Tag Archives: Bureaucracy

Difficult Reflections on Certain Aspects of the NHS: Be Prepared to Look-Away Now (BBC News)

Posted on June 23, 2018 by Dementia and Elderly Care News

Summary You don’t want to know: Full Text Link Reference Gosport hospital deaths: prescribed painkillers ‘shortened 456 lives’. London: BBC Health News, June 20th 2018. You don’t want to know: Full Text Link Reference Triggle, N. (2018). Shipman, Bristol, Stafford, … Continue reading →

Posted in Universal Interest | Tagged Accountability, Accountability and Transparency, Adults at Risk of Harm, Ageing in the UK, Ageing Population, Ageism, Attitudes to Ageing, Availability of Opioid Painkillers, Avoidable Harm, Avoidable Hospital Mortality, Avoidable Premature Mortality, Baker Report, BBC News Hampshire and Isle of Wight, BBC Panorama, BBC Panorama: Killed in Hospital, Bullying of Whistleblowers, Bureaucracy, Candour, Character Assassination of Whistleblowers, Closed Ranks Culture (Cover-Ups), Closed Ranks Culture (Denial), Closed Ranks Culture (Determination Not to Know), Closed Ranks Culture (Misplaced Loyalty), Closing Ranks, Collective Self-Interest (Ahead of Patients), Complaint Handling, Complaint Handling by Providers, Corporate Accountability, Corporate Self-Interest (Ahead of Patients), Culture and Leadership, Culture of Complacency, Culture of Delay and Denial, Defensive Culture, Diamorphine, Disregard for Human Life, Dr Katherine Sleeman: Cicely Saunders Institute at King's College London, Failings in Care in Hospitals, Faith-Shattering NHS Scandals, Former Minister of Care Services Norman Lamb, Freedom to Speak Up Report: Principle 3: Culture Free From Bullying, Fundamental Standards of Behaviour, Gosport Hospital Deaths: Timeline, Gosport Independent Panel, Gosport War Memorial Hospital, Gosport War Memorial Hospital: Report of the Gosport Independent Panel, Hampshire Constabulary, Harassment of Whistleblowers, Harms of Too Much Medicine, Hospital Mortality, House of Commons, In-Hospital Mortality, Inappropriate Prescribing, Inappropriate Prescribing of Painkillers, Institutionalised Determination Not to Know (Sir Brian Jarman: Allegation), Institutionalised Neglect, Institutionalised Unkindness, Matthew McClelland: Director of Fitness to Practise at Nursing and Midwifery Council, Negative Culture, NHS Corporate Self-Interest, NHS Managerial Self-Interest, Norman Lamb MP (Former Minister of State for Care and Support), Norman Lamb: Former Liberal Democrat Health Minister, Organisational Culture, Painkillers, Parliamentarians, Patient Harm, Patient Safety, Patient Safety Improvement, Peer Pressure, Postcode Lottery of Hospital Death Rates, Potentially Inappropriate Prescribing, Premature Mortality, Preventable Hospital Deaths, Preventable Hospital Mortality, Preventing Premature Mortality, Principles of Good Complaint Handling, Professor Richard Baker: Leicester University, Professor Sir Brian Jarman, Professor Sir John Strang: Director of National Addiction Centre at King's College London's Institute of Psychiatry Psychology and Neuroscience, Rachel Power: Chief Executive of Patients Association, Reducing Avoidable Premature Mortality, Reducing Premature Mortality, Right Reverend James Jones KBE: Chair of Gosport Independent Panel, Rt Hon Jeremy Hunt MP: Former Secretary of State for Health and Social Care, Super-Strength Painkillers, Syringe Drivers: Opioid Delivery, Top-Down Managerial Culture, Treatment of Whistleblowers (Shoddy), Unnecessary In-Hospital Deaths, Unresponsive Culture, USA Opioid Epidemic, Values, Victimisation of Whistleblowers, Warning Signs, Whistlelowing, Willful Blindness | Leave a comment

Dementia Case-Finding in Hospitals: Qualitative Research Into Disparate Perceptions of Primary and Secondary Care Staff in England (BMJ Open)

Posted on March 20, 2018 by Dementia and Elderly Care News

Summary Hospitals in England have been conducting case-finding of people with dementia among older people, who were admitted on an unplanned basis, since 2012/13; although the methods to be used were undefined. A recent article investigates the views of staff … Continue reading →

Posted in Acute Hospitals, Commissioning, Community Care, Delirium, Diagnosis, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, Non-Pharmacological Treatments, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest | Tagged Access to Diagnostics and Secondary Care Advice, Access to Secondary Care, Acute Hospital Care, Acute Hospitals, Ageing and Dementia, Ageing and Society, Ageing Population, Barriers to Older People Accessing Help and Support, Barriers to Support, Bedfordshire, BMJ Open, BMJ Publishing Group Ltd, Bureaucracy, Bureaucracy and Burnout, Cambridge Institute of Public Health: University of Cambridge, Cambridgeshire, Case Finding, Case Finding for Patients with Dementia, Centre for Research in Public Health and Community Care: University of Hertfordshire, Dementia and Delirium, Dementia Care in Acute Settings, Dementia Care in General Hospitals, Dementia Care in the Acute Hospital, Dementia Case Finding, Dementia Case Finding Scheme, Dementia Case-Finding in Acute Hospitals in England, Dementia Diagnosis, Dementia Diagnosis Rates, Dementia Diagnosis Rates in England, Dementia in General Hospital Inpatients, Dementia-Friendly Hospitals, Dementia-Related Misdiagnosis, Diagnosis and Assessment, Diversion of Resources, Early Diagnosis, Early Screening, East of England, Essex, Faculty of Medicine and Health Sciences: University of East Anglia, False Positives, Family Doctors, Family Support, General Hospital Care, General Hospitals, GPs, Hertfordshire, Impact of the Quality of Dementia Care on Interface Between Primary and Secondary Care, Misdiagnosis, Mislabelling (Risk), Norfolk and Suffolk, Norwich Medical School: University of East Anglia, Post-Diagnosis Support, Post-Diagnostic Dementia Care And Support, Post-Diagnostic Support for People with Dementia, Potential Harms of Diagnosis, Primary / Secondary Care Interface, Primary and Secondary Care, Primary Care, Primary Care (GPs), Primary Care Factors in Unscheduled Secondary Care, Qualitative Research, Quality and Outcomes Framework (QOF) Dementia Registers, Quality Outcomes Framework (QOF), Quality Outcomes Framework (QOF): Recorded Dementia Diagnoses, Recorded Dementia Diagnoses, Referral and Assessment, School of Clinical Medicine: University of Cambridge, Screening, Screening for Cognitive Impairment, Screening for Cognitive Impairment in Older Adults, Screening for Dementia, Screening Programmes, Secondary Care, Support for People Living with Dementia and Their Carers, Target Culture, Target-Driven Behaviour, Target-Driven Priorities, Timely Diagnosis, UK National Screening Committee, UK National Screening Committee (UK NSC), University of Cambridge, University of East Anglia, University of Hertfordshire | Leave a comment

NHS Leadership Review (BBC News / Department of Health)

Posted on August 6, 2015 by Dementia and Elderly Care News

Summary Lord Rose, formerly of Marks & Spencer, was commissioned by the Secretary of State for Health to review leadership in the NHS. This controversial and independent report covers how to attract and develop capable leaders, whether from inside or … Continue reading →

Government Consultation on Francis Freedom to Speak Up Report (Department of Health)

Posted on March 13, 2015 by Dementia and Elderly Care News

Summary The Government has launched a public consultation to assess recommendations from the Francis Freedom to Speak Up review, to support NHS staff in speaking up about poor care and patient safety. This open consultation allows staff, patients and the … Continue reading →

Statutory Duty of Candour Moves Closer (BBC News / Royal College of Surgeons)

Posted on March 8, 2014 by Dementia and Elderly Care News

Summary The review commissioned by the Government in the wake of the Francis Inquiry report has recommended that the NHS must be open and honest about mistakes. The report calls for a statutory duty of candour in the case of … Continue reading →

Posted in BBC News, Department of Health, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Social Workers (mostly), In the News, National, NHS, Patient Care Pathway, Quick Insights, RCN, Standards, UK, Universal Interest | Tagged Action Against Medical Accidents, Audit Loop, Australian Commission of Safety and Quality in Health Care, Australian Open Disclosure Framework, Avoidable Harm, BBC Health News, Berwick Review of Patient Safety, Breach of Acceptable Practice, Bureaucracy, Candid Conversations: Treating Patients as Equals, Candour, Candour: Safety and Improvement, Care Quality Commission (CQC), Communicating With Patients About Medical Errors, Compassionate Care, Consequences of the Francis Inquiry Report, Culture Change, Culture of Candour, Culture of Zero-Harm, Excessive Regulatory Responses, Fear of Litigation, Fear of Professional Regulatory Consequences, Foundation Trust Network (FTN), Francis Inquiry, Harm, Harm Free Care, Improving Patient Safety, Incentivising Candour, Incident Disclosure, Incidents Errors and Near Misses, Learning From Mistakes, Mid Staffordshire NHS Foundation Trust, Misplaced Paternalism, Moderate Harm, National Reporting and Learning System (NRLS), NHS Culture, NHS Litigation Authority, NHS Litigation Authority (NHS LA), No Harm Culture, Open Culture, Openness, Openness and Transparency, Organisational Reputation, Patient Safety, Patient Safety Incidents, Post-Paternalist Age, Pressure Ulcers, Professional Standards Authority, Professor Norman Williams, Professor Norman Williams: President of Royal College of Surgeons, Prolonged Psychological Harm, Reduction in Bureaucracy, Repercussions From the Francis Inquiry Report, Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry, Reporting Culture, Risk and Consent, Royal College of Nursing (RCN), Royal College of Surgeons, Royal College of Surgeons of England (RCSENG), Sir David Dalton: Salford Royal Hospital, Stafford Hospital, Statutory Duty of Candour, Threshold for Duty of Candour, Transparency, Transparency and Accountability, Violation, Wilful Neglect | 1 Comment

NHS Culture, Patient Safety and Care Quality (Lancaster University)

Posted on October 5, 2013 by Dementia and Elderly Care News

Summary This report from Lancaster University investigates culture and behaviour in the NHS. It asserts that there are times when the quality of care in the English NHS may be compromised by a lack of clearly defined goals, over-regulation, and … Continue reading →

Posted in Acute Hospitals, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), National, NHS, Patient Care Pathway, Quick Insights, Standards, UK, Universal Interest | Tagged Absenteeism, Active Engagement, Annual Health Check (AHC), Aston Team Performance Inventory (ATPI), Aston University, Barriers and Facilitators to Participation, Barriers to Integration, Board Innovativeness, Bright Spots, Bullying, Bureaucracy, Care Quality, Civility, Compassion, Competitiveness, Cooperation, Cultural Leadership, Culture, Culture Change, Dark Spots, Definitional Morass, Department of Health Policy Research Programme, Discontinuities in Care, Engagement, Ethnographic Analysis, Francis Inquiry Report, Handover, Harassment, Hospital Mortality, Incentives, Incident Reporting, Initiatives, Innovative Leadership, Inter-Team Working, Lancaster University, Lancaster University Management School, Leadership, Leadership and Culture, Lean and Six Sigma, Listening into Action (LiA), NAPP (National Association for Patient Participation), National Association for Patient Participation, National Staff Survey and Acute Inpatient Survey, NHS Culture, NHS National Staff Survey Data, Organisational Culture and Climate, Over-Regulation, Overcoming Barriers, Patient and Public Involvement, Patient Experience, Patient Mortality, Patient Participation, Patient Safety, PDSA (Plan-Do-Study-Act) Cycles, Presenteeism, Priority Thickets, Quality, Quality and Safety in the NHS, Quality Improvement, Responsibility Cordons, Safety, Safety Express, Staff Engagement, Standards, Targets, Team Culture, Team Working, Teams, The Productive Ward, Tick Box Culture, Trust Boards, Trust Leadership, University of Aberdeen, University of Birmingham, University of Leicester, University of Sheffield, Variability in Courtesy Compassion and Caring, Variability in Management and Systems, Variability in Quality and Safety of Care, Work Pressure | Leave a comment

Minimum Standards for Healthcare Assistants: Certificate of Fundamental Care (BBC News)

Posted on July 10, 2013 by Dementia and Elderly Care News

Summary The Cavendish Review to ensure vulnerable patients are treated with dignity says healthcare assistants (HCAs) should need to comply with a universal training system and gain accreditation before they are allowed work unsupervised. This review was carried out after the Francis Inquiry to offer recommendations … Continue reading →

Posted in Acute Hospitals, BBC News, Community Care, For Carers (mostly), For Nurses and Therapists (mostly), For Social Workers (mostly), In the News, Management of Condition, National, NHS, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest | Tagged 12-Hour Shifts (HCAs), Acute Hospital Care, Allowing HCAs to Use Title “Nursing Assistant", Appraisals, Apprenticeships, Axiological Inventory (Philosophical Study of Values), “Higher Certificate of Fundamental Care, Barchester Healthcare: Higher-Level Apprenticeship, BBC Health News, Belfast Health and Social Care Trust’s Band 3 Healthcare (Nursing) Support Worker Programme, Board Level Responsibility for the Recruitment Training and Management of HCAs, Bridging Programmes for Progression of HCAs and Support Workers into Nursing Programmes, Bridging Programmes: Progression of HCAs and Support Workers into Nursing Programmes, Bureaucracy, Camilla Cavendish, Capitated and Outcome-Based Incentivised Contracts (COBICS), Care for Vulnerable Older People, Care Homes, Care Quality Commission (CQC), Care Support, Career Ladder, Career Pathways for HCAs, Caring: a Career, Cavendish Review, Certificate of Fundamental Care, City and Guilds Diploma Level 2 in Clinical Healthcare Support (CHS), Clearer Simpler Job Titles, Coaching, Coaching and Mentoring, Commissioning Based on Outcomes, Commissioning by Results, Common Induction Standards (CIS), Compassionate Care, Consequences of the Francis Inquiry Report, Crew Resource Management (CRM) Training, Culture of Compassionate Care, Dementia Awareness, Directors of Nursing, Disconnected Landscape, Dismissal of Unsatisfactory Staff, Education, Education and Training, Education Outcomes Framework, Employers’ Lack of Faith in Qualifications, Enabling Compassionate Care in Acute Hospital Settings, Engagement and Support (HCAs), False Economy: Local Authority Home Care Contracts, False Economy: Long Shifts, False Economy: Not Paying Home Care Workers for Travel, Financial Constraints, First Line Managers, Foundations for Growth, General Hospital Care, Great Interactions (MacIntyre), Guy's and St Thomas' NHS Foundation Trust, Hartman Values Profile Tool, HC-One: Touch, HCAs, HCAs AfC Pay Bandings, HCAs as Part of Nursing Team: Not a Separate Tribe, HCAs: Voice of the Frontline, Health Education England (HEE), Healthcare Assistants, Healthcare Support Workers, Heart of England NHS Foundation Trust, HEE: Health Education England, High Attrition Rates (HCAs), Higher Apprenticeships (Skills for Care NMC and Skills for Health), Higher-Level Apprenticeship, Home Care Workers, Home Care Workers' Travel Time, Improving Accountability for Performance: Codes of Conduct, Institute of Vocational Learning: Buckinghamshire New University, Intelligent Kindness: More Than Basic Care, Intolerance of Poor Performance, Kings College London, Leadership, Local Education and Training Boards (LETBs), MacIntyre Profile, Macmillan Values Based Standard, Management of HCAs, Mid Staffordshire NHS Foundation Trust Inquiry, Minimum Standards for Healthcare Assistants, Minimum Training Standards for Healthcare Support Workers, Modernisation of the Nursing Workforce, Modernization of the Nursing Workforce: Valuing the Healthcare Assistant, Multi-Disciplinary Team (MDT), National Minimum Data Set for Social Care, National Minimum Data Set for Social Care: Skills for Care, National Minimum Training Standards for Healthcare Support Workers, National Minimum Wage, National Occupational Standards, National Skills Academy, NHS Career Framework, Nursing and Midwifery Council (NMC), Nursing Assistant: Title, Nursing Auxiliaries, Office of Qualifications and Examinations regulation (Ofqual), Outcomes-Based Commissioning, Overly Generous Appraisals, Paperwork, Patient Advisory Liaison Service (PALS), Patient Care, Patient Safety, Patient Safety and Service Quality Centre (PSSQ), Patients First and Foremost, Paying Home Care Workers for Travel, Payment of Travel Time, Performance Management, Personal Development Plans, Positive Appraisals, Positive Culture, Priory Group, Professional Silos, Professional Standards Authority for Health and Social Care, Professional Standards Authority for Health and Social Care (PSA), Progression of HCAs and Support Workers into Nursing Programmes, Protecting Vulnerable People, QCF: Qualifications and Credit Framework, Qualifications, Qualifications and Credit Framework, Queen Alexandra Royal Army Nursing Corps (QARANC), Queen Elizabeth Hospital in Birmingham: HCAs Called Nursing Auxiliaries, Reactions to the Francis Inquiry Report, Recruiting for Values (Caring), Recruitment, Recruitment of HCAs, Recruitment Training and Management of HCAs, Reduction in Bureaucracy, Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry, Residential Care Homes, Salford Royal NHS Foundation Trust, Shared Responsibility, Skills for Care, Skills for Care National Minimum Data Set for Social Care (NMDS-SC), Social Care Support Workers, St Christopher’s Hospice, Staff Motivation, Staff Retention, Staff Sickies, Staff Training, Staffing Levels, Status of Caring in Health and Social Care, Supervising and Leading HCAs, Supervision, Supervision and Support, Support (Getting the Best Out of People), Support Workers in Social Care, Team-Building, Teambuilding, Tick Box Culture, Tick Sheets, Time to Care, Training, Transferable Role Templates, Transferable Role Templates (TRTs), Transferable Skills, Turnover, UK Home Care Association, UKHCA Commissioning Survey: Care is not a Commodity, Under Performers, Underappreciated, Underpaid, University Hospital Birmingham (UHB) NHS Foundation Trust, University Hospitals Birmingham NHS Foundation Trust, Valuing the Healthcare Assistant, Virtual Interactive Teaching and Learning (VITAL), Voluntary Register(s) for Healthcare Support Workers, Vulnerable Adults, Vulnerable Older People, Widening Participation, Widening Participation in Healthcare, Widening Participation into Pre-registration Nursing Programmes, Wiltshire Council, Workforce Training, York Hospitals NHS Foundation Trust, Zero-Hours Contracts | Leave a comment

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