Report evidence summary
Stated actions An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised. 27
NHS England Discuss received Prevention of Future Deaths reports through the national working group and share key learning across NHS national and regional teams.
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NHS South West London Integrated Care Board Create and distribute an additional assurance checklist to identified commissioned providers.
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NHS South West London Integrated Care Board Share learning from identified risks and assurance activity across the wider system.
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NHS South West London Integrated Care Board Review contractual arrangements for commissioned complex-care services.
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NHS South West London Integrated Care Board Require providers to strengthen life-support training, resuscitation knowledge, competency assessment and auditable compliance records.
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NHS South West London Integrated Care Board Explore standardised quality-oversight arrangements across commissioned services.
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NHS South West London Integrated Care Board Check commissioned services supporting residents with similar complex needs and obtain further provider assurance.
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NHS South West London Integrated Care Board Continue considering actions to address limited complex-care provider availability and market capacity.
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NHS South West London Integrated Care Board Require providers to review airway needs, maintain appropriate nursing competencies, and provide airway equipment and training where clinically indicated.
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NHS South West London Integrated Care Board Obtain provider assurance on emergency preparedness, equipment availability and staff training.
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NHS South West London Integrated Care Board Require providers to review emergency preparedness and implement individualised, current emergency response plans for high-risk service users.
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NHS South West London Integrated Care Board Require providers to share compliance progress with the ICB continuing healthcare case manager and quality team.
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NHS South West London Integrated Care Board Require providers to assess AED need and provide, maintain and govern AED equipment with appropriate staff training.
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Choice Support Develop and finalise individualised first aid support plans for people supported at Roy Kinnear House, including emergency interventions, equipment and staff training.
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Choice Support Provide individualised first aid support plans across Choice Support, recording them on Nourish and updating them at least annually or when needs change.
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Choice Support Circulate organisation-wide guidance requiring CPR where no DNACPR exists, with updated CPR practice guidance.
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Choice Support Appoint quality leadership roles to lead development of a new quality framework and oversee review of the Serious Incident Policy.
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Choice Support Debrief Roy Kinnear House staff on lessons learned and complex medical emergency scenarios.
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Choice Support Introduce a mandatory assessment and admission step to confirm, document and clarify DNACPR status with the GP where necessary.
View source
Choice Support Display DNACPR decisions clearly on each person’s Nourish profile.
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Choice Support Reinforce CPR and safe AED-use training for Roy Kinnear House staff.
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Choice Support Complete risk assessments determining whether AEDs are required at registered care services.
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Choice Support Map the three nearest community AEDs and drill staff on their locations and retrieval times.
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Choice Support Conduct clinical supervision and skills-gap analysis for Registered Nurses, arranging relevant training or refreshers for identified gaps.
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Choice Support Complete supported-living AED risk assessments and provide visible nearest-AED signage where an AED is not required.
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Choice Support Require all Roy Kinnear House staff to repeat First Aid training and practical competency assessment, including CPR where no DNACPR exists.
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Choice Support Purchase and install an AED at Roy Kinnear House.
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× 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 airway equipment
Wider context from the report “No planning for this foreseeable emergency.
Inadequate staff training (to always conduct CPR if no decision to the contrary)
No defibrillator on site and staff misunderstanding of the function of a defibrillator.
No airway training and equipment although Registered Nursing staff have this within their competencies .
I consider that individual emergency planning for those service users with recognised high tier needs and life-threatening risk profiles is essential to ensure best possible outcomes and care tailored to their needs. Medical emergencies in this cohort of patients are predictable but are likely to happen suddenly and unexpectedly. In this case the staff were not able to respond and their evidence to the court demonstrated that they felt unprepared and uncertain about what to do.
This is a situation that could be replicated throughout the services that care for individuals such as Jake. Those commissioning the services should consider if the individual emergency care planning is comprehensive and complete and reviewed where appropriate.
” 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 Lack of airway training for staff
Wider context from the report “No planning for this foreseeable emergency.
Inadequate staff training (to always conduct CPR if no decision to the contrary)
No defibrillator on site and staff misunderstanding of the function of a defibrillator.
No airway training and equipment although Registered Nursing staff have this within their competencies.
I consider that individual emergency planning for those service users with recognised high tier needs and life-threatening risk profiles is essential to ensure best possible outcomes and care tailored to their needs. Medical emergencies in this cohort of patients are predictable but are likely to happen suddenly and unexpectedly. In this case the staff were not able to respond and their evidence to the court demonstrated that they felt unprepared and uncertain about what to do.
This is a situation that could be replicated throughout the services that care for individuals such as Jake. Those commissioning the services should consider if the individual emergency care planning is comprehensive and complete and reviewed where appropriate.
” Is this part of a recurring concern? No recurring-concern membership is currently published.
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 Unavailability of a defibrillator on site
Wider context from the report “No planning for this foreseeable emergency.
Inadequate staff training (to always conduct CPR if no decision to the contrary)
No defibrillator on site and staff misunderstanding of the function of a defibrillator.
No airway training and equipment although Registered Nursing staff have this within their competencies.
I consider that individual emergency planning for those service users with recognised high tier needs and life-threatening risk profiles is essential to ensure best possible outcomes and care tailored to their needs. Medical emergencies in this cohort of patients are predictable but are likely to happen suddenly and unexpectedly. In this case the staff were not able to respond and their evidence to the court demonstrated that they felt unprepared and uncertain about what to do.
This is a situation that could be replicated throughout the services that care for individuals such as Jake. Those commissioning the services should consider if the individual emergency care planning is comprehensive and complete and reviewed where appropriate.
” 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 Lack of individual emergency planning for service users with high-tier needs and life-threatening risk profiles
Wider context from the report “No planning for this foreseeable emergency.
Inadequate staff training (to always conduct CPR if no decision to the contrary)
No defibrillator on site and staff misunderstanding of the function of a defibrillator.
No airway training and equipment although Registered Nursing staff have this within their competencies.
I consider that individual emergency planning for those service users with recognised high tier needs and life-threatening risk profiles is essential to ensure best possible outcomes and care tailored to their needs. Medical emergencies in this cohort of patients are predictable but are likely to happen suddenly and unexpectedly. In this case the staff were not able to respond and their evidence to the court demonstrated that they felt unprepared and uncertain about what to do.
This is a situation that could be replicated throughout the services that care for individuals such as Jake. Those commissioning the services should consider if the individual emergency care planning is comprehensive and complete and reviewed where appropriate .
” Is this part of a recurring concern? No recurring-concern membership is currently published.
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 Staff misunderstanding of defibrillator function
Wider context from the report “No planning for this foreseeable emergency.
Inadequate staff training (to always conduct CPR if no decision to the contrary)
No defibrillator on site and staff misunderstanding of the function of a defibrillator .
No airway training and equipment although Registered Nursing staff have this within their competencies.
I consider that individual emergency planning for those service users with recognised high tier needs and life-threatening risk profiles is essential to ensure best possible outcomes and care tailored to their needs. Medical emergencies in this cohort of patients are predictable but are likely to happen suddenly and unexpectedly. In this case the staff were not able to respond and their evidence to the court demonstrated that they felt unprepared and uncertain about what to do.
This is a situation that could be replicated throughout the services that care for individuals such as Jake. Those commissioning the services should consider if the individual emergency care planning is comprehensive and complete and reviewed where appropriate.
” 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 Inadequate staff training to conduct CPR unless a contrary decision exists
Wider context from the report “No planning for this foreseeable emergency.
Inadequate staff training (to always conduct CPR if no decision to the contrary)
No defibrillator on site and staff misunderstanding of the function of a defibrillator.
No airway training and equipment although Registered Nursing staff have this within their competencies.
I consider that individual emergency planning for those service users with recognised high tier needs and life-threatening risk profiles is essential to ensure best possible outcomes and care tailored to their needs. Medical emergencies in this cohort of patients are predictable but are likely to happen suddenly and unexpectedly. In this case the staff were not able to respond and their evidence to the court demonstrated that they felt unprepared and uncertain about what to do.
This is a situation that could be replicated throughout the services that care for individuals such as Jake. Those commissioning the services should consider if the individual emergency care planning is comprehensive and complete and reviewed where appropriate.
” Open source report
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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 Discuss received Prevention of Future Deaths reports through the national working group and share key learning across NHS national and regional teams.
Verbatim wording from the response “I would also like to provide further assurances on the national NHS England work taking place around the Reports to Prevent Future Deaths. All reports received are discussed by the Regulation 28 Working Group, comprising Regional Medical Directors, and other clinical and quality colleagues from across the regions. This ensures that key learnings and insights around events, such as the sad death of Jake, are shared across the NHS at both a national and regional level and helps us to pay close attention to any emerging trends that may require further review and action.” Source location Response from NHS England
Open published response
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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 and distribute an additional assurance checklist to identified commissioned providers.
Verbatim wording from the response “▪ Created the following additional assurance checklist to be shared with identified providers as a priority (this is still ongoing)” Source location Response from NHS South West London ICB
Open published response
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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 Share learning from identified risks and assurance activity across the wider system.
Verbatim wording from the response “The ICB also agrees with the coroner’s observation that similar circumstances could potentially arise in other services caring for individuals with complex and life-limiting health conditions. We have identified other individuals with needs similar to Jake’s for whom we commission services and have undertaken relevant checks whilst seeking further assurance from providers. We are also developing plans to share learning more widely across the system. A summary of the additional assurance being sought from existing providers is included in Section B of Appendix 1.” Source location Response from NHS South West London ICB
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 contractual arrangements for commissioned complex-care services.
Verbatim wording from the response “As the ICB transitions into its strategic commissioning role, we will continue to consider longer term actions to strengthen existing processes. This will include addressing challenges associated with the limited market and availability of providers for complex care services, which remain significant issues both regionally and nationally. We will also review contractual arrangements and explore opportunities to standardise quality oversight arrangements across commissioned services.” Source location Response from NHS South West London ICB
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 Require providers to strengthen life-support training, resuscitation knowledge, competency assessment and auditable compliance records.
Verbatim wording from the response “b. Resuscitation Training and Understanding of CPR Requirements
All commissioned providers will be required to:” Source location Response from NHS South West London ICB
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 Explore standardised quality-oversight arrangements across commissioned services.
Verbatim wording from the response “As the ICB transitions into its strategic commissioning role, we will continue to consider longer term actions to strengthen existing processes. This will include addressing challenges associated with the limited market and availability of providers for complex care services, which remain significant issues both regionally and nationally. We will also review contractual arrangements and explore opportunities to standardise quality oversight arrangements across commissioned services.” Source location Response from NHS South West London ICB
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 Check commissioned services supporting residents with similar complex needs and obtain further provider assurance.
Verbatim wording from the response “The ICB also agrees with the coroner’s observation that similar circumstances could potentially arise in other services caring for individuals with complex and life-limiting health conditions. We have identified other individuals with needs similar to Jake’s for whom we commission services and have undertaken relevant checks whilst seeking further assurance from providers. We are also developing plans to share learning more widely across the system. A summary of the additional assurance being sought from existing providers is included in Section B of Appendix 1.” Source location Response from NHS South West London ICB
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 considering actions to address limited complex-care provider availability and market capacity.
Verbatim wording from the response “As the ICB transitions into its strategic commissioning role, we will continue to consider longer term actions to strengthen existing processes. This will include addressing challenges associated with the limited market and availability of providers for complex care services, which remain significant issues both regionally and nationally. We will also review contractual arrangements and explore opportunities to standardise quality oversight arrangements across commissioned services.” Source location Response from NHS South West London ICB
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 Require providers to review airway needs, maintain appropriate nursing competencies, and provide airway equipment and training where clinically indicated.
Verbatim wording from the response “d. Airway Management Training and Equipment
All commissioned providers to:” Source location Response from NHS South West London ICB
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 Obtain provider assurance on emergency preparedness, equipment availability and staff training.
Verbatim wording from the response “Following Jake’s tragic death and receipt of your report, the ICB took immediate action, including obtaining comprehensive assurance from the provider regarding emergency preparedness arrangements, the availability of emergency equipment, and staff training. A summary of the assurance received from the provider is set out in Section A of Appendix 1.” Source location Response from NHS South West London ICB
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 Require providers to review emergency preparedness and implement individualised, current emergency response plans for high-risk service users.
Verbatim wording from the response “All commissioned providers supporting individuals with identified high-risk health conditions to undertake a review of their emergency preparedness arrangements. This will include:” Source location Response from NHS South West London ICB
Open published response
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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 Require providers to share compliance progress with the ICB continuing healthcare case manager and quality team.
Verbatim wording from the response “Progress of compliance on the above areas to be shared with ICB CHC case manager and quality team.” Source location Response from NHS South West London ICB
Open published response
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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 Require providers to assess AED need and provide, maintain and govern AED equipment with appropriate staff training.
Verbatim wording from the response “c. Availability and Use of Defibrillators
All commissioned providers will be required to:” Source location Response from NHS South West London ICB
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 Develop and finalise individualised first aid support plans for people supported at Roy Kinnear House, including emergency interventions, equipment and staff training.
Verbatim wording from the response “All people currently supported at (5 people) Roy Kinnear House will now have a clearly documented first aid support plan. The steps to fulfil this are as follows:
- Draft plans to be developed through multidisciplinary team involvement and best interests decision-making. As the support provider we will liaise with medical professionals who are best placed to make decisions around the type of support and equipment people will need in emergency interventions.
- Detail the level of support and interventions required during medical emergencies
- Detail the type of equipment needed, which may include airway equipment
- Staff will have relevant training on the first aid support plan and on the necessary equipment.
- Final plans to be uploaded onto each person’s profile” Source location Response from Choice Support
Open published response
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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 individualised first aid support plans across Choice Support, recording them on Nourish and updating them at least annually or when needs change.
Verbatim wording from the response “In line with our First Aid Policy (last updated May 2026) all people we support across Choice Support will be supported to have a First Aid Support Plan that details the support they may need for various medical emergencies.
This Plan will be visible on Nourish and updated as and when needs change, but yearly as a minimum.” Source location Response from Choice Support
Open published response
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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 Circulate organisation-wide guidance requiring CPR where no DNACPR exists, with updated CPR practice guidance.
Verbatim wording from the response “Circulate a briefing reminding all staff at Choice Support that CPR must be performed where no DNACPR exists, alongside updated CPR practice guidance in line with our First Aid Policy.
Timescales: 30th June 2026” Source location Response from Choice Support
Open published response
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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 Appoint quality leadership roles to lead development of a new quality framework and oversee review of the Serious Incident Policy.
Verbatim wording from the response “We have recently appointed a Chief Quality, Engagement and Impact Officer and a Director of Quality, who are leading the development of a new quality framework and overseeing the review of our Serious Incident Policy.” Source location Response from Choice Support
Open published response
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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 Debrief Roy Kinnear House staff on lessons learned and complex medical emergency scenarios.
Verbatim wording from the response “All staff at Roy Kinnear House to be supported through a debrief meeting with Management and Learning and Development to focus on lessons learned following the Coroners’ Inquest. Enhanced discussions will take place to include medical emergency scenarios involving complex support needs.
Timescales: 30th June 2026” Source location Response from Choice Support
Open published response
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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 mandatory assessment and admission step to confirm, document and clarify DNACPR status with the GP where necessary.
Verbatim wording from the response “Introduce a mandatory step in assessment/admission (for residential and complex care support houses) to confirm DNACPR status, document clearly, and follow up with the GP where unclear.
Timescales: Completed on 29th May 2026” Source location Response from Choice Support
Open published response
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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 DNACPR decisions clearly on each person’s Nourish profile.
Verbatim wording from the response “All people who have a DNACPR decision is clearly displayed on the persons profile page on our digital planning system Nourish so that it is visible by any staff who support the person.
Timescales: Completed” Source location Response from Choice Support
Open published response
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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 Reinforce CPR and safe AED-use training for Roy Kinnear House staff.
Verbatim wording from the response “First Aid training already includes training and practical competency of CPR and safe use of AEDs in line with national guidance. This will be reinforced for the staff at Roy Kinnear House.” Source location Response from Choice Support
Open published response
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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 risk assessments determining whether AEDs are required at registered care services.
Verbatim wording from the response “As an organisation, we will complete a risk assessment to determine if an AED is required at all of our registered care services.
Timescales: 31st July 2026” Source location Response from Choice Support
Open published response
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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 Map the three nearest community AEDs and drill staff on their locations and retrieval times.
Verbatim wording from the response “As part of risk planning for contingencies, whilst we await an AED at Roy Kinnear House, we have mapped out the 3 local AEDs nearest to Roy Kinnear House.
We have also completed “drills” with the staff so they are aware of the location of the AEDs in the community and the time it would take to get the AED.
Timescales: Completed” Source location Response from Choice Support
Open published response
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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 Conduct clinical supervision and skills-gap analysis for Registered Nurses, arranging relevant training or refreshers for identified gaps.
Verbatim wording from the response “All Registered Nurses will be supported to have a Clinical Supervision to carry out a skills gap analysis of their skills and training. Any gaps identified, they will be supported to attend relevant training or refreshers.
Timescales: 30th June 2026” Source location Response from Choice Support
Open published response
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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 supported-living AED risk assessments and provide visible nearest-AED signage where an AED is not required.
Verbatim wording from the response “As an organisation, we will complete a risk assessment to determine if an AED is required at our supported living services. If one is not required, we will ensure clear visible signs to identify the location of the nearest AED.
Timescales: 31st July 2026” Source location Response from Choice Support
Open published response
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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 Require all Roy Kinnear House staff to repeat First Aid training and practical competency assessment, including CPR where no DNACPR exists.
Verbatim wording from the response “All staff at Roy Kinnear House will re-complete First Aid Training and Practical Competency, with the understanding that staff should always conduct CPR if there is no decision to the contrary.
Timescales: 31st July 2026” Source location Response from Choice Support
Open published response
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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 Purchase and install an AED at Roy Kinnear House.
Verbatim wording from the response “Choice Support will purchase an AED to be installed at Roy Kinnear House. We are liaising with Quality Assurance Commissioners and the ICB.
Timescales: Completed and delivered on 8th June 2026” Source location Response from Choice Support
Open published response
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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 Oversight of AED defibrillators in healthcare settings is assigned to the Care Quality Commission.
Verbatim wording from the response “The Care Quality Commission (CQC) are responsible for the oversight of AED defibrillators in health care settings. Whilst the CQC does not mandate that care homes have to have an AED onsite, they do require care homes to be able to handle medical emergencies. The CQC Regulation 12 (Safe Care and Treatment) further mandates that providers assess and mitigate risks, ensuring staff are appropriately trained and equipped. This includes consideration of emergency equipment such as AEDs, particularly in settings with residents at increased cardiac risk, as encouraged by NHS England and RC UK guidance. Failure to provide necessary training, equipment, or clear documentation represents a breach of expected standards of safe and effective care.” Source location Response from NHS England
Open published response
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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 AEDs are not routinely installed across services; installation is determined through service-specific risk assessment and governance processes.
Verbatim wording from the response “We recognise the concern regarding the absence of an on-site AED. Choice Support does not routinely install defibrillators unless determined through risk assessment and governance processes. We will be taking actions against this.” Source location Response from Choice Support
Open published response
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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 Health professionals determine appropriate emergency interventions and the training required to deliver them for each individual.
Verbatim wording from the response “the training, staff are introduced to possible equipment, including airway supports.
The use of such equipment will then be based on the needs of the person supported, their health needs and in best interests discussions with the family and health professionals. The health professionals will guide on the most appropriate interventions for each individual and training requirements to support their use.” Source location Response from Choice Support
Open published response
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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 Airway equipment is provided only where clinically indicated, prescribed and documented in an individual's care plan.
Verbatim wording from the response “We note the concern regarding airway management and equipment. In this service model, clinical equipment such as oxygen therapy and suctioning is provided where clinically indicated, prescribed and documented within an individual’s care plan. The nursing team is supported to undertake clinical observations, including monitoring of blood pressure, oxygen saturation and temperature, to identify deterioration and escalate appropriately. Where a person requires additional medical equipment as part of a planned emergency response, this will be agreed through multidisciplinary team discussion and appropriate equipment and training will be put in place to ensure staff have the skills and confidence to deliver care safely and effectively.” Source location Response from Choice Support
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