Another contender for one of my favourite influential patient safety reports is emerging: the NHS Patient Safety Strategy (NHS England and NHS Improvement, 2019). A 2021 update has recently been...
Over the past 20 years or more there have been frequent discussions about how well our tort-based, civil justice compensation system is working. A key issue in these discussions is the reasons behind...
‘Staff are struggling to cope with large volumes of safety guidance, they have little time and space to implement guidance effectively, and the systems and processes around them are not always...
‘Written words are not like conversation: there is no inflexion, no stress, no sense of irony, no opportunity to ask, ‘What do you mean?’. The lifeblood of everyday speech is missing. The reader...
Lintern (2021) reported comments made to the Independent by Professor Ted Baker, Chief Inspector of Hospitals at the Care Quality Commission (CQC):.
The Care Quality Commission (CQC) (2020)State of Care annual assessment of health and social care in England noted some improvement in NHS acute care, where 75% of core services were rated as good or...
Patient safety reports have a key role in helping staff maintain and develop good organisational cultures. They are a rich source of real-time information showing how nurses and doctors can better...
A key issue with policy development and culture change is always going to be the pace of change. I have said many times in my columns that this has been too slow and that systemic problems perpetuate....
The report argues that before COVID-19 care was generally good, but with little overall improvement with some specific areas of concern identified. In terms of NHS acute care, there was some...
Whether it is the NHS in England or in a developing or transitioning country, a patient safety culture and a focus on health quality are intrinsic, inseparable features. Common sense dictates that a...
‘These include steps to protect health workers from violence; to improve their mental health; to protect them from physical and biological hazards; to advance national programmes for health worker...
One of the functions of NHS Resolution is to manage litigation claims brought against the NHS organisations. This position gives it a unique overview of NHS clinical negligence, complaints and patient...
There is a long history of NHS reports into how complaints are handled and what needs to be done to make things better, but progress in effecting change has been slow. Clwyd and Hart (2013) in their...
Whatever the Government and NHS appetite for reform and change, the emerging care quality crisis at the Shrewsbury and Telford NHS Hospital Trust is guaranteed to keep patient safety a live public...
‘The trust's maternity services are currently subject to an independent inquiry, led by Donna Ockenden, which has identified 1170 cases over a 40-year period that warrant investigation.’ .
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