2022

Noted (AI summary) North West Ambulance Service explains that the collaborative mental health triage car model suggested by the coroner is not suitable for the area, but that they work with partners through the Crisis Concordat to improve outcomes. Merseyside Police describes its existing mental health triage car service and explains why it does not believe a joint operability model with NWAS is appropriate, also noting NWAS has emulated the police model.

Noted (AI summary) The UK Health Security Agency states that responsibility for establishing systems related to food policy and anaphylaxis sits outside of their remit, and instead lies with the Food Standards Agency and the Health and Safety Executive. UKHospitality commits to carrying out a consultation with members on managing the risk of vegan dishes for people with hypersensitivity, and reflecting any recommendations in future updates to the Industry Guidance. The Food Standards Agency will focus on a smaller subset of priorities including Precautionary Allergen Labelling (PAL), improving information in the non-prepacked sector, and enabling a step-change in the knowledge, skills, and food safety culture of staff in the 'non-prepacked' sector through training. The Food and Drink Federation highlights existing guidance on allergen labelling, particularly regarding the differences between 'free-from' and vegan claims and will continue to support the work of the FSA. The British Retail Consortium supports members with label decisions but emphasizes company responsibility, noting challenges with 'free-from' and vegan definitions and the potential for unintended consequences with specific dietary statements. The British Society for Allergy and Clinical Immunology will consider holding an educational event on food avoidance in relation to adults with eczema and will address the need for improved recording and analysis of anaphylaxis fatalities. The Department of Health and Social Care acknowledges the recommendation to establish a robust system of capturing and recording cases of food-related anaphylaxis and notes that data regarding all anaphylaxis-related deaths in England and Wales are documented by the Office for National Statistics and the British Society for Allergy and Clinical Immunology also holds a register. The Royal College of Pathologists is updating its autopsy practice guidelines for suspected acute anaphylaxis to include contact details for the UKFAR and direct pathologists to report fatal anaphylaxis cases.

Noted (AI summary) The Trust offers condolences and provides context on Intensive Home-based Treatment Teams (IHBTT), clarifying their role and approach to risk assessment, particularly regarding communication with family members. They state that the partner's contact was appropriately considered and shared with the visiting practitioner.

Noted (AI summary) The Secretary of State requests local authorities prioritize improving housing conditions for private and social tenants, focusing on damp and mould. They request information on the number of properties with damp and mould and how enforcement of housing standards is being prioritized. The Secretary of State calls on social housing providers to treat damp and mould seriously, meet the Decent Homes Standard, and self-refer to the Regulator of Social Housing if in breach of standards. They also highlight the upcoming Social Housing Regulation Bill to hold landlords accountable. The Secretary of State asks legal representatives to direct social housing tenants with concerns about housing to the Social Housing Ombudsman, highlighting recent changes making it easier to access the Ombudsman. The government outlines actions taken to address damp and mould in social housing, including issuing guidance to landlords, suspending funding to Rochdale Boroughwide Housing, and awarding funding to areas with poor privately rented homes. They also highlight the Social Housing Regulation Bill to hold landlords accountable.

Noted (AI summary) NHS England has commissioned a review of HTM 04-01 by Dr Susanne Surman-Lee, specifically related to immunosuppressed patients and NTM, including identifying any specific measures required for new hospital premises, and a gap analysis between British Standard BS 8580-2:2022. They aim to publish a technical bulletin with any amendments by Spring. The Department of Health and Social Care acknowledges the concerns and states that NHS England is the correct organisation to respond, noting that NHSE already sent a response on Feb 6, 2023.

Noted (AI summary) Cardiff and Vale University Health Board reviewed the patient's triage and management by the Out of Hours GP Service, sharing their initial findings. The board acknowledges that there was poor communication at the inquest hearing which may have led to some of the recommendations. The Welsh Ambulance Services NHS Trust acknowledges the concerns raised regarding triage and response times and the impact of system pressures. The Trust says it will continue to press for real systemic change at every opportunity.