NHS England

“In March 2015 EMAS introduced an updated sepsis screening tool (both adult and paediatric) based upon the Sepsis 6 red flags and NHS England Safety Alert (2014) (appendices 1a and 1b).”

“A patient safety alert was issued on the 2 September 2014 by NHS England clearly sets out the resources available in the provision of a UK Sepsis clinical tool kit, but this has not be recognised or adopted by health care providers in this case.”

“Inadequate note was made of the number of different attendances Mrs [name redacted] had initiated despite previous good health, and there is no suggestion that she was a frequent attender or had ever sort medical attention inappropriately.”

“The PAG considered the case and concluded that the following actions should be undertaken: - has been requested to reflect on his record keeping at his next appraisal and on the diagnosis and treatment of patients with suspected sepsis.”

“In the circumstances where a consultant radiologist does not believe that a requested radiological investigation is likely to identify new clinical information or lead to clinical intervention, before the request is declined they will now discuss the case with a HEFT peer consultant radiologist to seek a second opinion and ensure that their assessment is both reasonable and logical.”

“was to write to you again in March 2016 to confirm that all future actions have indeed been delivered.”

“The Trust has now set up a specialist Eating Disorder Service for children and adolescents, and reports that although this service now has good professional links with named paediatricians at Kings Mill Hospital and Queen's Medical Centre, there are no equivalent links with Bassetlaw Hospital.”

“We have an identified Consultant and will actively engage with the services provided by Nottinghamshire Healthcare Trust as the need arises and will monitor these arrangements through the paediatric clinical governance team.”

“Admission into hospital, in the majority of cases, ought to be the result of all community interventions being exhausted. Since NHS England became responsible for commissioning inpatient services in 2013, we have invested financial resources and increased the capacity of inpatient beds both in the East Midlands and across the country to enable greater access to beds at time of clinical need. Working with expert clinicians and service managers, NHS England has developed national service specifica”

“immediate action we will communicate with our lead commissioners to disseminate the following message to all GP's and Bed Bureau. If a patient's condition presents an immediate threat to life or relates to new symptoms of Stroke or Cardiac chest pain call 999 for an emergency response”

“am not satisfied that sufficient steps have been taken to demonstrate that the risk of future deaths, from increasing response times, has 2 been addressed.”

“I am concerned by evidence provided from LAS that there are 400 vacant 2 positions within the Trust. This connotes a significant recruitment issue for the profession, which could risk future deaths occurring simply through a lack of available trained paramedics”

“The agreed improvement programme also includes initiatives such as reducing the number of vehicles sent to an incident when not needed, keeping more ambulances on the road and out of the workshop, working with the Metropolitan Police to better triage their calls for an ambulance, and developing a new non-emergency patient transport service for patients who do not need immediate clinical treatment, but do need to go to hospital.”

“all but two of the CMs at the prison have been trained, and those two members of staff will be provided with training as soon as they return to duty. HMP Coldingley also uses a monthly closedown of the prisoner regime to provide opportunities for training for the wider staff group and this includes instruction on CPR and on the use of defibrillators.”

“The Department of Health in England has however no responsibility for operational matters for general practice in Wales. My comments therefore relate to the points you make about EMIS and GP record systems as they apply in England.”

“Since August 2013, NHS England has implemented a situation report (SITREP) process each Friday which requires all Child and Adolescent Mental Health Services (CAMHS) inpatient providers to submit numbers of available beds to a national database. This data is Used to produce a report that is available from lunch time on a Friday indicating available capacity at each of the inpatient services commissioned. . The report is circulated via the Area Teams to all Tier 3/Community CAMHS so. they can '”