Greater Manchester Health and Social Care Partnership

“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.”

“The LMHT has now completed a joint piece of work with their ED colleagues at TGICFT. A triage assessment tool has been implemented which guides the triage nurse to consider the most appropriate pathway for the patient based on their risk/presentation at that time.”

“the Council has made significant improvements to its policies and procedures since 2018”

“CPS Direct have also trained all prosecutors on 'Domestic Abuse Evidence Led Prosecutions'. This built on the Case Analysis and Strategy training focussing on the importance of case-building DA cases from the very start, where possible strengthening the case to ensure that it could proceed without the victim. It also gave refresher guidance on the available legislation and gateways for the admission of evidence without calling the victim, stressing the need to ensure scrupulous policy compliance”

“All localities within GM are now in the process of implementing these. In addition to this, further work is being undertaken to help reduce the numbers of attendances to emergency departments. As highlighted in previous correspondence, GM has agreed to a new approach which will incorporate two elements: - Implementation of the new national NHS 111 First Initiative, which will ask patients to call 111 prior to attending an Emergency Department - A new pre-Emergency Department triage and streaming”

“times The Trust has in place approved policies for protecting meal times. This includes restricting visiting, visual aids to identify people who require extra support and minimising clinical interactions during meal times. Patients are regularly reviewed using the Malnutrition Universal Screening Tool (MUST) score for nutrition and hydration. We monitor nutrition and hydration through nursing quality metrics and the ward accreditation scheme. Trained volunteers also support patients with their”

“a GM Discharge Pathway and good Discharge to Assess (D2A) system in place”

“The new approach will incorporate two elements: - Implementation of the new national NHS 111 First Initiative, which will ask patients to call 111 prior to attending an Emergency Department - A new pre-Emergency Department triage and streaming system Both of these will help ensure patients are streamed or referred to the most appropriate service for their needs. This will include a wide range of community and acute-based services and will ensure only patients who need an Emergency Department go”

“We must do all we can to learn from what happened to Mr [name redacted] and improve the safety and quality of NHS care and I expect the Stockport NHS Foundation Trust and its local system partners to reflect carefully on the findings of your investigation.”

“To reduce attendances to Emergency Departments (ED) by improving access to, and utilisation of, primary and community-based services by rapidly developing and testing a GM 'UEC by Appointment' model”

“By April 2022, we will reduce: - Ambulance attendances by 100 per day across GM - ED walk in attendances by 300 per day across GM”

“The new approach will incorporate two elements: - Implementation of the new national NHS 111 First Initiative, which will ask patients to call 111 prior to attending an Emergency Department - A new pre-Emergency Department triage and streaming system”

“The hub also supports the management of discharges from hospital and repatriations between hospital sites (in and out of the GM area). The hub is under constant development and is working closely with systems to develop more sophisticated methods of managing demand to reduce the likelihood of emergency department crowding even further and proactively managing flow to prevent blockages”

“Adoption of a single GM Discharge to Assess Referral Form - Triage of discharge to assess referrals within 30mins - Adherence to the guidance for COVID 19 testing for discharge and PPE requirements - The supply of 2 weeks medication supplies at the point of discharge from an acute hospital - Operation of a next day follow up process following discharge (localities to determine how this is delivered)”

“Nurse recruitment and retention is a priority for the Greater Manchester system and work is underway with Greater Manchester service colleagues, NHSE/I and Health Education England, in order to maximise opportunities for improved nurse staffing in all localities”

“sector. The Greater Manchester Joint Commissioning Board agreed the business case for the new model of care inJune 2019. The business case also included an agreement forthe bed day tariff to be increased and standardised across the inpatient services.”