2023

Noted (AI summary) England Ice Hockey along with Ice Hockey UK (IHUK) and Scottish Ice Hockey (SIH), confirm the mandating of neck laceration protectors which comes into effect from 1st January 2024. The EIHL will mandate the use of neckguards for all players from 1 January 2024 in training and games, and a temporary rule change has been put in place to sanction non-compliance pending the provision of the full rule change from the IIHF. Ice Hockey UK describes its role as the national governing body and notes that the IIHF has mandated neck guards at all levels of competition. They state that IHUK mandated neck guards for Senior Men and Women with immediate effect on 30 October 2023, in addition to the existing mandate for the U16, U18 and U20 categories. England Ice Hockey provides information about regulations around neck laceration protection and the governance structure of Ice Hockey in the UK, but does not commit to specific actions beyond what is already recommended.

Noted (AI summary) NHS England highlights existing national guidance and standards for following up on test results after discharge and refers to their urgent and emergency care recovery plan, noting the responsibility of Trusts to implement procedures and follow national guidance.

Noted (AI summary) NHS England outlines national guidance related to pressure ulcer prevention and refers to ongoing work as part of the National Patient Safety Strategy, but defers to the Trust regarding the specifics of service provision at Royal Stoke University Hospital. University Hospitals of North Midlands will continue to monitor the timeliness of pressure ulcer risk assessments and review referral criteria for the Tissue Viability Team, subsequently monitoring referral to response times.

Noted (AI summary) Acis Group acknowledges the coroner's concerns, referred the issue to the Regulator of Social Housing and the National Housing Federation, and raised awareness within the social housing sector, asserting no breach of regulatory standards or statutory obligations.

Noted (AI summary) The Society of British Neurological Surgeons has written to all SBNS members, asking them to recognise the importance of measuring depth intraoperatively, and empowering them to abort surgery when findings are not consistent with expectations. The GMC acknowledges the concerns but refers them to NICE, medical royal colleges, or specialty bodies, as they do not provide guidance on specific clinical procedures. They highlight their role in setting professional standards and supporting doctors to meet them.

Noted (AI summary) Church Lane Surgery updated their patient history templates, provided training to staff on collecting and recording family history of IHD, and restructured the on-call system for the Duty doctor by adding un-booked telephone and face-to-face slots. London North West University Healthcare NHS Trust argues that the patient's management in the emergency department was appropriate based on national scoring and existing chest pain pathways and describes the introduction of an Emergency Assessment Unit designed to improve waiting times.

Noted (AI summary) The CQC states that the location where the death occurred was not registered with them and appears to fall outside the scope of registration and regulation by them. They have requested interested person status and an extension to gather further information. The CQC states that the sheltered accommodation where the deceased resided is not registered with them and therefore not regulated by them, so they cannot comment on the specific concern raised.