Department of Health and Social Care

“At national level, as part of our mission to build an NHS fit for the future, we will make sure mental health care is delivered in the community wherever possible - through new models of care and support available for those who are struggling - so that more people are prevented from needing to go into hospital.”

“The Trust (SWLStG) fully acknowledges the concern regarding insufficient bed capacity in London and the reason why the Coroner has cause to raise these concerns.”

“The policy describes the actions to be taken when a patient is missing or AWOL”

“The updated policy has included valued feedback from the inquest. I can inform you that the appendix C risk rating form that you saw at the inquest has been stepped down, due to emerging evidence in the area. The new version of Appendix C form is a decision recording form which also includes a section which sets out 'why the risk is considered to be present'. The form will be read out to the police in the recorded phone call and it will also be handed over to the police when they attend.”

“I will respond on these points in particular”

“the APCC has developed guidance for members on the Right Care, Right Person approach. The guidance, which was launched in April 2024, strongly encourages PCC oversight of the planning and delivery of the Right Care, Right Person approach to ensure vulnerable people receive the right support from the right services.”

“The reforms proposed in the Bill will speed up access to specialist inpatient care and treatment by introducing a new statutory time limit of 28 days for the transfer of patients from prison and other places of detention to hospital.”

“NSFT has asked all clinicians that receive referrals into services to identify those where treatments have been recommended by non-NSFT clinicians in order to offer an assessment prior to signposting elsewhere on the basis that: - there may be an alternative treatment available within NSFT services that is appropriate and could be offered, based on NSFT clinical assessment; and/or - if NSFT clinicians agree that a treatment not available within standard services is required and individual”

“The SARP would like to explore the opportunities for a joined-up review process as part of this ongoing piece of work. An update regarding the proposal for a domestic homicide review is expected in September.”

“Norfolk and Suffolk NHS Foundation Trust has said in its response to you that it has asked all its clinicians that receive referrals into mental health services to identify those where treatments have been recommended by clinicians from outside the Trust in order to offer an assessment prior to any decision being made on the most appropriate way forward”

“The Trust recognises that, at the time of the incident the College did not have a clear written protocol in place to manage risk. As an educational establishment the College did not have plans or processes in place to communicate effectively with other teams within the Trust such as the clinical teams or externally to organisations such as the Probation Service about the risk of harm occurring to others. The College is bound by Trust policies in relation to safeguarding and the College team did”

“the Head of Public Protection at Greater Manchester Police and the Head of Public Protection at Greater Manchester Probation service commenced monthly meetings in 2023.”

“Steps have been taken to recruit and train further probation officers which provides some assistance but means that overall, a significant number of probation officers are young in service and experience”

“The ICB has taken this matter seriously and the executive leadership of the ICB were presented with a paper in a formal executive group meeting. The paper provided an analysis of this issue and a proposal for how it should be addressed. The meeting took place on the 8 July 2024 and supported the proposal; which is described in this letter.”

“NHSE published a two year 'Delivery plan for recovering urgent and emergency care services' which aims to deliver sustained improvements in waiting times with targets for this year for a minimum of 78% of patients being admitted, transferred, or discharged within four hours by March 2025, and to reduce Category 2 ambulance response times to 30 minutes on average.”

“The joint approach to Mr [name redacted] care from both the microbiologist and the consultant physician, specifically around the decision to withhold antibiotics.”

“The documentation from the ICU consultant setting out/not setting out their rationale, specifically no discussions' between the medical consultant and the ICU consultant within the medical notes”

“The Trusts' policy around NEWS2 escalation had not been followed”

“In January 2023, NHS England published a two year 'Delivery plan for recovering urgent and emergency care services' which aims to deliver sustained improvements in waiting times, with a target for this year to reduce Category 2 ambulance response times to 30 minutes on average.”

“The Department will work with NHS England to consider the VTE risk assessment tool, in light of the concerns you have raised.”

“we recommend that clinicians should use 'a tool published by a national UK body, professional network or peer-reviewed journal' to assess VTE risk, however we do not recommend a particular risk assessment tool as there is not enough evidence to support the use of one over another”