NHS England

“Devon Integrated Urgent Care Service, in conjunction with Devon Partnership Trust, have community mental health practitioners (CMHP) working within our Clinical Assessment Providing out-of-hours medical care for the NHS across the county Devon Doctors Ltd - Company No.”

“NHS England proposes to disseminate a reminder to GPs to safety net urgent mental health referrals, reflecting in particular the inherent vulnerabilities associated with patients with mental health problems who may find it more difficult to engage with specialist mental health services when they are acutely unwell, and furthermore consider giving a patient written guidance on what to expect and when following a referral, given the impact mental health problems have on concentration and hence memory”

“We will review the SCoR and BMUS guidelines (2017), specifically to include guidance on referral of suspected supra-renal abdominal aortic aneurysms for thoracic CT, review by a radiologist or a vascular surgeon.”

“The Royal College of General Practitioners (RCGP) is the largest membership organisation in the United Kingdom solely for GPs.”

“The Trust has confirmed that a Serious Incident Investigation Report has been carried out. They concluded that: 'endotracheal tubes 1 and 2 were incorrectly placed in the oesophagus rather than the trachea. Contributing High quality care for all, now and for future generations to this was the failure to recognise this resulted in prolonged loss of the airway, oxygenation and subsequent cardiorespiratory arrest and hypoxic brain injuiry.”

“The CCG commissioned a new Primary Care Mental Health Pathway during 2016/17, which mobilised in May 2017. The model has been developed to respond to the local population needs, preparing service users to access therapy in order to optimise recovery performance. The service is subject to robust a performance dependent payment framework which provides assurance of performance delivery.”

“The Trust has now implemented an extensive action plan, they have: e Updated the Trust Controlled Drug Policy to include reference to the Opiate Patch Monitoring Form to ensure that the clinical team are aware of the opiate patches worn and administration date.”

“The policy was updated in November 2017 to include reference to an opioid patch monitoring form. The use of the form should minimise the risk of a similar incident experienced by Mr [name redacted] being repeated. The trust managers have informed the Commission that they plan to audit implementation of the form. We will monitor this through our quarterly engagement meetings and subsequently consider this at the next inspection, which is likely to take place between October and December 2018.”

“We aim to have completed our review by the end of 2017 and will consider the need for publication of any additional safety advice at this time in conjunction with our medicine colleagues.”

“PAGB and its member companies recognise that clear information needs to be made available to warn of the risk of increased flammability of clothing and bedding which has been in contact with paraffin-containing emollients.”

“In addition to this, the Clinical Lead of SWAST raised with NHS Pathways concerns surrounding dizziness symptoms not being part of the”

“The Trust is committed to learning from serious incidents and has made changes to its systems to minimise the risk of a similar incident recurring in the future, including change of PEG policy, and the introduction of a PEG pathway checklist.”

“The national Physical Health SMI CQUIN supports the improvement of physical healthcare to reduce premature mortality in peopie with serious mental illness (SMI).”

“In 2014 NHS England set up National Paediatric Asthma Collaborative (NPAC)', partly in response to NRAD, to bring together a wide range of clinicians, commissioners and voluntary sector organisations to work together on improving care and support for children with asthma.”

“We have produced a quality standard on asthma that covers diagnosing and managing asthma in adults and children (aged 12 months and over).”

“The following information describes the commissioning arrangements for healthcare for someone being held in police custody.”

“The Neurosciences CRG are in the process of reviewing the Neurosurgery Service Specification and will require all services to meet the guidelines issued by the SBNS. This review will be complete by'31 March 2018.”