2022

Noted (AI summary) Humankind has implemented a standard operating procedure for prescription deliveries, including mandatory witnessed delivery and recording in the service user's notes. They have also established a contact procedure and contingency plan for failed deliveries, and record failed deliveries as incidents in their management system. Boots UK acknowledges the concerns raised and states the gravitas is duly noted.

Noted (AI summary) NHS England acknowledges concerns about the NHS Pathways tool, particularly regarding early call exits and assessing fluctuating consciousness. They provide detailed information from the Pathways 'Hot Topic' guidance, emphasizing the need for health advisors to accurately assess a patient's consciousness level at the time of the call.

Noted (AI summary) NICE acknowledges the correspondence but states that responsibility for the content of the BNF lies with the publishers, BMJ Group and Pharmaceutical Press, and therefore NICE cannot comment on the concerns raised. The Royal Pharmaceutical Society will add additional information regarding acute pulmonary reactions to the nitrofurantoin monograph in the BNF, specifically highlighting it in an additional section of the side-effects information, and will also add information on the importance of counselling patients on the possible symptoms of acute pulmonary reactions and the necessity of promptly reporting such symptoms. The medical group has emailed prescribing clinicians about nitrofurantoin side effects, will discuss the matter at a Significant Event Analysis Meeting, plans to provide written information to patients, and will contact the Local Medicine Management Team to suggest changes to local guidelines. The MHRA will request that Marketing Authorisation Holders strengthen the wording in the UK Summary of Product Information (SmPC) and Patient Information Leaflet (PIL) regarding pulmonary reactions to nitrofurantoin. The MHRA will also communicate any SmPC and PIL updates, to the BNF, and will communicate to UK healthcare professionals to inform them of these updates via the Drug Safety Update.

Noted (AI summary) The Trust outlines actions taken in response to concerns, including updating guidelines for maternal blood pressure checks and CTG interpretation, changing processes for escalating concerns, and ensuring timely review of blood test results. They also describe actions related to training and competence assessment of midwives. The Trust requests redaction of specific concerns and responses from publication, arguing they could identify individual clinical staff and contain personal information.

Noted (AI summary) The Mayor acknowledges the concerns regarding police pursuits but states that operational policing is under the Chief Constable's control. The Mayor highlights existing governance structures and oversight of ethical considerations around police pursuits. West Yorkshire Police details actions taken in response to concerns about police pursuits, including re-evaluating local arrangements, liaising with national leads, updating training, and revising risk assessment processes. They also describe post-incident procedures and national efforts to standardize driver training.