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Recent Posts
- Dementia-Friendly Communities Provision, Viewed as a Social Determinant of Health (JGCR / NHS England / WHO)
- International Perspectives on the Possible Impact of the COVID-19 Pandemic and Lockdown on Abuse of the Elderly (JGCR / American Journal of Geriatric Psychiatry / JAGS)
- Updates Relating to the Lancet Commission on Dementia Prevention, Intervention, and Care (Lancet / Alzheimer’s Research and Therapy / Alzheimer’s and Dementia)
- A Brief Review of How the COVID-19 Pandemic Relates to Elderly Care and Research (JGCR)
- Some Speculated / Potential Benefits of COVID-19 (JGCR / BBC Radio 4’s Rethink / BGS)
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Tag Archives: Action Against Medical Accidents
Berwick Report One Year On: NHS England’s Progress on Patient Safety (NHS England / Health Foundation)
Summary It is just over one year since Professor Don Berwick published the “A promise to learn: a commitment to act” report on the safety of patients in England in the wake of the Francis Inquiry. This is a brief review of progress since … Continue reading
Posted in Acute Hospitals, Commissioning, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Health Foundation, Local Interest, Management of Condition, National, NHS, NHS England, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest
Tagged Academic Health Science Networks (AHSNs), Action Against Medical Accidents, Airline Industry (Zero Harm), BBC Health News, Berwick Review of Patient Safety, Collaborative Leadership, Collaborative Projects, Collaborative Working, Continuous Learning, Continuous Learning Culture, Culture Change, Culture of Zero-Harm, Dr Mike Durkin: NHS England’s Director of Patient Safety, Ethic of Learning, Fitness to Practise, Fitness to Practise Policy Team: General Medical Council, Francis Inquiry Report, General Medical Council (GMC), GMC Sanctions Guidance, GMC Sanctions: Consultation, Good Medical Practice, Harm Free Care, High Quality Care, Hospital Mortality Rates, Hospital-Acquired Infections, IHI: Institute for Healthcare Improvement, Improvement Collaboratives in Health Care, Incident Reports, Incorrect Priorities, Information Centre for Health and Social Care, Institute for Healthcare Improvement (IHI), Institute of Healthcare Improvement (IHI) Trigger Tool, Kaizen, Leadership, Learning From Mistakes, Local Patient Safety Collaboratives, Local Patient Safety Collaboratives Programme, Measures of Harm, Measuring Safety Culture, Medical Practitioners Tribunal Service (MPTS), Mid Staffordshire NHS Foundation Trust, Mortality Rates, MPTS Panels, National Patient Safety Alerting System (NPSAS), Never Events, Never Events Data, NHS Culture, NHS England National Patient Safety Alerting System, NHS Improving Quality (NHS IQ), NHS Improving Quality (NHSIQ), NHS Regulation, NHS Safety Thermometer, NHS Safety Thermometer Patient Data, No Harm Culture, Open Culture, Openness, Openness and Transparency, PANICOA (Prevention of Abuse and Neglect in the Institutional Care of Older Adults), Patient Harms, Patient Safety, Patient Safety Collaboratives, Patient Safety Collaboratives Programme, Patient Safety Indicators, Patient Safety Strategies, Professor Don Berwick, Quality Control, Quality Improvement, Quality Improvement Approaches, Quality of Care, Quality Patient Care, Regulation, Repercussions From the Francis Inquiry Report, Responses to the Francis Inquiry Report, Sign Up to Safety Campaign, Sign Up to Safety Pledges, Target-Chasing (Hitting the Target Missing the Point), Training and Capacity-Building, Transparent Learning Culture, Zero Harm, Zero Tolerance Healthcare
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Doctors and Nurses: Sanctions for Neglect? (BBC News)
Summary The government is said to be proposing changes to the law, whereby doctors and nurses found guilty of “wilful neglect” of their patients could face up to 5 years in jail. Read more: BBC News. Doctors and nurses may face jail for neglect. … Continue reading
Posted in Acute Hospitals, BBC News, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Social Workers (mostly), In the News, Management of Condition, National, NHS, Quick Insights, Standards, UK, Universal Interest
Tagged Abuse, Abuse of Vulnerable Adults, Action Against Medical Accidents, Action against Medical Accidents (AvMA), Adult Safeguarding, BBC Health News, Berwick Review of Patient Safety, Candour, Defensive Leadership, Fear is Toxic, Fear of Raising Concerns About Care, Neglect, Openness, Openness and Transparency, Professor Don Berwick, Repercussions From the Francis Inquiry Report, Safeguarding, Statutory Duty of Candour, Transparency and Accountability, Trust Blame and the Culture of Defensiveness, Whistleblowing, Wilful Neglect, Willful Blindness
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NHS Failings Suppressed for “Political” Reasons? (BBC News / Department of Health)
Summary A report (NHS England‘s Keogh review), ordered by the government after the publication of the Francis Inquiry into Stafford Hospital, indicates that 14 NHS trusts – with higher-than-expected mortality rates over recent years – may have contributed to 13,000 excess deaths compared with the national average in 2005-10. Professor Sir … Continue reading
Posted in Acute Hospitals, BBC News, For Doctors (mostly), For Nurses and Therapists (mostly), For Social Workers (mostly), In the News, King's Fund, National, NHS, NHS Digital (Previously NHS Choices), NHS England, Patient Care Pathway, Quick Insights, Standards, Statistics, UK, Universal Interest
Tagged Action Against Medical Accidents, Action against Medical Accidents (AvMA), Avoidable Harm, Basildon and Thurrock in Essex, Basildon and Thurrock University Hospitals NHS Foundation Trust, BBC Health News, Behind the Headlines, Blackpool, Blackpool Teaching Hospitals NHS Foundation Trust, Buckinghamshire Healthcare NHS Trust, Burton Hospitals NHS Foundation Trust, Burton Staffordshire, Care Quality Commission, Channel 4 News, Colchester, Colchester Hospital University NHS Foundation Trust, Commissioning, Conflict of Interests, Corporate Self-Interest (Ahead of Patients), Dr Foster, Dudley Group NHS Foundation Trust, Dudley Group West Midlands, East Lancashire, East Lancashire Hospitals NHS Trust, Epidemiology, Epidemiology and Statistics, Francis Inquiry Report, George Eliot Hospital NHS Trust, George Eliot Warwickshire, Governance and Accountability, Greater Manchester, Hospital Mortality Rates, Hospital Standardised Mortality Ratios (HSMRs), Keogh Mortality Review, Keogh Review, Local Authorities, Medical Director of NHS England: Professor Sir Bruce Keogh, Medway Kent, Medway NHS Foundation Trust, Mid Staffordshire NHS Foundation Trust, Monitor, Mortality, Mortality Outlier Hospitals, Mortality Rates, Mortality Statistics, NHS Corporate Self-Interest, NHS England, NHS Finances, NHS Governance and Accountability, NHS Money, NHS Reform, NHS Structures, North Cumbria, North Cumbria University Hospitals NHS Trust, Northern Lincolnshire and Goole, Northern Lincolnshire and Goole Hospitals NHS Foundation Trust, Patient Safety, Preventable Hospital Mortality, Professor Sir Brian Jarman, Professor Sir Bruce Keogh, Providers, Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry, Sherwood Forest Hospitals NHS Foundation Trust, Sherwood Forest Nottinghamshire, Tameside, Tameside Hospital NHS Foundation Trust, Target-Chasing (Hitting the Target Missing the Point), United Lincolnshire Hospitals NHS Trust, West Midlands
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Francis Inquiry Report: Full Report (Mid Staffordshire NHS Foundation Trust Inquiry)
Summary High mortality rates and poor standards of care provided at the Mid Staffordshire NHS Foundation Trust resulted in concern about services and management in the Trust. This three-volume Francis Inquiry report investigates the causes and lessons learned. “…[the widespread] disconnect between … Continue reading
Posted in Acute Hospitals, Age UK, Alzheimer's Society, Carers UK, Charitable Bodies, CQC: Care Quality Commission, Department of Health, Falls, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Health Education England (HEE), Health Foundation, In the News, Joseph Rowntree Foundation, King's Fund, Local Interest, Management of Condition, National, National Voices, NHS, NHS Alliance, NHS Confederation, NHS England, NHS Improvement, Nuffield Trust, Nutrition, Pain, Patients Association, RCN, Royal College of Physicians, Royal College of Psychiatrists, Standards, UK, Universal Interest
Tagged Accountability, Action Against Medical Accidents, Acute Care, Acute Hospitals, After Francis: Doing Justice (National Voices), Berwick Review, Berwick Review of Patient Safety, BGS, British Geriatrics Society, Bureaucracy, Candour, Care Bill 2013-14, Care in General Hospitals, Care Quality, Care Quality Commission (CQC), Care Quality Commission Strategy for 2013 to 2016, Cavendish Review, Centre for Public Scrutiny (CfPS), Centre for Workforce Intelligence (CfWI), Chief Inspector of Hospitals, Chief Inspector of Primary Care (Exploratory), Chief Inspector of Social Care, Clinical and Financial Engagement, Comments and Complaints, Commission for Patient and Public Involvement in Health (CPPIH), Common Professional Standards (NMC / GMC), Complaint and Redress, Complaint Handling, Complaints, Consequences of the Francis Inquiry Report, Contingency Planning Team (CPT), Corporate Accountability, Culture, Culture of Compassionate Care, Culture of Zero-Harm, Dementia Care in Acute Settings, Duty of Candour, False or Misleading Information (FOMI), Feeding the Beast, Fit and Proper Person Test, Formal Complaints, Formal Complaints Process, Former Health Secretary Jeremy Hunt, Foundation Trust Status, Francis Inquiry, Francis Inquiry Report, Francis Inquiry Report: Executive Summary, Francis Inquiry Report: Full Report, Francis Report, Friends and Family Test (NHS), Fundamental Standards, Gagging Clause Culture, General Hospitals, General Medical Council, General Pharmaceutical Council (GPhC), Government Response to Francis Inquiry Report, Health and Safety Executive (HSE), Health Education England Mandate, Health Education England Mandate: April 2014 to March 2015, Health Protection Agency (HPA), Health Service Ombudsman, Healthcare Financial Management Association (HFMA), Hospital Complaints, Hospital Mortality, Hospital Mortality Rates, Hospital Standardised Mortality Ratios (HSMRs), House of Commons Library, House of Commons Public Administration Select Committee (PASC), Implications of the Francis Inquiry Report, Improving Patient Safety, Independent Chief Inspector of Hospitals, Inspections and Bureaucracy, Institute of Healthcare Management, Keogh Review, Leadership, LINks, Local Government Association, Local Involvement Networks (LINks), Mandate to the NHS Commissioning Board, Mid Staffordshire NHS Foundation Trust, Mid Staffordshire NHS Foundation Trust Inquiry, Mid Staffordshire NHS FT Public Inquiry: Government Response, Mid-Staffordshire NHS Trust, Monitor, Monitor Contingency Planning Team (CPT), More Complaints Please!, Mortality, Mortality Rates, National Audit of Dementia Care in Hospitals 2011, National Care Forum (NCF), National Patient Safety Agency, National Voices, NCF, Negative Culture, NHS Accountability, NHS Clinical and Financial Engagement, NHS Complaints Process, NHS Complaints System: Department of Health Review, NHS Constitution, NHS Constitution and Whistleblowing, NHS England (Formerly the NHS Commissioning Board), NHS England Business Plan 2013/14 – 2015/16, NHS Hospital Complaints, NHS Hospital Complaints System, NHS Litigation Authority (NHSLA), NHS Networks, Nursing & Midwifery Council, Nursing and Midwifery Council (NMC), Nursing Standards, Openness, Openness and Honesty When Things Go Wrong, Openness and Honesty When Things Go Wrong (GMC / NMC), Openness and Transparency, Oppressive NHS Culture, Parliamentary and Health Service Ombudsman, Patient and Public Involvement Forums (PPIFs), Patient Complaints, Patient Experience, Patient Safety, Patients First and Foremost, Patients Not Heard, Poor Governance, Preventable Hospital Mortality, Principles of Good Complaint Handling, Professional Disengagement, Professional Standards, Professor Don Berwick, Public Administration Select Committee (PASC), Putting Patients First: NHS England Business Plan 2013/14 – 2015/16, Quality Accounts, Quality Improvement, RCGP, Reactions to the Francis Inquiry Report, Repercussions From the Francis Inquiry Report, Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry, Responses to the Francis Inquiry Report, Review of NHS Complaints System, Royal College of General Practitioners (RCGP), Royal College of Surgeons, Royal College of Surgeons of England (RCSENG), Scrutiny, Shropshire and Staffordshire Strategic Health Authority (SaSSHA), Sir Robert Francis QC, Somebody Else's Problem (SEP), South Staffordshire PCT (SSPCT), Staff Motivation, Stafford, Statutory Duty of Candour, Strategic Health Authorities (SHAs), Strengthening Corporate Accountability, Sue Ryder, UK Parliament, Voluntary Organisations Disability Group (VODG), Warning Signs, West Midlands, West Midlands SHA (WMSHA), Whistleblowing, Workforce Learning Points From Francis 2013, Workforce Planning Implications From Francis 2013
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NHS Complaints Review Report (BBC News)
Summary The government-backed review investigating how the NHS in England handles complaints has been published. An achievement of this review is to have persuaded twelve important organisations to sign-up to a series of pledges. Recommendations include improving quality of care, improving how … Continue reading →