General Medical Council

“We will ask the trust for the action they intend to take because of this Prevention of Future Deaths Report and monitor those actions as part of our ongoing monitoring and engagement with them.”

“NHS England has published a summary of existing guidance on the deployment of medical associate professions for NHS organisations. This guidance makes it clear that all staff should introduce themselves and their role clearly and be supported by their employer to do so.”

“RCEM issued a position statement in October 2024 regarding patients who may require a laparotomy [7]; this statement highlights that some patients are at greater risk of requiring surgery and part of this group includes the older person and those with cognitive impairment.”

“the Department notes that the report has been sent to a number of medical Royal Colleges and professional bodies relating to anaesthesia. We think these organisations are best placed to respond to points 6, 7 and 8 of your report which relate specifically to guidelines around anaesthesia therefore our response focuses on points 1 - 5 only.”

“The RCP has confirmed that the FPA will close in December, along with the PAMVR. The initial transfer of PAMVR data from the RCP to the GMC will begin on 31 October 2024. The GMC register will open on 13 December 2024, when regulation begins, but will continue to be voluntary for the first two years. The PAMVR will remain static, but searchable, until 31 March 2025 when it will be closed.”

“the GMC will become the regulator of PAs and anaesthesia associates (AAs) in December this year.”

“We are clear that statutory regulation is necessary for PAs and anaesthesia associates (AAs) and the UK and Scottish parliaments approved legislation in early 2024 which provides a legal duty for the GMC to regulate PAs and AAs from December 2024.”

“The NHS Frimley ICB will be carrying out a number of actions following the inquest. These include sharing the concerns raised with all GP practices in the Frimley area. The learning will focus particularly on the importance of good documentation in recording risk of suicide or self-harm following a consultation when someone has been assessed as having suicidal ideation or is at risk of acts of self-harm.”

“we expect pharmacy owners to: - Make sure that their website and the websites of companies they work with are arranged so that a person cannot choose a prescription only medicine and its quantity before there has been an appropriate consultation with a prescriber”

“we published updated guidance for doctors on prescribing in February 2021. This now places a greater emphasis on following the principles of good practice regardless of the medium through which a consultation is taking place, face to face or online.”

“We are also aware that our regulatory partners, including MHRA and the GPhC, share our concerns about the lack of regulatory oversight in this area.”

“The Department is working with other healthcare regulators including the General Medical Council and their equivalents in Scotland, Wales and Northern Ireland in the area of digital healthcare provision. As a result, a review of the UK's legislative position was undertaken and gaps identified. These included cases involving inappropriate prescribing and a lack of checks with the patient's GP before prescribing.”

“we have contacted the Royal College of General Practitioners (RCGP) to alert them to these issues, so they can consider how best to raise awareness of this particular case and its implications with their members.”

“Write to all UK Postgraduate Deans to request that they ensure their induction programmes for Foundation doctors are in protected time; include best practice; and, reinforce the requirements of Foundation Professional Capability 18: recognises and works within limits of personal competence;”

“Action: For the reasons set out above, we do not consider that any action is required to address this point.”

“The GMC considers its guidance for.doctors and amend where necessary to ensure that it is clear that messages may be left for patients in urgent and emergency situations.”

“Admission - For admission of a patient with pneumonia to a BMI hospital without HDU/ITU facilities, | a patient's current and previous medical and surgical history is considered to confirm that they meet i the criteria for admission to the hospital with no HDU/ITU facilities i.e. patients requiring level 0 - to level 1 care. It is acknowledged that clinical deterioration can occur at any stage of a patient's pathway and the National Early Warning Score (NEWS) is a tool in use to support staff in”