2022

Noted (AI summary) AACE acknowledges the coroner's concerns about ambulance response times and capacity and highlights that the issue has been flagged nationally, leading to a national demand and capacity modelling exercise led by NHSE.

Noted (AI summary) The TEC Services Association (TSA) will issue guidance to certified monitoring organizations by the end of November 2022. They also plan to develop a Fire Call Handling Pathway Decision Support Tool with the support of NFCC and LFB, but anticipate it will not be available until 2024. The CQC acknowledges the concerns but states they relate to services outside their scope of regulation (fire service and telecare service) and therefore they have no powers to prevent future deaths in relation to these services. The Department of Health and Social Care has reminded local authorities to consider technology-enabled care in maintaining independence and linking preventative devices like smoke detectors. It also published an updated Adult Social Care Digital Skills Framework to support the development of digital skills across the adult social care workforce. The Home Office will share information from the case with the National Fire Chiefs Council (NFCC) and encourage them to disseminate findings and highlight the importance of linking telecare systems to smoke alarms during fire safety checks. The organisation recommends monitored smoke detectors and rapid heat detectors for elderly and vulnerable service users, referencing recommendations made with London Fire Brigade in 2003. The London Borough of Hackney will address its procedures and guidance within its 'Mosaic' system to reduce risks to vulnerable individuals, especially regarding fire safety for those with risk factors like being bed-bound and a smoker; a table detailing planned actions and timelines is attached.

Noted (AI summary) National Highways expresses sympathy and highlights existing measures to improve safety, including public awareness campaigns and the Smart Motorway Safety Evidence Stocktake and Action Plan. They urge road users to inform themselves about emergency procedures and who to contact.

Noted (AI summary) The Department outlines duties and policies in Northern Ireland regarding support for vulnerable individuals moving locations and clarifies that NHS England has processes in place for managing newly registered patients, including initial assessments and referrals, noting that a consultation with Ms. Austin-Martin occurred shortly after registration.

Noted (AI summary) The surgery provided a factual account of the patient's consultations and treatment based on medical records, noting the author was not involved in the patient's care and is no longer at the practice.