2024

Action Planned (AI summary) From 7th October 2024, staff on DCU will become part of Neighbourhood Policing Teams and therefore mandatory training will become aligned. Sussex Police has offered 1:1 training to PC, and the planned roll out of "Mental Health and the Police" will ensure mandated mental health training is provided to all officers and staff that may be required to attend incidents where mental health could be a factor. Sussex Police is introducing Mental Health First Aider training to all new recruits from January 2025. SPFT partners are developing a Standard Operating Protocol for the RRS to provide guidance to officers who contact them for advice & assistance. A trust wide Standard Operational Procedure for the RRS is being developed which will provide guidance to staff working within the RRS. Immediately following the inquest, the Trust contacted Sussex Police to open the door to discussions about how we may approach cross training and these discussions are ongoing.

Action Planned (AI summary) The DHSC acknowledges concerns about ambulance response times and handover delays. Royal Cornwall Hospitals NHS Trust is implementing changes including a Clinical Decision Unit model, converting the Same Day Medical Assessment Unit (SDMA) to a Same Day Emergency Care (SDEC), and moving acute medical resource from the emergency department to Acute Medical Unit.

Action Planned (AI summary) Somerset Council is installing additional safety signage at Burnham on Sea Jetty to highlight the risks associated with strong currents and completing line painting on the lower part of the jetty advising against access, with completion due by 30th November 2024. Somerset Council has installed signage at the top of the jetty in Burnham on Sea and applied line marked signage to the tarmacked surface, completing this work in November 2024.

Action Planned (AI summary) Cwm Taf Morgannwg University Health Board is undertaking several actions to address referral delays including implementation of a new RTT pathway, harm review process, and workforce improvements including securing administrative support and appointing a team leader for Gynae Hub.

Action Planned (AI summary) UKHSA will undertake a risk assessment in collaboration with the clinical team treating a case to determine whether additional contact should be made with the next of kin when a case is known to die during investigation; contact details of the UKHSA regional team will be shared with immediate family so they can contact the regional team if they have any questions or would like to provide any further information. UCLH will reinforce how they make relevant infection information available to patients and their next of kin and will reflect on this case. They will also endeavour to document health protection team contact details in their electronic health records system.

Action Planned (AI summary) NHS Greater Manchester outlines plans to update the Patient Pass system to include a mandatory telephone number field and advises referrers that Patient Pass should be accessed regularly. They will also require tertiary services to attempt telephone contact for time-critical actions.

Action Planned (AI summary) DHSC outlines government's plans to improve care, including the 10 Year Health Plan (publishing in Spring 2025) which focuses on shifting from hospital to community care, analogue to digital, and sickness to prevention. They cite increased funding to the Disabled Facilities Grant (DFG), the introduction of a new mandatory training requirement for care workers, and new duties for NHS England and ICBs to involve carers in public engagement and care planning.

Action Planned (AI summary) The Trust will change processes to ensure GPs are contacted when patients do not attend appointments and to follow up with patients and families where concerns are raised about medication compliance. They will also review referral pathways to the Older People's Community Mental Health Team and improve communication with GP partners.