NHS England

“these guidelines have been finalised and agreed between the Trusts and we enclose a copy.”

“We recommend that all hospital switchboards, Emergency Departments and relevant personnel have a master copy of local specialist centre contact details so any query at any time can be appropriately directed.”

“We recommend that all staff are advised of internal escalation routes. Relevant clinical colleagues should be aware of internal escalation routes to clarify whether off-site specialist input is required. We would expect this to be achieved by asking the Consultant responsible for the patient's care or their deputy.”

“We advise that electronic information sharing in real-time should be the gold standard for information sharing. In the case of kidney patients, we would expect to be informed about all patients admitted for care in another hospital or elsewhere in our own hospital who have chronic kidney disease stage 5 (CKD G5) or who are receiving dialysis treatment or who have a kidney transplant.”

“We confirm that staff at UHCW are aware of internal escalation routes. The escalation of concerns is via the renal registrar and renal consultant. We confirm that UHCW has shared and agreed with George Eliot Hospitals the indications for referral to us as a specialist unit, and the routes for referral.”

“Electronic patient sharing of blood test results in real-time exists for patients who are already known to UHCW Renal Department, whether admitted to GEH or SWFT. In addition,”

“Turnaround times for all pathology labs are published in CWPS Handbook V16 May 2024.pdf.”

“We recommend that all hospital switchboards, Emergency Departments and relevant personnel have a master copy of local specialist centre contact details so any query at any time can be appropriately directed.”

“The number of mental health beds required to support a local population is dependent on both local mental health need and the effectiveness of the whole local mental health system in providing timely access to care and supporting people to stay well in the community, therefore reducing the likelihood of an admission being necessary.”

“NHS England has published the National Framework for healthcare professional ambulance responses, which was last updated in March 2021.”

“NHS England is working through the operating model so that NHS England's Regions can support providers to eliminate crowding in Emergency Departments in the longer term.”

“The report raises concerns over emergency department capacity, poor patient flow and the use of corridor care at Royal Sussex County Hospital (RSCH) and nationally. I understand that your report and matters of concerns have also been sent to NHS England, and they are best placed to respond with the specific actions being taken locally to improve urgent and emergency care performance at RSCH.”

“A recent RQR meeting with TCT has resulted in an agreed plan for them to adopt the national paediatric early warning system (PEWS).”

“TCT agreed to further their connections within the local integrated care system and with tertiary care providers to improve flow to clinical appointments.”

“The acute trust paediatric nursing colleagues involved in the RQR meeting were positive about the steps TCT had taken so far to review and audit observations and monitoring.”

“Our NHS England Regional Medical Director has also offered to support with connecting TCT's clinical team to specialists within the NHS that can offer peer support and further improvement work.”

“the CQC inform us that they are monitoring the service to ensure that children residing there are not exposed to risk or unsafe care, which is of utmost importance so deaths such as [the deceased]'s can be prevented. CQC regulates the premises and the care provided, and they are reviewing any information received to help inform the next inspection.”

“NHSE have provided assurance that their regional team has been working with system and other partners on responding to risks and concerns in a joint approach at this provider, which will be set out in their response.”

“The Government is supportive of the review on the duty it inherited from the previous administration and will consider the findings, recently published on 26 November, following a call for evidence in April this year. The government will consider these findings alongside findings from the ongoing manager regulation consultation as it continues to develop policy on candour in healthcare.”

“On 18th October 2023 CQC requested the outcome of the external investigation from the registered manager at TCT. This wasn't available, but TCT shared the findings with CQC of the internal investigation. Alongside the evidence of findings from the Ofsted inspection the CQC made the decision to await the external investigation findings before scheduling an inspection.”

“the Mental Health Bill, which was introduced to Parliament on 6 November 2024, there will be new statutory duties placed on the patient's responsible clinician that aim to ensure that, when someone is detained under the Act, their carer is involved in care, treatment and planning decisions”

“I will therefore provide some further information on the work NWAS is undertaking with its partner agencies who are also often called upon to assist mental health patients.”

“The Training Manager for GMP's Force Contact Crime and Operations Branch (FCCO) has confirmed that the Mental Health induction input for their staff is 3.5 hours long. This is included in all new recruit training into Call Handling and Dispatch.”

“England will review and consider carefully the other responses in due course.”

“We have introduced six new evidence categories to organise information under the statements; these are 'Feedback from people', 'Feedback from staff and leaders', 'Feedback from partners', 'Our observations', 'Processes' and 'Outcomes'. This approach will allow CQC to use a range of information to assess providers flexibly and frequently, collect evidence on an ongoing basis and update ratings at any time; tailor our assessment to different types of providers and services; score evidence to make”