2021

Noted (AI summary) The Resuscitation Council UK (RCUK) will emphasize the need to exclude major bleeding as the cause of collapse before giving fibrinolytic drugs for suspected PE in pregnancy. They will review and update the next print run of the RCUK Advanced Life Support Manual, teaching materials on the ALS course concerning pregnancy, and the Obstetric Cardiac Arrest Quick Reference Handbook. The RCOG outlines existing training and guidance related to ultrasound assessment in early pregnancy and the management of gynecological emergencies, emphasizing that excluding ectopic pregnancy is a routine part of the first scan. They state that competencies are outlined in CiP 9 and 11 and detailed knowledge criteria appears in knowledge areas 3, 13, 10, 11, 12, 14 and 15 in their MRCOG membership examination.

Noted (AI summary) Maidstone Hospital has implemented an action plan, recorded in their incident reporting system (DATIX), and taken steps to strengthen multi-professional working with Kent and Medway Social Care Partnership Trust. They have also commissioned an audit into consent and capacity practices and appointed a new clinical advisor and practitioner for capacity. Kent and Medway NHS and Social Care Partnership Trust have improved joint working with Maidstone and Tunbridge Well NHS trust, strengthened Mental Capacity Assessment monitoring, closely monitored Mental Capacity Act training and signed a Service level agreement with MTW to support patients detained under the Mental Health Act. The DWP outlines its procedures for vulnerable claimants, including reasonable adjustments for those unable to attend in person. They state that they are satisfied that appropriate support is available and do not propose to take any specific actions or make any changes at this time.

Noted (AI summary) The National Trust will conduct an immediate review of its risk assessment for Cock Marsh, including control measures and signage, and a signage pilot will commence prior to the early spring Bank Holiday to test the location, wording and effectiveness of such measures. There are plans for the Property Team to share this information Jordan's family and reviewing website visitor information. The Environment Agency acknowledges the coroner's concerns regarding safety measures at a specific site, but states that the National Trust, as landowner, holds primary responsibility for implementing measures like warning signs and rescue devices. The EA outlines its responsibilities as the navigation authority for the River Thames and its regular inspection of assets, but refers to case law indicating individuals should take responsibility for their own safety during potentially dangerous activities.