Poor prevention and early intervention
Over-reliance on hospital discharge solutions rather than prioritising prevention and early intervention strategies in health and social care.
Strongest theme matches
Mixed across source types and ranked by classifier confidence plus text match strength.
CJINI report
83match
Early Youth Interventions
Matched on
terms: early, intervention
Committee recommendation
77match
#97 - 1st Report - Cutting crime: better community sentences
We heard about the best practices arising from the work of womenâs centres. Women in Prison told us that âapproaches based around prevention, early intervention and community-based support, are evidenced to be effective at reducing reoffending and support women in rebuilding their livesâ, arguing that âresearch found Womenâs Centres can cut reoffending to 5% against a national average...
Matched on
terms: early, intervention, prevention
GIRFT recommendation
73match
Stroke
ISDNs to oversee and support the implementation of pathways for secondary prevention including cryptogenic stroke and TIA management. a) Ensure each ISDN has clear protocols in place for blood pressure lowering, lipid management and anticoagulation therapy for at risk populations. b) Develop a clinical consensus pathway for secondary stroke prevention and investigation of cryptogenic stroke (including review of...
Matched on
terms: intervention, prevention
Committee recommendation
69match
#110 - 1st Report - Cutting crime: better community sentences
Justin Russell said that to reduce the criminal activity of low-level, âprolificâ offenders, their rehabilitation âwould need to involve a residential elementâ and âtreatment for mental health and/or drug and alcohol problemsâ, which âwould probably need to involve someone consentingâ to such interventions. 206 At the moment, however, âthe danger is that they would say, âIâd rather have...
Matched on
terms: intervention
NAO recommendation
68match
NHS Financial Management and Sustainability
DHSC, NHSE and ICSs need to intensify their efforts to manage current and future demand for healthcare by preventing more serious ill health. This should include: ? work to improve understanding of what ICBs and providers have had success doing so far, and how much is spent on prevention outside national programmes; ? an agreed definition of what...
Matched on
terms: poor, prevention
GIRFT recommendation
65match
Breast Surgery
Reduce admissions/surgery for mastitis to 1% or less of admissions captured under the OPCS codes for excisional breast surgery. a) MDTs to develop a plan to reduce their admissions for non-surgery related breast infections and breast interventions. b) MDTs to work with local healthcare providers, A&E departments and on call surgery teams to reduce the need for emergency...
Matched on
terms: intervention
GIRFT recommendation
64match
Gastroenterology
Review liver disease programmes, particularly focusing on early identification, proactive management and reduced occurrence of, and emergency admissions for, cirrhosis. a) Establish proactive programmes to manage patients with alcoholic and non-alcoholic liver disease, including: improved access to clinics; access to dedicated alcohol care teams and/or alcohol and drug misuse nurses; access to community detox; access to weight-loss clinics...
Matched on
terms: early, prevention
CJINI report
62match
Youth Interventions: An Inspection of the Youth Justice Agency’s Community Interventions
Matched on
terms: intervention
PFD report
61match
Ann Margaret Spearing
Organisations' criteria excluded the individual from care, leading to her being passed between agencies without effective intervention due to an identified lack of funding methods for such complex cases.
Matched on
terms: intervention
Committee recommendation
61match
#29 - 2nd Report - The neglected pollutants: the effects of artificial light and noise on human health
The Government should take steps to ensure that the implications of the technological shifts required for net zero and adapting to climate change for noise and light pollution are understood and addressed early on.
Matched on
terms: early
Committee recommendation
61match
#22 - 2nd Report - The neglected pollutants: the effects of artificial light and noise on human health
The hierarchy of interventions for noise pollution should be: reduce, restrict, remodel. It is generally more effective to reduce noise at source, through planning and engineering, than it is to restrict transmission using sound barriers or to remodel the receiver’s environment with sound insulation.
Matched on
terms: intervention
Committee recommendation
61match
#20 - 2nd Report - The neglected pollutants: the effects of artificial light and noise on human health
The Government should use its mapping to identify key cost-effective interventions. The noise mapping and modelling should be made public. The Government should use this to update the burden of disease calculations used for noise pollution, including any new scientific evidence. Policy on noise pollution should be updated accordingly. This should include funding to carry out public health...
Matched on
terms: intervention
HSSIB recommendation
61match
Investigation report: Mental health inpatient settings - out of area placements
Healthcare services can improve patient safety by conducting assessments for neurodevelopmental conditions such as autism and attention deficit hyperactivity disorder, where it is safe and clinically indicated, at the earliest opportunity when a person is in contact with community and acute mental health services. This can ensure that patients are put on the appropriate pathway early. This can...
Matched on
terms: early
PFD report
57match
Alfie Scambler-Holt
The coroner noted the absence of a national Paediatric Early Warning Score (PEWS) system, which results in different systems across trusts and creates challenges for staff when children move between institutions.
Matched on
terms: early
PFD report
57match
Edward Farmer
A national campaign is needed to address the inherent risks of rapid alcohol consumption, how to identify at-risk persons, the importance of timely medical intervention, and risks associated with initiation events.
Matched on
terms: intervention
PFD report
57match
Steven Regoli
The report raises concerns about the lack of systems and appropriate pathways for individuals with severe mental health conditions who struggle to engage with services, leading to insufficient support and reliance on family care.
Matched on
classifier match
Committee recommendation
57match
#23 - 2nd Report - The neglected pollutants: the effects of artificial light and noise on human health
Mapping and modelling tools should be used to identify the most cost-effective interventions to reduce the disease burden of noise pollution, including determining where retrofits make sense. Information on how to reduce noise pollution must be made available at the planning stage for infrastructure projects, as intervention at source is generally more effective.
Matched on
terms: intervention
Committee recommendation
57match
#19 - 2nd Report - The neglected pollutants: the effects of artificial light and noise on human health
The Committee welcomes DEFRA’s noise pollution mapping and modelling exercise, which provides an opportunity for a renewed focus on noise pollution. However, mapping is only the first step: interventions to reduce the noise burden must follow.
Matched on
terms: intervention
Committee recommendation
57match
#93 - 2nd Report - The impact of environmental regulations on development
Regulatory enforcement is necessarily reactive, but this lack of monitoring forces policy making and problem solving also to be reactive. A lack of forward planning and programmes means issues cannot be addressed before they reach this legal backstop. Crawley Borough Council told us: “If early warning signs related to the impact of abstraction by Southern Water on the...
Matched on
terms: early
Committee recommendation
57match
#114 - 1st Report - Cutting crime: better community sentences
Integrated CSOs are rewarding. Dr Guilfoyle pointed out that âit also means that the Probation Service is encouraging the person to participate, and rewarding them if they do soâ whereas, âby comparison, the approach here in England and Wales is that a judge will impose the requirement and a person who does not succeed is punished and could...
Matched on
terms: early
Committee recommendation
57match
#106 - 1st Report - Cutting crime: better community sentences
The then Chief Inspector of Probation told us about a âgap in the market for people with very profound needs who commit very prolific low-level offending but are probably not being reached by community sentences at the momentâ. 196 He argued that âthe link in our sentencing framework between the seriousness of the offence, the tariff and the...
Matched on
terms: intervention
HSSIB recommendation
57match
Management of chronic asthma in children aged 16 years and under
It may be beneficial for a health intervention to be delivered to enhance the general public’s knowledge and understanding of asthma, emphasising the potential seriousness of the condition. This could be linked to the modernisation of the Healthy Child Programme, which is being led by Public Health England.
Matched on
terms: intervention
GIRFT recommendation
57match
Respiratory Medicine
Improve access to smoking cessation therapies and reduce tobacco dependence in patient populations through a comprehensive suite of interventions. a) Use ward-based non-medical prescribers to prescribe nicotine replacement therapy (NRT) within 12 hours of admission. b) Identify a clinical lead for tobacco dependency treatment services with adequate protected time. c) Ensure an electronic method of recording smoking status...
Matched on
terms: intervention
HMICFRS recommendation
56match
FRS 2021-22 CoC Recommendations: Buckinghamshire Fire and Rescue Service
Cause of concern: Prevention activity is not a sufficiently high priority for the service, and it is not adequately identifying those most at risk from fire. Recommendation: By 30 September 2021, the service should have plans in place for:- the revision of its prevention strategy in order that it clearly prioritises the people most at risk of fire...
Matched on
terms: early, prevention
GIRFT recommendation
54match
Hospital Dentistry
Strategies from the Children's Oral Health Improvement Programme Board (COHIPB) should be implemented at provider and commissioner level. Children's oral health should be treated as a high priority as part of the overall paediatric wellbeing agenda and be included in the work of the newly-created Paediatric Surgery Operational Delivery Networks (ODNs). a Liaise with the COHIPB Board to...
Matched on
classifier match
PFD report
53match
Oliver Hiscutt
The coroner noted that paediatric child health training is not mandatory for GPs, with less than 25% of trainees undertaking placements, potentially leading to insufficient skills in assessing and responding to sick children.
Matched on
classifier match
PFD report
53match
Isabella Drew
The coroner identified a need for more explicit guidance on how local healthcare providers advise pregnant women about whooping cough vaccination, including audit and follow-up. Additionally, national guidance is needed for effective communication among antenatal care providers.
Matched on
classifier match
PFD report
53match
William Higgleton
The coroner noted a lack of service provision for psychotherapy care for individuals with anti-social personality disorder. This gap in provision was identified as posing a risk of future deaths.
Matched on
classifier match
PFD report
53match
Christina O’Brien
The coroner identified limited non-hospital respite care options for mentally ill people in the community, noting the withdrawal of the beneficial Dove House facility without alternative provision. It was recorded that if such an option had been available, it might have prevented the death and could prevent future self-inflicted deaths.
Matched on
classifier match
PFD report
53match
Vadims Aleksejevs
The coroner raised concerns regarding the clarity and provision of outreach services by adult social care and addiction services for vulnerable individuals on a campsite. Questions were noted about available housing options and statutory duties to house these individuals.
Matched on
classifier match
PFD report
53match
Jamie Pashley
The coroner raised concerns about post-detoxification care, asking whether individuals should receive fixed appointments, telephone contact between discharge and first review, and increased availability of an alcohol liaison nurse.
Matched on
classifier match
PFD report
53match
Reece Lapina-Amarelle
The coroner identified a lack of resources, treatment systems, and information sharing for individuals with serious mental illness and co-occurring alcohol or drug misuse. The Mental Health Act was also noted as outdated in addressing these complex needs and prioritising patient safety.
Matched on
classifier match
PFD report
53match
Rifky Grossberger
The coroner noted parents were unaware of the danger of metal blind cords and suggested better dissemination of safety information to new parents through healthcare professionals, postnatal leaflets, and the NHS website.
Matched on
classifier match
PFD report
53match
Carolyne Senior
The coroner noted concerns that hospital staff did not adequately consider mental health needs in falls risk assessments, and that specialist mental health provision to support staff in caring for such patients might be insufficient.
Matched on
classifier match
Committee recommendation
53match
#21 - 2nd Report - Must do better: the Office for Students and the looming crisis facing higher...
It is worrying that some institutions would be unwilling to engage with the OfS in the early stages of falling into financial difficulty for fear of a punitive regulatory response, especially given the OfS’ risk-based approach to engagement. This hampers the ability of institutions and the regulator to plan together and take early action against emerging financial risks....
Matched on
terms: early
Committee recommendation
53match
#123 - 1st Report - Cutting crime: better community sentences
The rehabilitative needs of low-level, repeat offenders are not being met. Increasing the tariff of their punishment, be it in an individual case or through a revision of sentencing guidelines, is not the solutionâit would set people up to fail, further criminalising them rather than encouraging their path to rehabilitation. The solution is to increase the intensity of...
Matched on
classifier match
Committee recommendation
53match
#121 - 1st Report - Cutting crime: better community sentences
We also heard that âthe greater use of appropriate and well-supervised out of court disposals is an option in that areaâ. 237 Phil Bowen told us about a service in Highbury Corner Magistratesâ Court provided by the Centre for Justice Innovation, primarily targeted at people âwho are constantly getting fines but cannot pay themâ. 238 The service provides...
Matched on
terms: early
Committee recommendation
53match
#98 - 1st Report - Cutting crime: better community sentences
Rebecca Robson, for instance, told us about Womenâs Community Matters in Cumbria and the wide range of services the organisation offers: âWe run an eight-week group course called Womenâs First, which each week responds to a different pathway to reoffending, or a different vulnerability or issue ⦠We have confidence-building courses ⦠which are available to all women,...
Matched on
classifier match
Committee recommendation
53match
#72 - 1st Report - Cutting crime: better community sentences
The Government acknowledges that helping people on probation face their addictions or mental health issues helps reduce crime. Damian Hinds MP told us that: âDrug addiction is the fuel, the driver, behind acquisitive crime and all manner of other crimes that come off the back of it and which drag young people and children into criminalityâ. 119 Dr...
Matched on
classifier match
GIRFT recommendation
53match
Vascular Surgery
Continue ongoing work to promote the NAAASP to help ensure early identification, enabling treatment before emergencies occur. 4A: GIRFT Regional Hubs to identify any options for joint working or information sharing with NHSE Local Area Teams.
Matched on
terms: early
PFD report
49match
Amanda Vickers
Insufficient availability of beds at the county's sole mental health crisis home meant a patient died while awaiting admission. The report notes the need for a review of facility provision.
Matched on
classifier match
PFD report
49match
Samarjit Singh
There was no Specialist Community Perinatal Mental Health Service in Wirral, resulting in sub-optimal treatment. Additionally, the Liverpool City Region lacked a Mother and Baby in-patient Unit, leading to many distant referrals being declined.
Matched on
classifier match
PFD report
49match
Emmanuel Akinmuyiwa
The coroner identified a lack of clear protocols in the West Midlands for managing sickle cell disease patients, noting that hospital staff had insufficient knowledge of crisis signs and treatment. This was compounded by a lack of funding to implement a regional 'hub and spoke' approach with consistent guidelines.
Matched on
classifier match
PFD report
49match
Oliver Ford
The coroner raised concerns regarding the telephone triage process, noting a need to include a risk assessment within it and ensure all risk assessments are documented. There were also concerns about the weekend cover for the PCLS service to prevent delays in patient follow-up.
Matched on
classifier match
PFD report
49match
Thomas Green
The coroner noted an unactioned psychiatric referral during an inpatient stay and a subsequent unsuitable referral to Healthy Minds for complex PTSD due to insufficient detail. A commissioning gap for complex PTSD services was also identified.
Matched on
classifier match
PFD report
49match
Evelyn Fisher
The coroner noted the driver likely had undiagnosed dementia before the incident. Concerns were raised that the current licence renewal scheme for over-70s relies on self-reporting and lacks mandatory objective testing for fitness to drive.
Matched on
classifier match
PFD report
49match
Charlie Craig
British Cycling does not undertake health assessments or medical screening for young riders on its World Class Programme. A cardiologist indicated such screening can identify cardiac abnormalities in asymptomatic young people.
Matched on
classifier match
PFD report
49match
Karen Edgar
The coroner noted underfunding and long delays in mental health services for children and young people in Cumbria. This raises concerns about young people entering adulthood with unresolved mental health issues, leading to significant human and financial costs.
Matched on
classifier match
PFD report
49match
Enric Elliott
The coroner identified that vulnerable young mothers who book maternity care late (after 28 weeks) are often excluded from the Family Nurse Partnership, thereby missing crucial support despite late booking being a risk factor for their child.
Matched on
classifier match
PFD report
49match
David Sargeant
The coroner noted the lack of commissioned services for adult ADHD assessment, diagnosis, and treatment within Cornwall, along with practical difficulties in managing out-of-county referrals for ongoing medication oversight.
Matched on
classifier match