2019

Noted (AI summary) Greater Manchester Combined Authority outlines its functions and relationship to policing, noting that the Chief Constable has operational independence. It acknowledges the need for a coordinated approach to car cruising across Greater Manchester and notes that developments are in train. The Home Office highlights the establishment of a national practitioners group for car cruising leads and states the National Police Chiefs' Council have also agreed to discuss car cruising at the next Roads Policing Intelligence Forum. The Home Office will continue to work closely with the police to improve the response to illegal activity at these events.

Noted (AI summary) The Department of Health and Social Care acknowledges the concerns around coordinated, multi-agency working for patients on Community Treatment Orders, and refers to existing NICE and Mental Health Act guidance. No specific actions are described beyond signposting existing resources.

Noted (AI summary) Cornwall Council has replaced all Nimbus mattress systems in the community with Elite systems. All Nimbus stock has been destroyed. The council states that the previous service records indicate that there is no evidence to suggest that alarm failure was an issue on the Nimbus system. The MHRA explains CE marking and post-market surveillance processes for medical devices like mattresses, noting that the incident was not reported to them. They state that without a serial number to identify the mattress, a report may be inconclusive and there is no further action that MHRA can take.

Noted (AI summary) The trust has developed a Cardiac Implantable Electronic Device Lead Infection Microbiology Hospital Guideline to aid in detection and treatment of Subacute Bacterial Endocarditis (SBE) related to cardiac rhythm devices and will link it to existing guidance for Pyrexia of Unknown Origin (PUO). The learning board has been shared and will be further supported at the Trust-wide Quality Summit and in a monthly 'Patient Safety Brief' newsletter. The practice discussed the case and reviewed the patient's medical record, concluding that the diagnosis was difficult to make in primary care due to the unusual nature of the infection and non-specific symptoms. They now recognise this as a possible cause of malaise in similar future scenarios. The Trust is undertaking a programme of education for acute physicians via grand rounds and a 'Lesson of the Month' email to raise awareness of pacemaker related endocarditis. They will also update patient information leaflets to include additional instructions regarding fever and device related endocarditis, aiming to complete this by November 2019.