2025

Action Planned (AI summary) The Royal College of Surgeons is updating its guidance on consent, developing practical tools and checklists for implementation, and creating an e-learning module on consent for hospitals to use for training. They will also publicize the case to the Association of Surgeons of Great Britain and Ireland (ASGBI), and to the Confidential Reporting System for Surgery (CORESS). The Association of Anaesthetists and Royal College of Anaesthetists are publishing a Good Practice guide on rapid sequence induction (RSI), emphasizing the need for patients to understand the risks associated with the lack of an NG tube. Key learning points will be disseminated through their Patient Safety Update publication and shared with surgical colleagues via CORESS. The Trust is developing an electronic form to assist staff in navigating and documenting discussions with patients who choose 'care outside of guidance,' planned for implementation in the New Year after feedback and testing.

Action Planned (AI summary) The College of Policing will formally raise the case of Ms. Laskowsky at the next meeting of the NPCC First Aid Forum on 4 December 2025, to ensure that national learning is disseminated and embedded. They will produce national learning summaries and practice notes, update Authorised Professional Practice (APP) and training materials, and engage with force training leads and clinical governance advisors. West Yorkshire Police has posted an intranet briefing reminding staff about the YAS Partner Triage Line, included details in operational briefings, updated training and guidance material, and tasked the Right Care Right Person team with monitoring its usage. First Aid trainers will also remind officers of the YAS Partner Triage Line during annual training. The NPCC has recommended that West Yorkshire Police implement clinical governance arrangements consistent with NPCC guidance and has offered support in implementing this. They confirm that assessment of breathing and responsiveness levels are mandated in Learning Outcome 1.3. of Police First Aid Learning Programme.

Action Planned (AI summary) The Minister for Women and Equalities will raise concerns regarding procurement practices and the status of British Sign Language (BSL) interpreters with the BSL Advisory Board, asking them to work with NRCPD to consider ways to improve the profession.

Action Planned (AI summary) The Trust has confirmed funding for a 0.6wte Band 6 Tissue Viability CNS as a substantive post and is actively recruiting for the role to embed a TVS across community hospital sites.

Action Planned (AI summary) Barts Health acknowledges failures in governance and is commissioning an Independent Review of governance processes related to Patient Safety Incident Response Framework (PSIRF), including decision-making at Patient Safety Incident Review Meetings (PSIRM).

Action Planned (AI summary) The Department of Transport will investigate how best to raise awareness of DVSA’s guidance on maintaining roadworthiness and consider publishing additional guidance on agricultural vehicle maintenance, including for vehicles operated solely on private land.

Action Planned (AI summary) Lancashire Teaching Hospitals NHS Foundation Trust will implement a 'wound swab' document to ensure that wound swab results are reviewed and communicated as part of the pre-operative process, and have an action plan to adhere to international guidelines regarding infection signs.

Action Planned (AI summary) Manchester University NHS Foundation Trust will train Cardiology Residents on using the HIVE system to send discharge letters to relevant healthcare providers and create tip sheets and video guides for cardiology teams, which will be shared across the Trust.