2024

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. IPAF provides guidance for planning and undertaking MEWP recovery and rescue, including platform-to-platform methods, and offers a certified training program. 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.

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.

Noted (AI summary) The Trust will not allow removal or deferral of cancer patients on a Patient Tracker List without consultant approval. A restructure of cancer administration pathways is underway and an external review of controlled medication practices is planned. The Trust has changed the process of Controlled Medication Keys and is trialing a digital key system and exploring installing CCTV. The MHRA acknowledges the concerns but states they cannot comment on medical advice or care quality. They explain the MHRA's role in assessing medical devices and note they received a previous NRLS report regarding a gastrostomy balloon device, but the investigation was closed in August 2023 due to the implementation of ENFit standards. The DHSC acknowledges the concerns regarding the care provided by the Trust and its processes. It outlines the roles of NHS England, CQC and MHRA and refers to NICE guidance and NIHR funded studies on sepsis.

Noted (AI summary) NHS England has engaged with Newcastle upon Tyne Hospitals NHS Foundation Trust, who have permanently suspended use of the cannula in question. All reports received are discussed by the Regulation 28 Working Group. The DHSC acknowledges the concerns, explains the roles of NHS England, MHRA and CQC, and outlines the NSDR's role in managing medical supply disruptions. They note that the supply disruption was not escalated to NSDR and that the MHRA has no evidence of excess risk with the cannula used.

Noted (AI summary) FCDO confirms that a response is still outstanding, but that they transmitted the report to the British Consulate in Crete for onward transmission to the relevant Greek authorities. They cannot guarantee a response from the Greek authorities.

Noted (AI summary) DWP expresses condolences and explains the policy regarding spare room subsidy, but states they cannot comment on the specifics of the case. They state that the policy is clear and additional support is available through the DHP scheme.

Noted (AI summary) NICE acknowledges the lack of evidence for specific DOAC reversal protocols and states that clinical judgement is required. They reference existing guidance on head injury and andexanet alfa, and commit to monitoring new evidence.