Queen Elizabeth Hospital

“In my role as Acting Chief Executive Officer of The Queen Elizabeth Hospital King's Lynn NHS Foundation Trust I now set out the Trust's responses to the three concerns you raised in box (5) of the report.”

“I attach the latest audit on medical records carried out across the Trust's wards. The wards involved were Oxborough and Marham for the admission in question. With medical record completion, action taken is taken on a regular basis and I set out the detail of this process below.”

“The Trust has now implemented a trust-wide electronic patient record system (since May-June 2019). The system enables weight to be consistently recorded electronically which can then be observed by all staff within the Trust”

“A new standard operating procedure for managing suspected upper GI bleeding has been produced and circulated”

“on 4 November a meeting was held at Chatterton House in King's [name redacted] and present were senior staff from all of the key participants, namely the Director of Nursing and Quality Assurance - West Norfolk CCG (Chair), the Deputy Director for Patient Safety and Quality - Norfolk & Suffolk NHS Foundation Trust, the interim General Manager - East of England Ambulance NHS Trust, the Approved Mental Health Professional (AMHP) Team Manager - Norfolk County Council, and the Deputy Director of Patient Safety”

“A new electronic referral system will be in place during the first week of next month. As compared with the previous system involving telephone referrals and the practice of answering machine use, which is being discarded, there is now a new e-form which must be used in all cases.”

“The weekly documentation and risk assessment audits are to be maintained and for Division 2 overall the most recent recorded compliance rate is 90.5%”

“The Rapid Assessment Team has introduced a checklist for aiding communication among the acute medical teams and this will be in use in October”

“The Trust currently experiences a significant level of attendance in the Emergency Department from patients presenting with mental health problems or self-harm and as such is constantly seeking ways to improve the experience for these patients. It is hoped that this planned pathway for patients from an inpatient mental health bed will improve both the experience and safety of this particular cohort of patients.”