2026

Action Taken (AI summary) Manchester University NHS Foundation Trust has updated its Adult Early Warning Score and Intentional Ward Rounding policies, with staff reminders and mandatory training rolled out. The Trust has also launched an 'Active Hospitals' programme in several inpatient areas to promote patient physical activity and prevent deconditioning.

Action Taken (AI summary) • The Stroke team at WSFT immediately contacted the responsible medical team to clarify the correct TIA referral process with them. • The Trust has updated the TIA referral guideline to improve clarity around the process.

Action Taken (AI summary) Curaleaf Clinic has implemented material changes to its clinical governance, communication, and shared-care processes, including requiring comprehensive up-to-date medical summaries from GPs. They have also reviewed their approach to complex psychiatric patients and reinforced coordination with external mental health services.

Action Taken (AI summary) • The Health Board has undertaken a detailed internal Patient Safety Review and enacted several improvements. • Further actions are planned to reduce risk and strengthen system resilience.

Action Taken (AI summary) NHS England has provided £180,000 to University Hospitals Sussex NHS Foundation Trust to support the recruitment of additional mental health nurses. A new tri-funded short-term residential alternative to hospital admission is expected to open in 2026 to support young people in crisis.

Action Taken (AI summary) • All staff responsible for admissions have received one-to-one supervision regarding Ms George’s case, ensuring learning is embedded. • Information has been disseminated to all junior staff for awareness training, emphasising the importance of correctly processing admission and discharge documentation. • All hospital discharge summaries are now scanned directly into residents’ care plans upon receipt. • WAST is increasing its remote clinical support to ensure prioritization of available resources based on patient needs and to improve safety netting. • WAST is working to minimize the number of patients being transported to busy hospitals by enhancing staff knowledge, skills, and competencies and the alternatives available to them. • WAST is increasing resources available for use, completing roster changes to increase resource availability and improving levels of attendance levels.