2022

Action Planned (AI summary) The council will cut back a hedge bordering the A525 and Hollybush House and speak to the new owner about future maintenance. They also intend to make Green Lane one-way to prevent vehicles exiting onto the A525 where visibility is limited, with residents' support.

Action Planned (AI summary) The Trust highlights that all staff are trained in the use of PARIS. A business case is progressing to split Bronte Ward into two smaller single sex wards. It also describes work being done on a trust-wide approach to improving knowledge of trauma-informed care, including a co-produced statement of intent, harmonizing training, and creating a resource hub. The Department notes actions the GMMH Trust is taking, including participation in a sexual safety collaborative and improvements to trauma-informed care. They also mention national initiatives such as investments in mental health estate improvements, dormitory replacements, and new models of integrated community mental health care.

Action Planned (AI summary) The LAS will produce an internal clinical refresher for frontline clinicians regarding the risks associated with cocaine use and 'red flag' presentations, planned for publication in early Autumn 2022; they will also review internal guidance to make it more accessible and provide examples of when a paramedic should directly attend to a patient.

Action Planned (AI summary) The LFB plans to conduct a regulatory audit of the premises, issue a clarification of LFB policy on vetting of fire safety audits, conduct a full review of training material for vulnerable sleeping risk premises and develop refreshed CPD, apply the new national scheme for third-party accreditation of fire safety inspecting officers, review guidance on portable electric fan heaters, highlight the issue to housing providers, and continue to press for guidance on fitting of digital keypads. The NFCC will report the coroner's concerns to BSI committees (FSH12 and FSH14) to encourage debate and petition for positive outcomes, and will continue to work with the Home Office to ensure the matter of Concern is suitably addressed in any Guidance revision. Sequence Care has revised its competency checklist, re-assessed staff against it, arranged additional training sessions and updated fire alarms in homes to link to an Alarm Receiving Centre (ARC); ARC links at two homes will be completed by 24 June 2022. BSI's committee FSH/12 will pass on concerns to technical committee FSH/14 and sub-committee FSH/12/1, who will consider the issues and update progress in due course; the sub-committee FSH/12/4 may consider the issue of electronic locking as part of a forthcoming amendment to BS 7273-4.

Action Planned (AI summary) The Trust has consulted patients, carers, staff, and external partners to co-create a more inclusive and collaborative service, appointed 2 Lived Experience Directors to the executive team, is expanding peer support worker numbers, and adopting nationally recommended changes to care planning using the DIALOG model. The Trust has begun to examine the records of 134 patients with both an Autism marker and a diagnosis of EUPD, to understand the rationale and validity of the diagnoses, how it has been shared, and whether it has been withdrawn, with engagement from clinical teams. The CCG/ICB is working on a series of learning events with TEWV and service users and is considering how services ought to be commissioned and delivered moving forwards, whilst also looking at more immediate and interim arrangements based on the findings in the regulation 28 notice. NHS England highlights several initiatives including funding to improve autism diagnostic pathways, work to reduce restrictive practice and seclusion, C(E)TRs for autism diagnosis removal, and development of a sensory assessment tool and resource pack for health Trusts and Integrated Care Systems (ICSs). Registered providers are required to ensure their staff receive specific training on learning disability and autism appropriate to their role, from 1 July 2022. NHS England is investing £1.5 million into the development and trialling of autism training for staff working in adult inpatient mental health settings by March 2023.

Action Planned (AI summary) The Department of Health and Social Care will collect data on ward perimeters and review the evidence base and patient and family feedback regarding national guidelines for perimeter fences and security in acute mental health unit outside areas. The Priory Hospital Woodbourne issued bulletins on record keeping and shift handovers, is installing software to enable daily data transfer from handover sheets to electronic records, excavated the Beech ward courtyard to eliminate banking adjacent to the fence, and upgraded the CCTV system to ensure full visibility.

Action Planned (AI summary) Holy Cross Hospital has written a policy on ‘Managing a Deteriorating Patient’, including a decision tree for monitoring and escalation, with staff training to follow. They are also implementing an Electronic Patient Record System in the second half of 2022/23.