NHS England

“We have considered your request as one to cover ventilators as a whole rather, than limited to models which only provide a CPAP function. To provide a full response to this request, we contacted Philips Respironics on 10 August 2021 and asked them to investigate, provide clarification on the reported problem and report their findings back to us. We also asked for a summary of the alarms on the Trilogy 202 for all alarm scenarios, how each one sounds, and what message is displayed when they are”

“immediately following the Inquest 5 zimmer frames were sourced internally and were made available for immediate use within the ED the same evening”

“We will proactively look for opportunities to share the learnings from this extremely sad case with our key stakeholders and encourage them to explore how pharmacies can work more effectively with other healthcare teams to improve patient outcomes.”

“We have also published guidance around keeping patients safe when they transfer between care providers. This is available on our website. https://www.rpharms.com/resources/quick-reference-guides/keeping-patients-safe”

“NHSEI issued national guidance in August 2019 which sets out a clear expectation that CED services develop integrated pathways with primary care and where responsibility for medical monitoring sits. The guidance outlines that”

“Ambulance services have committed to amending their case exit scripts, where necessary, to provide an estimated waiting time for these lower acuity calls.”

“We will consider the information you have provided and determine whether any further action is required either through our Outreach or fitness to practise process.”

“The Trust notes that the report has been sent to the national bodies and will embrace any changes recommended by them.”

“We will attempt to complete our initial review into the actions of Dr in around three months”

“The BOA will be taking this further. We produce BOAST documents (British Orthopaedic Association Standards) and will be setting up a short life working group involving haematology colleagues to see if it would be possible to produce relevant guidance on the management of such cases in the future.”

“We are working with GP system suppliers and NHS England and NHS Improvement continue to make progress.”

“increased midwifery staffing numbers by 10 full time equivalents and undertake a six monthly Board level review of midwifery staffing”