Department of Health and Social Care

“We can also confirm that we will, going forward, ensure that we continue to work together across the Greater Manchester health and care system so that changes in practice are actioned and reviewed.”

“we are, through the development and implementation in local areas of the Community Mental Health Framework (CMHF), working to improve the way people with mental health conditions access joined-up support across health and social care”

“we are committed to increasing investment in, and improving access to, mental health services. Under the NHS Long Term Plan1, by 2023/24 mental health services will receive £2.3billion more than in 2018/19, which will mean that 2 million more people will have access to mental health services, including an additional 370,000 adults with severe mental illnesses.”

“We are investing more than £400 million over the 4 years up to 2024/25 to eradicate dormitory accommodation from mental health facilities to improve From [name redacted] of State Department of”

“The nursing home did not have sterile replacement catheters in stock, despite being aware that Mr [name redacted] had difficulties with his catheter, which had necessitated it being replaced twice in the previous weeks. The mistakes made in ordering placements had not been detected by managers in the nursing home.”

“after Mr [name redacted]' death, weekly stock checks were implemented at Copperfields in order to ensure a sufficient level of stock is maintained at all times.”

“The EMAR system also has a Dashboard that flags an alert in the event any stock is running low. The levels of stock are therefore no longer dependent on visual assessment although, as explained by Ms , weekly visual stock checks still take place”

“A new Registered Home Manager and new Clinical Nurse [name redacted] are now in place. In addition, a second full time Clinical Nurse [name redacted] and a full time Head of Care have been employed.”

“specific steps have also been taken to ensure greater management overview, and quality assurance, of record keeping and documentation. During Mr [name redacted]' residence at Copperfields the relevant governance processes (EQA- Exemplar Quality Assurance) were paper based. However, the majority ofthe EQA processes have now been moved to a digital platform.”

“The individual team leaders have been trained that they are responsible for ensuring that there are no gaps in the supplementary documentation, that all documentation is complete before the end of their shifts and that this is reported to the unit managers, who in turn report it in a daily "take 20 meeting”

“I note that it was found that there was no nationally recognised way of flagging in maternity notes that a pregnancy is considered high-risk. As a consequence, the community midwife and GP were not aware that the pregnancy was high-risk, and additionally the mother herself was not explicitly counselled about this.”

“The Department will continue to support and assure this work to progress against key actions, including ensuring better awareness of eating disorder training and continuing professional development.”