2024

Noted (AI summary) The HSE states that current guidance on safe stacking, loading, and unloading of bales is sufficient and does not require further images or supporting material, but they will keep the report on record for consideration when it is next reviewed.

Noted (AI summary) NICE acknowledges the concerns regarding clozapine and blood cancers but states that the MHRA is the responsible body for medicine regulation and safety. NICE welcomes any findings that may impact its current recommendations and advice. Viatris states its clozapine product is safe when used as prescribed and that ongoing monitoring shows no change in the benefit risk profile, so no action is proposed. Response contains no text. Response text consists only of A6 and A7.

Noted (AI summary) The Royal Pharmaceutical Society explains that the BNF provides a general overview and may not include all information necessary for prescribing, recommending referral to a specialist for bipolar disorder. They will continue to monitor for additional information around the management of bipolar disorder for future updates. BMJ acknowledges the coroner's concerns regarding BMJ Best Practice's content on bipolar disorder treatment. They state that the tool is a reference for medical professionals and that content is regularly reviewed and updated, but the decision on treatment remains with the prescribing clinician. They highlight the importance of consulting multiple sources and checking product information sheets for medications. NICE acknowledges the coroner's concerns regarding their bipolar disorder guideline (CG185) and its consideration of the two polarities of bipolar disorder in long-term treatment. They will discuss this area with their topic experts and review any new evidence, updating recommendations if necessary.

Noted (AI summary) IPAF proposes to bring the matter of rescue plans to the industry through its elected members at its board and council meeting to consider its current position on rescue plans and will hold the next IPAF Council meeting on 10th September 2024. RTITB confirms that their MEWP Basic Training course includes sessions on Emergency Escape and Rescue Plans, referencing excerpts from their trainer's guide. NPORS will convene a subcommittee to review rescue plan guidance by October 1, 2024, and will consult with industry bodies to explore improvements, but a timescale will be determined by the responses. AITT states that basket-to-basket rescue is a last resort and provides details of training in how to perform emergency lowering. Lantra will work with NPORS to determine if a specific MEWP Rescue Training Course has a place in the market by October 1, 2024 and will update training materials to highlight the use of a Personnel Platform as a method for rescue by November 1, 2024. ITSSAR will update its course syllabus to include planning and organisation of work at height, specifically the hierarchy of control measures, and the importance of a company-specific rescue plan and safe systems of work for lone working. IPAF provides guidance for planning and undertaking MEWP recovery and rescue, including platform-to-platform methods, and offers a certified training program.

Noted (AI summary) The University of Reading has already taken several actions, including clarifying SDAT responsibilities, aligning support for MbR students with taught programmes, implementing a notification system for monitoring student engagement, and reinforcing SDAT responsibilities through new guidance. They have also clarified referral pathways for mental health support and ensured assignment with relevant professional codes of conduct. Universities UK acknowledges the coroner's concerns and states they will take the relevant lessons forward into their ongoing work, including national reviews, mental health taskforces, the University Mental Health Charter, and suicide-safer universities guidance. They note they do not have regulatory authority over member institutions.

Noted (AI summary) NHS England acknowledges the concerns raised, noting the national Liaison and Diversion service specification requires timely information sharing with police. They also describe national NHS England work on reviewing PFD reports to identify emerging trends. Midlands Partnership NHS Trust, which now provides Liaison and Diversion services in Sussex, has introduced a Custody Pathway Standard Operating Procedure. They are also considering extending their service hours and introducing an on-call service and are working with Sussex Police and Mitie to agree on the content of a revised MOU. Sussex Police references existing College of Policing guidance on handover procedures, risk assessments, intoxication, and mental vulnerabilities. They state they will not create a separate MOU due to concerns it could conflict with or become outdated compared to national guidance. The NPCC is considering a nationally recognised pre-arrival risk assessment to communicate risks and concerns to custody. They also plan to raise concerns regarding a lack of 24-hour LDS service and NHS Trust information sharing with NHSE. Mitie acknowledges the coroner's concerns regarding communication and documentation but states that they are not involved in mental health assessments in police custody and that the concerns should be addressed by the Police, NHS England and its local mental health and liaison and diversion services teams. However, Mitie has liaised with Sussex Police and the L&D Trust to understand their role in any formal process that they may wish to put in place.