE is developing a clinical guideline on heart valve disease in adults, while the Manchester University NHS Foundation Trust and the Greater Manchester Cardiac Network are working on improving diagnosis and treatment processes. NICE references existing guidelines on chronic heart failure and notes the development of a clinical guideline on heart valve disease presenting in adults, which will consider referral indications, and the concerns raised have been highlighted to the guideline developers. BCIS will contact its members to review local referral pathways for TAVI procedures to expedite treatment and prevent delays, and supports moves to ensure adequate capacity for TAVI candidates.

Noted (AI summary) The City of London Police (CoLP) are working with partner agencies to test interoperability of communications and enhance training scenarios, including a 7 day live trial in February 2020 to station staff in the MPS control room, with a review in Autumn 2020, and are engaging with the MPS in ICCS and CAD upgrade projects, planning an interim solution until upgrades are complete. The BVRLA has worked with the DfT and law enforcement to prevent the use of rental vehicles in terrorist attacks, providing training, guidance and engagement opportunities to members, and has included additional criteria within member audits from Jan 2020 to monitor awareness, training and compliance against the Rental Vehicle Security Scheme. The LAS is planning a live trial for seven days in February 2020, with LAS and LFB staff based in the MPS control room, and will analyze the outcome and consider a recommendation for approval by Autumn 2020; it is also working with its emergency service partners and increased visibility of the HART and TRU teams. The Home Office acknowledges the coroner's concerns and provides context, stating that the issues raised are technical and will be considered by the police in collaboration with the Emergency Services Network programme. It also mentions ongoing work led by the National Police Chiefs' Council. The MPS is trialing a "London Emergency Services Contact Centre" with representatives from the LFB and LAS deployed within the Specialist Operations Room, with a table top exercise followed by a real-life 7-day trial planned for early 2020.

Noted (AI summary) Care UK expresses condolences and addresses the coroner's concerns regarding first aid quality at HMP Pentonville. They discuss training, national changes to resuscitation procedures, and staff safety, but ultimately do not support bodycams for nurses due to concerns about patient trust and rapport.

Noted (AI summary) The College of Policing and NPCC are working with forces and medical service partners to address concerns related to Acute Behavioural Disturbance, including raising awareness and consistency in recognition and response. The Chair of the NPCC will write to all Chief Constables to bring the content of the PFD to their attention. The Department of Health and Social Care acknowledges the report but states that a response will be delayed due to an upcoming General Election. They will contact the office to agree on a new deadline once a new administration is in place. Joint guidance between ambulance services and police forces is in development, overseen by a joint committee. AACE will share operational considerations with the National Directors of Operations Group (NDOG) for ambulance services, and will discuss the report at future meetings. St John Ambulance is providing additional Continuous Professional Development training around Acute Behavioural Disturbance. They have also raised the topic for inclusion in the latest version of the First Aid Manual.

Noted (AI summary) Highways England acknowledges receipt of the report and briefly summarises their procedures for temporary road closures, stating that closures are kept to the shortest time possible and safety is prioritised. Ford acknowledges the report and emphasises their commitment to customer safety and quality control, highlighting their monitoring and improvement processes, but doesn't commit to any specific action as a result of this case. Highways England clarifies the oversight role of the Department for Transport (DfT) and Office of Road and Rail (ORR), and explains its statutory powers regarding traffic regulation orders under the Road Traffic Regulation Act 1984. It notes the absence of incentives or penalties related to hard shoulder closures.