Summary of Reports and Responses under Rule 43 of the ... - Gov.uk

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22ResponseCoroner District Organisation Summary Received ReportManchester: South Stepping Hill Hospital, To consider having on-site consultant cover at all times. Yes 12StockportLondon: EastBlackburn,Hyndburn andRibble ValleyLondon: InnerSouthLondon: InnerSouthCoventry andWarwickshireManchester: CityBarking, Havering andRedbridge UniversityHospitals NHS TrustTo consider a clear policy setting out expectations of radiologists when theyreceive investigation requests.Department of Health To consider whether steps need to be taken to ensure there are sufficientneurosurgical intensive care unit beds available in North West England.NHS DirectSouth LondonHealthcare NHS TrustTo consider introducing measures to ensure GPs receive immediate informationfrom NHS Direct when a telephone assessment of their patient takes place.To consider providing written information and emergency contacts to patientswhich supports the verbal advice they receive.South Warwickshire To consider reviewing systems in relation to discharge of patients,NHS Foundation Trust administration of antibiotics, availability of ultrasound and record keeping.(1) Pennine AcuteHospitals NHS Trust(2) Royal College ofSurgeons(3) Department ofHealthTo consider the appropriateness of patients being in the lateral position duringsurgery.Manchester: North Resuscitation Council To consider training attending clinicians in tracheotomy management in casesof cardiorespiratory distress.Cardiff and Vale ofGlamorganExeter and GreaterDevonRiverside HealthCentre, CardiffDevon PartnershipNHS TrustTo consider practices relating to the prescription of antibiotics to patients takinganticoagulant medication.To consider reviewing the shift plan documentation and the process for loggingobservations on patients at risk.Yes 13Yes 15Yes 16Yes 17Yes 21Yes 23Yes 26Yes 29Yes 30Summary of Rule 43 reports and responses
23ResponseCoroner District Organisation Summary Received ReportYes 34South Yorkshire:EastNHS RotherhamChantry BridgeMedical PracticeTo consider a review of the questionnaire completed upon arrival at NHS walkincentres.Manchester: South Tameside Hospital To consider a review of note taking practices and the format of EmergencyNHS Foundation Trust Department documentation.Torbay and SouthDevonGwentCardiff and Vale ofGlamorganLincolnshire:CentralLondon: InnerSouthDevon PartnershipNHS TrustAneurin Bevan HealthBoardCardiff and ValeUniversity HealthBoardLincolnshirePartnership NHSFoundation TrustLewisham HealthcareNHS TrustStaffordshire: South NHS NorthStaffordshireSussex: WestBridgend andGlamorgan ValleysYes 35To consider resourcing levels and the patient to doctor ratio. Yes 40To consider: midwives routinely recording observations after discharge and thatHealth Board guidelines for physiological observations for post natal care areamended accordingly; establishing a defined pathway for mothers to reportadverse symptoms; and annual refresher training for early recognition of postnatal complications.To consider the appropriate time for midwifery and obstetric interventions whenwomen are giving birth.To consider the time allocated for a response when individuals are contactedfollowing their referral to community services.To consider raising awareness of the risks of chronic antibiotic therapy and theprevention and management of clostridium difficile; and informing GPs ofsources of specialist advice to assist in preventing infections.To consider issuing policy guidance on when GPs should attend elderly peoplein care homes and review their medication.Sussex Partnership To consider reviewing arrangements for access to patient notes and consultingNHS Foundation Trust family members when further information is required.NHS Wales UniversityHealth BoardTo consider additional training in appropriate techniques for staff to use duringlaparoscopic procedures.Yes 44Yes 48Yes 54Yes 55Yes 57Yes 59Yes 62Summary of Rule 43 reports and responses
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