PFD report

Joseph Michael Cheetham · Prevention of Future Deaths report

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Issued 30 Sep 2020•Manchester South

Report record

Published report and response evidence

This page connects the concerns raised in this report with statements found in recipients’ published responses. A link shows a clear evidence connection; it does not assign responsibility.

View original report
Concerns
3

Raised in this report

Recipients
3

Named on the report

Responses found
3

Of 3 recipients

Stated actions
27

Described in responses

Recipients and published responses

Source document

Full report text

This is the full text from the original published report.

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Concerns and recipient responses

Select any concern, action or position to view the source wording.

Concerns raised3

  1. Lack of acute hospital bed capacity
    Part of recurring concern: Failure to provide timely hospital admissionPart of recurring concern: Insufficient acute hospital capacity for patients requiring admissionPart of recurring concern: Unsafe pressure on hospital admission and discharge decisions from bed capacity constraints
  2. Failure to provide suitable waiting conditions in A and E
    Part of recurring concern: Failure to provide suitable accommodation for patients awaiting care
  3. Delays in putting care packages in place for medically optimised patients
    Part of recurring concern: Failure to provide timely suitable onward care placements for patients ready for hospital dischargePart of recurring concern: Unreliable hospital discharge processesPart of recurring concern: Unreliable timely provision of appropriate care packages
Responses linked to these concerns

Each statement is shown once, even when linked to more than one concern.

Actions described in response An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.12

  1. Action

    Continue rolling out Urgent Treatment Centres to provide a consistent urgent-care service.

    Stated by Department of Health and Social CareStated in progressThe respondent said that this action was in progress when they made their response on 23 November 2020.
  2. Action

    Allocate additional capital funding, including £3.611 million for Stepping Hill Hospital’s emergency-department upgrade.

    Stated by Department of Health and Social CareStated in progressThe respondent said that this action was in progress when they made their response on 23 November 2020.
  3. Action

    Continue Same Day Emergency Care initiatives to reduce non-elective hospital admissions.

    Stated by Department of Health and Social CareStated in progressThe respondent said that this action was in progress when they made their response on 23 November 2020.

Respondent positions A position is what a recipient says about a concern when it does not describe a specific action.1

  1. Position

    NHS providers and local partners, including social services, are responsible for timely discharge planning and post-discharge care.

    Stated by Department of Health and Social CareRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Lack of acute hospital bed capacity

Wider context from the report

“1. The inquest heard that his GP had sought to have him admitted directly into hospital having identified that he needed to be hospitalised. However, contact with the trust identified that the acute bed shortage meant that this would not be possible, and he would have to go via A and E. On arrival at A and E the volume of those waiting to be seen meant that he waited in cold and draughty areas of the department. Lack of bed capacity in the hospital meant that he spent over 24 hours in the A and E department despite being frail and vulnerable. ”

Is this part of a recurring concern?

Yes — Failure to provide timely hospital admission; Insufficient acute hospital capacity for patients requiring admission; Unsafe pressure on hospital admission and discharge decisions from bed capacity constraints.

Open source report

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Failure to provide suitable waiting conditions in A and E

Wider context from the report

“1. The inquest heard that his GP had sought to have him admitted directly into hospital having identified that he needed to be hospitalised. However, contact with the trust identified that the acute bed shortage meant that this would not be possible, and he would have to go via A and E. On arrival at A and E the volume of those waiting to be seen meant that he waited in cold and draughty areas of the department. Lack of bed capacity in the hospital meant that he spent over 24 hours in the A and E department despite being frail and vulnerable. ”

Is this part of a recurring concern?

Yes — Failure to provide suitable accommodation for patients awaiting care.

Open source report

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Delays in putting care packages in place for medically optimised patients

Wider context from the report

“2. The inquest heard that he was medically optimised, and he had lost weight in hospital whilst awaiting a care package to be put in place. One was still not in place by 24th December and it was likely to be at least another 2-3 weeks before one was in place. To avoid further deconditioning and weight loss in an acute setting whilst awaiting a care package his family took on caring for him at home to facilitate a discharge. ”

Is this part of a recurring concern?

Yes — Failure to provide timely suitable onward care placements for patients ready for hospital discharge; Unreliable hospital discharge processes; Unreliable timely provision of appropriate care packages.

Open source report

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Continue rolling out Urgent Treatment Centres to provide a consistent urgent-care service.

Verbatim wording from the response

“In 2019/20, this involved continued work to tackle both the increases in demand in urgent and emergency care and to ensure patients receive the quality of care they need and expect in a timely and safe manner. For example, the continued roll out of Urgent Treatment Centres, offering a consistent service to patients and introducing the ability to book appointments through NHS 111, as well as initiatives such as Same Day Emergency Care, to reduce non-elective admissions to hospital.”

Source location

2020-0189-Response-from-Dept.-of-Health-and-Social-Care_Redacted.pdf
Page 2 · response
Published 23 November 2020

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Allocate additional capital funding, including £3.611 million for Stepping Hill Hospital’s emergency-department upgrade.

Verbatim wording from the response

“NHS Trusts across England, including the Stockport NHS Foundation Trust, will receive a share of £450million additional capital funding to upgrade their facilities ahead of this winter and ensure the NHS is prepared to cope with winter pressures and reduce the risks associated with further outbreaks of Covid-19. Stepping Hill Hospital, Stockport is being allocated £3,611,000 of this funding to upgrade its emergency department.”

Source location

2020-0189-Response-from-Dept.-of-Health-and-Social-Care_Redacted.pdf
Page 3 · response
Published 23 November 2020

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Continue Same Day Emergency Care initiatives to reduce non-elective hospital admissions.

Verbatim wording from the response

“In 2019/20, this involved continued work to tackle both the increases in demand in urgent and emergency care and to ensure patients receive the quality of care they need and expect in a timely and safe manner. For example, the continued roll out of Urgent Treatment Centres, offering a consistent service to patients and introducing the ability to book appointments through NHS 111, as well as initiatives such as Same Day Emergency Care, to reduce non-elective admissions to hospital.”

Source location

2020-0189-Response-from-Dept.-of-Health-and-Social-Care_Redacted.pdf
Page 2 · response
Published 23 November 2020

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Expand NHS 111 to provide urgent-care advice and direct patients to appropriate services more quickly.

Verbatim wording from the response

“Other elements of the NHS winter plan for 2020/21 include the expansion of NHS 111 to support patients who need urgent care advice and direct them to the right service more quickly, rather than waiting in A&E².”

Source location

2020-0189-Response-from-Dept.-of-Health-and-Social-Care_Redacted.pdf
Page 2 · response
Published 23 November 2020

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Make £1.3 billion available and confirm £588 million to support enhanced hospital-discharge arrangements over winter.

Verbatim wording from the response

“This year we made £1.3billion funding available via the NHS to support the hospital discharge process in March. As part of the £3.6billion funding for winter, an extra £588million was confirmed to continue enhanced discharge arrangements over winter and maintain the safe and timely discharge of patients from hospital.”

Source location

2020-0189-Response-from-Dept.-of-Health-and-Social-Care_Redacted.pdf
Page 3 · response
Published 23 November 2020

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Maintain Nightingale Hospitals, their surge capacity and NHS use of independent-sector hospital capacity.

Verbatim wording from the response

“This year, we have provided an extra £3billion to alleviate the particular challenges brought by the Covid-19 pandemic ahead of winter and are maintaining the Nightingale Hospitals and their surge capacity, as well as the NHS’s use of independent sector hospital capacity.”

Source location

2020-0189-Response-from-Dept.-of-Health-and-Social-Care_Redacted.pdf
Page 2 · response
Published 23 November 2020

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Create additional community discharge capacity, including reablement support, domiciliary care and community beds.

Verbatim wording from the response

“The guidance is fully aligned with national policy and guidance and there has been significant additional community-based capacity created to support this. The additional capacity includes: reablement support, domiciliary care and community beds. Further work is underway to review community-based capacity to support discharges to ensure the correct types of capacity. There has since been a significant reduction in delayed transfers of care across GM from approximately 5% to less than 1%.”

Source location

2020-0189-Response-from-Greater-Manchester-Health-and-Social-Care-Partnership_Redacted.pdf
Page 3 · response
Published 23 November 2020

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Adopt and implement Greater Manchester Discharge to Assess guidance, including standard referral, rapid triage, discharge medication, testing, PPE and next-day follow-up processes.

Verbatim wording from the response

“As part of the initial COVID 19 response, Greater Manchester localities worked to rapidly develop updated Discharge to Assess Pathway Guidance, which were formally approved in late April and have now been adopted across all localities within Greater Manchester. The purpose of the guidance is to improve the flow of all patients being discharged from acute care and to help ensure patients’ needs are assessed in the home or usual place of residence – not in the hospital. If it is not”

Source location

2020-0189-Response-from-Greater-Manchester-Health-and-Social-Care-Partnership_Redacted.pdf
Page 2 · response
Published 23 November 2020

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Review community-based capacity to ensure discharge pathways have the correct types of capacity.

Verbatim wording from the response

“The guidance is fully aligned with national policy and guidance and there has been significant additional community-based capacity created to support this. The additional capacity includes: reablement support, domiciliary care and community beds. Further work is underway to review community-based capacity to support discharges to ensure the correct types of capacity. There has since been a significant reduction in delayed transfers of care across GM from approximately 5% to less than 1%.”

Source location

2020-0189-Response-from-Greater-Manchester-Health-and-Social-Care-Partnership_Redacted.pdf
Page 3 · response
Published 23 November 2020

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Implement pre-Emergency Department triage and streaming to direct patients to the most appropriate service.

Verbatim wording from the response

“• A new pre-Emergency Department triage and streaming system”

Source location

2020-0189-Response-from-Greater-Manchester-Health-and-Social-Care-Partnership_Redacted.pdf
Page 2 · response
Published 23 November 2020

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Implement NHS 111 First so patients are directed to call 111 before attending an Emergency Department.

Verbatim wording from the response

“• Implementation of the new national NHS 111 First Initiative, which will ask patients to call 111 prior to attending an Emergency Department”

Source location

2020-0189-Response-from-Greater-Manchester-Health-and-Social-Care-Partnership_Redacted.pdf
Page 2 · response
Published 23 November 2020

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Implement agreed principles requiring direct specialty acceptance, specialty assessment of stable patients, and expanded Same Day Emergency Care across Greater Manchester.

Verbatim wording from the response

“As part of the Greater Manchester Urgent Transformation Programme, we have developed and agreed a set of principles for all localities to adopt which will help to prevent a re-occurrence of this. The agreed principles are as follows:”

Source location

2020-0189-Response-from-Greater-Manchester-Health-and-Social-Care-Partnership_Redacted.pdf
Page 1 · response
Published 23 November 2020

Open published response

Source evidence

How this respondent position was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

NHS providers and local partners, including social services, are responsible for timely discharge planning and post-discharge care.

Verbatim wording from the response

“It is the responsibility of the NHS and its local partners, including social service departments, to ensure that no patient remains in a hospital bed for longer than clinically necessary and that any ongoing care and support can begin promptly. NHS providers are expected to begin planning for a person’s discharge at the point of admission, which should include practical arrangements, care requirements and where the person is being discharged to. The hospital should involve local social services at the earliest opportunity to plan post-discharge care and avoid delays.”

Source location

2020-0189-Response-from-Dept.-of-Health-and-Social-Care_Redacted.pdf
Page 3 · response
Published 23 November 2020

Open published response

Other statements in published responses

These actions and other statements could not be clearly connected to one concern in this report.

Recipient-stated actions An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.15

  1. 1

    Provide trained volunteers to support patients with nutrition needs across the organisation.

    Stated by Stockport NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 23 November 2020.
  2. 2

    Display mealtime standards on ward information boards and communicate patients’ dietary requirements during twice-daily staff safety huddles.

    Stated by Stockport NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 23 November 2020.
  3. 3

    Introduce a green apple card trial identifying relatives authorised to attend mealtimes and assist patients requiring support.

    Stated by Stockport NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 23 November 2020.
  4. 4

    Disseminate and display a seven-minute briefing on supported mealtimes across all ward areas.

    Stated by Stockport NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 23 November 2020.
  5. 5

    Implement approved policies protecting mealtimes through restricted visiting, visual aids and reduced clinical interruptions.

    Stated by Stockport NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 23 November 2020.
  6. 6

    Promote an annual malnutrition awareness week to raise the importance of nutrition and hydration in patient care.

    Stated by Stockport NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 23 November 2020.
  7. 7

    Maintain a Trust intranet nutrition and hydration microsite providing current information, advice, policies and procedures for staff.

    Stated by Stockport NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 23 November 2020.
  8. 8

    Complete nutrition and hydration mini-accreditation across all inpatient wards and identify areas requiring support or guidance.

    Stated by Stockport NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 23 November 2020.
  9. 9

    Review patients regularly with the Malnutrition Universal Screening Tool and monitor nutrition and hydration through nursing metrics and ward accreditation.

    Stated by Stockport NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 23 November 2020.
  10. 10

    Devise a Ward A11 action plan covering nutrition screening, staff training, specialist support, mealtime standards, handover communication and compliance monitoring.

    Stated by Stockport NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 23 November 2020.
  11. 11

    Lead a project increasing clinical staff awareness of patient positioning for nasogastric tubes used to administer medication and nutrition, using SALT teaching and shared best practice.

    Stated by Stockport NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 23 November 2020.
  12. 12

    Maintain Trust-wide guidance for assessing swallowing ability, including oral and pharyngeal swallowing problems, following SALT assessment.

    Stated by Stockport NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 23 November 2020.
  13. 13

    Provide £2.7 billion directly to local NHS systems through block contracts for the second half of 2020/21.

    Stated by Department of Health and Social CareStated plannedThe respondent said that this action was planned when they made their response on 23 November 2020.
  14. 14

    Introduce NHS 111 appointment booking for Urgent Treatment Centres.

    Stated by Department of Health and Social CareStated in progressThe respondent said that this action was in progress when they made their response on 23 November 2020.
  15. 15

    Provide £3 billion to address pandemic-related pressures and winter demand across NHS services.

    Stated by Department of Health and Social CareStated completedThe respondent said that this action was complete when they made their response on 23 November 2020.

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Provide trained volunteers to support patients with nutrition needs across the organisation.

Verbatim wording from the response

“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 nutrition needs across the organisation. In addition, the corporate nursing team has completed a mini accreditation for nutrition and hydration compliance on all the inpatient wards across the Trust. This process identified many areas of good practice and areas in need of more support and guidance.”

Source location

2020-0189-Response-from-Stockport-NHS-Foundation-Trust.pdf
Page 1 · response
Published 23 November 2020

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Display mealtime standards on ward information boards and communicate patients’ dietary requirements during twice-daily staff safety huddles.

Verbatim wording from the response

“• Meal time standards These standards are displayed on the ward information boards, with information for all staff to read in regards to expectations on the ward. During the staff safety huddle performed twice daily, all staff are made aware of patients with specific dietary requirements and needs, highlighting 'at risk' patients.”

Source location

2020-0189-Response-from-Stockport-NHS-Foundation-Trust.pdf
Page 2 · response
Published 23 November 2020

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Introduce a green apple card trial identifying relatives authorised to attend mealtimes and assist patients requiring support.

Verbatim wording from the response

“• Green apple card The card was introduced as a trial in order for all staff to be aware of which relatives had been authorised to attend the ward at mealtimes, following discussion with the senior nursing team. This currently is on hold due to the visiting restrictions due to the pandemic. The rationale behind the card, is to ensure ease of access for the relatives of patients identified as requiring assistance at mealtimes.”

Source location

2020-0189-Response-from-Stockport-NHS-Foundation-Trust.pdf
Page 2 · response
Published 23 November 2020

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Disseminate and display a seven-minute briefing on supported mealtimes across all ward areas.

Verbatim wording from the response

“All ward areas have received a dedicated 'seven minutes briefing' session focused on patient nutritional standards with key points also being displayed in ward areas. The Trust continues to promote an annual malnutrition awareness week aimed at raising the profile of the importance of good nutrition and hydration in the care and treatment of patients.”

Source location

2020-0189-Response-from-Stockport-NHS-Foundation-Trust.pdf
Page 1 · response
Published 23 November 2020

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Implement approved policies protecting mealtimes through restricted visiting, visual aids and reduced clinical interruptions.

Verbatim wording from the response

“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 nutrition needs across the organisation. In addition, the corporate nursing team has completed a mini accreditation for nutrition and hydration compliance on all the inpatient wards across the Trust. This process identified many areas of good practice and areas in need of more support and guidance.”

Source location

2020-0189-Response-from-Stockport-NHS-Foundation-Trust.pdf
Page 1 · response
Published 23 November 2020

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Promote an annual malnutrition awareness week to raise the importance of nutrition and hydration in patient care.

Verbatim wording from the response

“All ward areas have received a dedicated 'seven minutes briefing' session focused on patient nutritional standards with key points also being displayed in ward areas. The Trust continues to promote an annual malnutrition awareness week aimed at raising the profile of the importance of good nutrition and hydration in the care and treatment of patients.”

Source location

2020-0189-Response-from-Stockport-NHS-Foundation-Trust.pdf
Page 1 · response
Published 23 November 2020

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Maintain a Trust intranet nutrition and hydration microsite providing current information, advice, policies and procedures for staff.

Verbatim wording from the response

“In addition there is also a Trust intranet microsite for Nutrition and Hydration which staff can access at any time to find up to date information and guidance to support”

Source location

2020-0189-Response-from-Stockport-NHS-Foundation-Trust.pdf
Page 2 · response
Published 23 November 2020

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Complete nutrition and hydration mini-accreditation across all inpatient wards and identify areas requiring support or guidance.

Verbatim wording from the response

“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 nutrition needs across the organisation. In addition, the corporate nursing team has completed a mini accreditation for nutrition and hydration compliance on all the inpatient wards across the Trust. This process identified many areas of good practice and areas in need of more support and guidance.”

Source location

2020-0189-Response-from-Stockport-NHS-Foundation-Trust.pdf
Page 1 · response
Published 23 November 2020

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Review patients regularly with the Malnutrition Universal Screening Tool and monitor nutrition and hydration through nursing metrics and ward accreditation.

Verbatim wording from the response

“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 nutrition needs across the organisation. In addition, the corporate nursing team has completed a mini accreditation for nutrition and hydration compliance on all the inpatient wards across the Trust. This process identified many areas of good practice and areas in need of more support and guidance.”

Source location

2020-0189-Response-from-Stockport-NHS-Foundation-Trust.pdf
Page 1 · response
Published 23 November 2020

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Devise a Ward A11 action plan covering nutrition screening, staff training, specialist support, mealtime standards, handover communication and compliance monitoring.

Verbatim wording from the response

“At a local level on Ward A11, an action plan has been devised in order to highlight the improvement required to deliver consistent quality patient care to the high standards we set for ourselves. These actions include: monitoring completion of the MUST score; refresher training for staff; compliance with role specific training for staff; additional support from dieticians and the Quality Matron; visibility of mealtime standards and expectations in ward areas; reinforcing communication at shift handover regarding patients with nutritional needs; monitoring staff compliance through appraisal and audits.”

Source location

2020-0189-Response-from-Stockport-NHS-Foundation-Trust.pdf
Page 2 · response
Published 23 November 2020

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Lead a project increasing clinical staff awareness of patient positioning for nasogastric tubes used to administer medication and nutrition, using SALT teaching and shared best practice.

Verbatim wording from the response

“The stroke specialist nurse has led a dedicated project aimed at increasing awareness amongst clinical staff of the important role of patient positioning in the respect of naso-gastric tubes used for the administration of medication and nutrition. This project promotes the sharing of best practice guidance and associated information from SALT via teaching session.”

Source location

2020-0189-Response-from-Stockport-NHS-Foundation-Trust.pdf
Page 2 · response
Published 23 November 2020

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Maintain Trust-wide guidance for assessing swallowing ability, including oral and pharyngeal swallowing problems, following SALT assessment.

Verbatim wording from the response

“Guidance on the administering of medication following a SALT assessment”

Source location

2020-0189-Response-from-Stockport-NHS-Foundation-Trust.pdf
Page 2 · response
Published 23 November 2020

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Provide £2.7 billion directly to local NHS systems through block contracts for the second half of 2020/21.

Verbatim wording from the response

“A further £2.7billion will go directly to local NHS systems as part of their block contracts for the second half of this year.”

Source location

2020-0189-Response-from-Dept.-of-Health-and-Social-Care_Redacted.pdf
Page 2 · response
Published 23 November 2020

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Introduce NHS 111 appointment booking for Urgent Treatment Centres.

Verbatim wording from the response

“In 2019/20, this involved continued work to tackle both the increases in demand in urgent and emergency care and to ensure patients receive the quality of care they need and expect in a timely and safe manner. For example, the continued roll out of Urgent Treatment Centres, offering a consistent service to patients and introducing the ability to book appointments through NHS 111, as well as initiatives such as Same Day Emergency Care, to reduce non-elective admissions to hospital.”

Source location

2020-0189-Response-from-Dept.-of-Health-and-Social-Care_Redacted.pdf
Page 2 · response
Published 23 November 2020

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Provide £3 billion to address pandemic-related pressures and winter demand across NHS services.

Verbatim wording from the response

“This year, we have provided an extra £3billion to alleviate the particular challenges brought by the Covid-19 pandemic ahead of winter and are maintaining the Nightingale Hospitals and their surge capacity, as well as the NHS’s use of independent sector hospital capacity.”

Source location

2020-0189-Response-from-Dept.-of-Health-and-Social-Care_Redacted.pdf
Page 2 · response
Published 23 November 2020

Open published response
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Information checked against the published report and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Data last updated 7 September 2026