2021

Noted (AI summary) NICE acknowledges the concerns but states it cannot influence changes to the EMIS system. They highlight existing guidelines on medicines adherence (CG76) and depression management (CG90) that contain relevant recommendations. The RCGP will open a dialogue with the Royal Pharmaceutical Society to consider in more detail the issue of patients not collecting prescriptions, and recommends that much greater integration of pharmacy and GP IT systems will likely be needed. EMIS confirmed that their software was working as designed and complies with NHS Digital requirements and are presently considering a number of potential digital tools to aid further patient compliance; they welcome a discussion with stakeholders to create best practice for managing this risk. The practice uses EMIS Web software and outlines the three methods by which patients can request repeat prescriptions, also noting that there is no system to alert them if a patient is not requesting their repeat medications on a month-by-month basis and expressing concerns about the resources needed to respond to such alerts.

Noted (AI summary) The Trust states that all staff working with dementia patients have received appropriate training, and policies and guidelines are put into practice with staff receiving information and/or training on their implementation, and audits in place to monitor compliance. The Minister acknowledges the concerns, describes existing training frameworks and personalized care approaches, and mentions the Health and Care Bill's aim to improve integration of health and social care services.

Noted (AI summary) The GMCA will share learning from the case with the Greater Manchester Quality Board, communicate advice and guidance to relevant providers to increase staff awareness, cascade shared learning to professionals through relevant governance and learning forums, and subject potential safeguarding issues/care concerns to further review. The practice participates in monthly multidisciplinary team meetings. Standardised medication review template will be introduced that includes a prompt to routinely trigger an enquiry as to whether the patient is taking any over-the-counter medicine. High risk mental health patients will be invited for a health check and medication review, all patients with known mental health conditions will complete by March 2022. The response acknowledges the concerns raised and mentions existing guidance and requirements for medication reviews within GP practices and Primary Care Networks, and notes that the Uplands Medical Practice has introduced a standardised medication review template.

Noted (AI summary) The council investigated the footway condition outside Alma Street and concluded that it does not meet the standard for intervention based on their inspection regime, which exceeds national minimum standards for safety and maintenance defects intervention.

Noted (AI summary) NHS England and Improvement acknowledges the concerns about waiting times for specialist eating disorder inpatient beds. They describe the optimal service model and ongoing transformation work, including investment in community services and early intervention models.

Noted (AI summary) NHS England and NHS Improvement acknowledge concerns about individuals obtaining excess medications and checking prescriptions across providers. They cite GMC guidance on prescribing practices and describe ongoing programs to improve information sharing and mental health services.

Noted (AI summary) The Trust has strengthened links between community and forensic social work teams, secured funding for a Local Authority assigned social worker to join the community forensic team, and developed a protocol to address placing people outside of the Trust’s geographical area. CQC describes enforcement action taken culminating in the closure of Annette's Care. It states that an internal review found no gaps or areas for improvement in CQC's processes and that the CQC will participate in a 'learning event' with the local authority and Devon Partnership Trust. The PSAP will commission a multi-agency learning review, independently facilitated, to identify multi-agency learning in terms of strengths and weaknesses related to the case. This review will involve the engagement and participation of the family.

Noted (AI summary) The Department of Health and Social Care acknowledges concerns about opioid overuse and misuse. They outline actions taken, including a PHE evidence review, front-of-pack warnings on opioid medications, and structured medication reviews in primary care. The ACMD acknowledges the concerns and will gather more information on the scale of the issue of morphine sulfate solution misuse, being mindful of its legitimate use. They will request information from DHSC and NHS-E&I regarding patient safety incidents.