Tag Archives: National Reporting and Learning System (NRLS)

Towards Safer Culture and Safer Systems: Launch of the NHS Patient Safety Strategy (NHS England / NHS Improvement)

Posted on July 6, 2019 by Dementia and Elderly Care News

Summary The NHS Patient Safety Strategy explains how the NHS aims to improve patient safety continuously, across the board. The main section headings in this strategy document comprise: Summary Insight Involvement. Improvement. Introduction Our vision for patient safety. Foundations for … Continue reading →

Posted in Acute Hospitals, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, National, NHS, NHS England, NHS Improvement, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest | Tagged Academy of Medical Royal Colleges: Patient Safety Syllabus, Acute Data Alignment Programme (ADAPt), Adoption and Spread: Priorities, Ageing Population, Aidan Fowler: National Director of Patient Safety (NHS England), Antimicrobial Resistance (AMR), Antimicrobial Resistance and Healthcare Associated Infections (ARHAI), Antimicrobial Resistance: Patient Safety, Artificial Intelligence and Machine Learning From NHS Records, Ask Listen Do, Care and Treatment Reviews (CTRs), Care Education and Treatment Reviews (CETRs), Caring to Change (King’s Fund), Central Alerting System (CAS), Civility Plus Kindness and Respect, Clinical Negligence and Litigation, Clinical Negligence Scheme for Trusts (CNST), Clinical Quality Improvement, Community Empowerment, Community Engagement, Community Involvement, Compassionate Leadership, Compassionate Leadership: Cultural Elements, Continuous Improvement, Continuous Learning and Improvement, Continuous Learning Culture, Cyber Security Programme, Defensive Culture, Defensive Culture: Deny Delay Defend and Deceive, Defensive Leadership, Digital Minor Illness Referral Service, Digital Systems Supporting Patient Safety Learning, Diversity, Diversity and Inclusion, Donna Forsyth: Head of Patient Safety Investigation, Dr Frances Healey: Deputy Director of Patient Safety (Insight), Dr Helen Smith: National Clinical Director of Mental Health Safety Improvement Programme (MHSIP), Dr Sonya Wallbank: National Clinical Advisor to Culture Leadership and Engagement Project, Dr Suzette Woodward: Former Director of the Sign Up to Safety Campaign, Each Baby Counts, Early Notification of Incidents, Education and Training, Empowerment, Engagement, Evidence-Based Quality Improvement, Extensivists, Faculty of Learning, Falls Collaborative Programme, General Practice Development Programme, Getting It Right First Time (GIRFT), Good Governance, GP IT Futures Digital Care Services Framework, Health and Social Care Reform, Healthcare Associated Infections: Patient Safety, Healthcare Quality Improvement, Healthcare Safety Investigation Branch (HSIB), Holistic Quality Improvement, Honesty and Transparency, Hugh McCaughey: National Director of Improvement, Implementation Space: Work As Imagined Versus Work As Done, Improving Safety Measurement Across Whole System, Inclusion and Diversity, Inclusive and Compassionate Leadership, Independent Sector, Information Exchange, Information Sharing, Innovation and Improvement, Insight: Using Intelligence From Multiple Sources of Patient Safety Information, Involvement in the Independent Sector, Involvement: Involvement of Patients Staff and Partners to Improve Patient Safety, Joan Russell: Head of Patient Safety Policy and Partnerships, Just Culture Guide, Kaizen, Kate Cheema: Head of Patient Safety Measurement Unit, Lauren Mosley: Head of Patient Safety Implementation, Leadership and Teamwork, Learning Culture, Learning Disabilities Mortality Review Programme (LeDeR), Learning Disabilities: Patient Safety, Learning From Clinical Negligence Claims, Learning from Deaths, LeDeR: Learning Disabilities Mortality Review, Lucie Musset: National Reporting and Learning System (NRLS), Machine Learning, Management Standards: Managerial Support, Managerial Disrespect, Managerial Incivility, Managerial Unkindness, Maternity and Neonatal Safety Improvement Programme, Maternity and Neonatal Safety Improvement Programme (MNSIP: Formerly the Maternity and Neonatal Health Safety Collaborative, Medical Examiner System, Medicines Safety Improvement Programme (MSIP), Mental Health Safety Improvement Programme, MHSIP: Mental Health Safety Improvement Programme, MNSIP Drivers, Mothers and Babies: Reducing Risk Through Audits and Confidential Enquiries (MBRRACE), National Clinical Improvement Programme (NCIP), National Medical Examiner System, National Paediatric Early Warning System (PEWS), National Patient Safety Alerting Committee (NaPSAC), National Patient Safety Alerts, National Patient Safety Alerts Committee, National Patient Safety Improvement Programme, National Reporting and Learning System (NRLS), Negligence and Litigation, New Ways of Working, NHS Culture, NHS Culture Change, NHS Digital’s Cyber Security Programme, NHS Improvement Patient Safety Alerts, NHS Patient Safety Strategy, NHS Patient Safety Strategy Consultation, NHS Patient Safety Strategy: Equality Impact Assessment, NHS Resolution, Online Repositories of Quality Improvement (QI), Openness and Honesty When Things Go Wrong, Overbearing NHS Managerial Style, Paediatric Early Warning System (PEWS), Participatory and Citizen Involvement, Patient and Public Involvement, Patient Empowerment, Patient Engagement, Patient Experience, Patient Involvement in Quality Improvement, Patient Safety, Patient Safety and Learning Disabilities, Patient Safety Culture, Patient Safety Education and Training: Patients Carers Families and Lay People, Patient Safety in Primary Care, Patient Safety Incident Reporting, Patient Safety Incident Response Framework, Patient Safety Incident Response Framework (PSIRF), Patient Safety Incidents, Patient Safety Incidents in England, Patient Safety Learning (Digital Systems), Patient Safety Measurement Unit, Patient Safety Partners (PSPs), Patient Safety Specialist Networks, Patient Safety Specialist Role, Patient Safety Specialists, Patient Safety Syllabus, Patient Safety Systems, Patient Safety Translational Research Centres (PSTRCs), Patients as Partners in Safety, Patients Carers Families and Lay People: Patient Safety Education and Training, Pharmacist-Led Information Technology Intervention (PINCER), Pride and Positivity in Workplace (Compelling Vision), Private Healthcare Information Network (Phin), Professor Wendy Reid: Executive Director of Education and Quality at Health Education England (HEE), Professor Wendy Reid: National Medical Director at Health Education England (HEE), PSIRF: Patient Safety Incident Response Framework, Psychological Safety for Staff: Supportive Compassionate and Inclusive Environments, QI Adoption and Spread Approach, Quality and Sustainability, Quality Improvement, Quality Improvement Approaches, Quality Monitoring, Roles of Patient Safety Partners (PSPs), Rudeness (Managerial), Safety I and Safety II, Safety II, Safety II Principles, Safety Improvements for Elderly Patients, Saving Babies Lives Care Bundle (SBLCB), Scan4Safety, Serious Incident Framework, Service Improvement in Healthcare, Service Redesign, Service Transformation, Service User Experience, Service User Involvement, Sign Up to Safety Pledge: Honesty, STOMP and STAMP, Stop the Pressure Programme (STPP), Stopping Over Medication of People with Learning Disabilities (STOMP), Strategic Executive Information System (StEIS), Supporting Treatment and Appropriate Medication in Paediatrics (STAMP), Surgical Specialties Litigation Data Pack, Transparent Learning Culture, Trust Blame and the Culture of Defensiveness, User Experience, User Involvement, Wayne Robson: Head of Patient Safety Cross-System Development, Work As Imagined Versus Work As Done, World As Imagined Versus World As Done | Leave a comment

Statistics on Falls in Hospitals: National Audit of Inpatient Falls 2017 (RCP / NHS Improvement)

Posted on May 10, 2018 by Dementia and Elderly Care News

Summary The Royal College of Physicians (RCP)’s most recent annual report summarises findings of the National Audit of Inpatient Falls, with recommendations for improvement. This report supplies: “ …detailed results from all individual hospitals, enabling comparison with their own performance … Continue reading →

Posted in Acute Hospitals, Commissioning, Falls, Falls Prevention, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Local Interest, Management of Condition, National, NHS, NHS Improvement, Person-Centred Care, Quick Insights, Royal College of Physicians, Standards, Statistics, UK, Universal Interest | Tagged Acute Hospital Care, Acute Hospitals, Avoidance of Litigation, Costs of Falls in Hospitals, Dementia Care in the Acute Hospital, Dementia Friendly Acute Hospitals, Dementia Policies / Protocols, Direct and Indirect Impacts of Inpatient Falls, Estimates of Costs Per Fall by Age, Evidence-Based Quality Improvement, Fall and Fracture Prevention, Falls and Fracture Liaison Service Database (FLS-DB), Falls and Fragility Fracture Audit Programme (FFFAP), Falls Improvement Collaborative, Falls in Hospitals, Falls in Hospitals and Residential Care Facilities, Falls Multidisciplinary Working Group: Recommendation for Trust and Local Health Board (LHB) Boards, Falls Pathway Workstream, Falls Per 1000 OBDs: Analysis By NHS Trust, Falls Prevention, Falls Reported to National Reporting and Learning System (NRLS), FFFAP: Falls and Fragility Fracture Audit Programme, Fracture Liaison Service Database (FLS-DB), Fracture Prevention Policies / Protocols, Healthcare Quality Improvement, Healthcare Quality Improvement Partnership, Hospital Falls Prevention, Incidence and Costs of Inpatient Falls in Hospitals, Inpatient Falls, Integrated Falls Prevention Services, Litigation Claims, National Audit of Inpatient Falls Audit Report, National Audit of Inpatient Falls Audit Report 2017, National Audit of Inpatient Falls Workstream Project Team, National Clinical Audit and Patient Outcomes Programme (NCAPOP), National Hip Fracture Database (NHFD), National Reporting and Learning System (NRLS), Occupied Bed Days (OBDs), Patient Safety, Patient Safety Incidents, Preventing Falls in Hospital, Preventing Inpatient Falls, Priorites Within Acute Hospitals, Problems in Care in English Acute Hospitals, Quality Improvement, Reducing Falls to Help Trusts Improve Patient Experience and Reduce Costs, Reducing Litigation Costs, Reducing Waste in the NHS, Royal College of Physicians (RCP) | Leave a comment

National Advisory Group on Health Information Technology in England: New Wachter Report (Department of Health / BBC News)

Posted on September 10, 2016 by Dementia and Elderly Care News

Summary The National Advisory Group on Health Information Technology in England, chaired by US clinician / digital expert Professor Robert Wachter, has produced a report on achieving “digital excellence” in the NHS. New / extended digital services for patients have … Continue reading →

Overstretched and Under-Resourced Elderly Hospital Eye Services? (BBC News / BBC News Magazine)

Posted on March 20, 2016 by Dementia and Elderly Care News

Summary It is likely that “hundreds” of NHS patients in England every year may suffer irreversible sight loss, or potentially avoidable deterioration of vision, due to hospital eye services being overstretched and under-resourced. Increased demand for follow-up appointments has arisen … Continue reading →

Posted in Acute Hospitals, BBC News, Commissioning, For Nurses and Therapists (mostly), In the News, National, NHS, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Age-Related Macular Degeneration, Ageing in the UK, Ageing Population, Avoidable Harm, BBC Health News, BBC News Magazine, BBC's Scrubbing Up Magazine, Better Care Together Vanguard in South Cumbria and North Lancashire, Chronic Eye Diseases, Clinical Council for Eye Health Commissioning, College of Optometrists, Common Eye Conditions, Community Ophthalmology Services, David Geddes: National Head of Primary Care Commissioning at NHS England, David Parkins: Chair of Clinical Council for the Commissioning of Eye Health, Demand and Capacity, Demand Management, Demand on Eye Clinics, Demand-Side Factors, Diabetic Eye Disease, East Lancashire Hospitals Trust, East Lancashire Integrated Eyecare Service, Elderly Hospital Eye Services, Eye Clinic Attendances, Follow-Up Appointments, Follow-Up Appointments Waiting Times, Follow-Up Appointments Waiting Times: Absence of Hospital Targets, Follow-Up Appointments Waiting Times: Absence of Statistics, Geographical Variations, Glaucoma, Harm From Hospital-Initiated Delays for Follow-Up Appointments, Hospital Eye Services, Hospital-Initiated Delays for Follow-Up Appointments, Local Optical Committee Support Unit, Local Variations, Long Waiting Times, Macular Degeneration, Moorfields Eye Hospital, National Reporting and Learning System (NRLS), NHS Eye Health Summit (June 2016), Ophthalmology (Hospital Episode Statistics), Ophthalmology Departments, Outpatient Appointments: Ophthalmology, Prof Carrie MacEwen: President of the Royal College of Ophthalmologists, Regional Variations, Royal College of Ophthalmologists, Sight Loss, Step-Down Eye Care in High-Street Optical Practices, Unacceptable Variations, Unwarranted Variations, Variations in Care, Variations in Quality of Care, Variations in Spending, Visual Impairment | Leave a comment

NHS England Publishes Official Mazars Report into Southern Health NHSFT (BBC News / Mazars / NHS England / NHS Improvement / CQC)

Posted on December 20, 2015 by Dementia and Elderly Care News

Summary NHS England has released the independent report by Mazars (an early copy of which was leaked a week before) concerning the deaths of people with learning disabilities or mental health problems at Southern Health NHS Foundation Trust. “The report … Continue reading →

Posted in Acute Hospitals, BBC News, Commissioning, CQC: Care Quality Commission, Department of Health, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, Mental Health, National, NHS, NHS England, NHS Improvement, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, Statistics, Universal Interest | Tagged Avoidable Premature Mortality, BBC Health News, BBC Panorama, Buckinghamshire, Care for Vulnerable Older People, Care of Vulnerable Adults, Care Quality Commission (CQC), Clinical Commissioning Groups (CCGs), Connor Sparrowhawk, Critical Incidents, Disability Mortality Review Programme, Discrimination, Dorset, FOI: Freedom of information, Freedom of Information, Guardian, Hampshire, Health Inequalities, Health Inequalities and Premature Mortality for People With Learning Disabilities, Health Inequalities in England, Hospital Episode Statistics Linked to Mental Health Minimum Data Set, Inquest (Charity), Jim Mackey: Chief Executive of NHS Improvement, Katrina Percy: Chief Executive of Southern Health NHSFT, Learning, Learning Disabilities, Learning Disabilities: Data and Information, Learning Disabilities: Improving Health Outcomes, Learning Disabilities: Monitoring Service Quality, Learning Disabilities: NHS England Initiatives, Learning Disabilities: Regulation and Inspection, Learning Disability (LD) Transforming Care Programme, Liberal Democrats, Mazars, Mazars Report into Southern Health NHSFT, Mental Health and Learning Disabilities Data Set (MHLDMDS), Mental Health Minimum Data Set (MHMDS), Mental Health Trusts, Monitor, National Learning Disabilities Mortality Review Programme, National Learning Disability Mortality Review Programme, National Reporting and Learning System (NRLS), NHS England South, Openness, Openness and Transparency, Oxfordshire, Panorama (BBC TV), Parity of Esteem, Patient Safety and Advancing Change Teams (From NHS England), People With Learning Disabilities, Prejudice, Premature Mortality, Protecting Vulnerable People, Quality Improvement, Reducing Health Inequalities, Reducing Premature Mortality, Serious Incidents Requiring Investigation (SIRIs), SIRI: Serious Incident Requiring Investigation, Southern Health NHS Foundation Trust, St rategic Executive Information System ( StEIS ), Transforming Care for People with Learning Disabilities, Transforming Care for People with Learning Disabilities Programme, Transparency, Transparency and Public Trust, Unexpected Deaths in Hospital, Unexpected Deaths in Mental Health Trusts, University of Bristol, Vulnerable Groups, Vulnerable Older People, Wiltshire, Working With Families | Leave a comment

Towards Harm-Free Care: Modifiable Hospitalisation Risk Factors (Journal of the American Geriatrics Society / HSCIC / BBC News / National Health Executive / NHS England)

Posted on May 7, 2015 by Dementia and Elderly Care News

Summary A recent study in the USA found 41% of patients over the age of 70 years who were hospitalised with acute conditions were discharged with lower levels of function compared with when they were admitted to hospital. A number … Continue reading →

Posted in Acute Hospitals, BBC News, Commissioning, Department of Health, Falls, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Hip Fractures, In the News, International, Local Interest, Management of Condition, National, NHS England, Nutrition, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Acute Care, Acute Hospital Care, Acute Hospitals, Acute Physiology and Chronic Health Evaluation II, Avoidable Harm, BBC Health News, Candour, Candour: Safety and Improvement, Catheter Associated Urinary Tract Infections (CAUTI) Campaign, Charlson Comorbidity Index, Clinical Audit Support Unit (CASU): Health and Social Care Information Centre, Colchester Hospital University NHS Foundation Trust, Continence Care, CQUIN: NHS Safety Thermometer, Culture of Candour, Decubitus Ulcers, Dementia Care in Acute District General Hospitals, Dementia Care in Acute Settings, Dementia Care in General Hospitals, Department of Health Safe Care Team, Dr David Hopper: Health Innovation Network, Epidemiology, Falls in Older People, Guy's and St Thomas' NHS Foundation Trust, Harm Free Care, HCAI, Health and Social Care Information Centre (HSCIC), Health and Social Care Information Centre: Clinical Audit Support Unit (CASU), Health Innovation Network, Healthcare Quality Improvement, Healthcare-Associated Infections (HCAIs), Hospital-Acquired Infections, Hospital-Associated Functional Decline: Role of Hospitalisation Processes, Hospitalization Process Effects on Functional Outcomes and Recovery (HoPE-FOR), Inappropriate Use of Urinary Catheters, Incidents reported to National Reporting and Learning System (NRLS), Journal of the American Geriatrics Society, Katherine Murphy: Chief Executive of the Patients Association, King's College Hospital NHS Foundation Trust, Later Life, Local Safety Standards for Invasive Procedures (LocSSIPs), Loss of Independence, Malnutrition Universal Screening Tool, Mandy Fader: University of Southampton, Measuring Harm Free Care, Medication Sedative Load (MSL), Medicines and Healthcare Products Regulatory Agency (MHRA), MHRA Medical Device Directive, Mid Essex Hospital Services NHS Trust, National Health Executive, National Patient Safety AgencyNational Patient Safety Agency, National Reporting and Learning System (NRLS), National Safety Standards for Invasive Procedures (NatSSIPs), National Standards for Invasive Procedures (NatSSIPs), Never Events, Never Events by Healthcare Provider, Never Events by Type of Incident, Never Events Data, Never Events Taskforce Report (2014), NHE: National Health Executive, NHS England Never Events Taskforce Report, NHS England Never Events Taskforce Report (2014), NHS England Patient Safety Domain, NHS Safety Thermometer, NHS Safety Thermometer CQUIN, NHS Safety Thermometer Report (April 2014 to April 2015), No Catheter No CAUTI (Campaign), Official Statistics, Openness and Transparency, Oxford University Hospitals NHS Trust, Patient Harms, Patient Harms and Harm Free Care, Patient Safety, Patient Safety Domain of NHS England, Patient Safety Indicators, Patient Safety Strategies, Patient Safety Thermometer, Patient Voice, Patients First and Foremost, Pfeiffer Short Portable Mental Status Questionnaire, Pressure Ulcers, Prevention of Hospitalisation-Associated Disability, QIPP Safe Care Team, Quality Improvement, Quality Improvement Approaches, Queen Elizabeth Hospital King's Lynn NHS Foundation Trust, Reducing Harm, Reducing Inappropriate Use of Urinary Catheters, Risk Factors, Safer Surgery, Safety Thermometer, STEIS, Strategic Executive Information System (StEIS), Surgical Never Events, Towards Harm-Free Care: Modifiable Hospitalisation Risk Factors, Transparency, Transparency and Accountability, Types of Harm, United States, University Hospitals Bristol NHS Foundation Trust, Urinary Catheterisation, Urinary Catheters, Urinary Tract Infections, Urinary Tract Infections (in Patients with Catheters), Urinary Tract Infections (UTIs), Urology Trade Association, USA, Venous Thromboembolisms (VTEs), VTE (Venous Thromboembolism), Wrightington Wigan and Leigh NHS Foundation Trust, Zero Harm, Zero Tolerance Healthcare | Leave a comment

The NHS Outcomes Framework 2015/16 (Department of Health)

Posted on December 18, 2014 by Dementia and Elderly Care News

Summary The updated Department of Health NHS outcomes framework specifies outcomes and the corresponding indicators to be used for holding NHS England to account regarding improvements in health outcomes. Full Text Link Reference NHS Outcomes Framework 2015 to 2016. London: … Continue reading →

Posted in Acute Hospitals, Commissioning, Community Care, Department of Health, 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, NHS England, Person-Centred Care, Quick Insights, Standards, Statistics, UK | Tagged A&E Services, A&E Survey, Adult Social Care Combined Activity Returns (ASCAR), Adult Social Care Outcomes Framework, Adult Social Care Outcomes Framework (ASCOF), Alignment with the Adult Social Care Outcomes Framework, Alignment with the Public Health Outcomes Framework, Ambulatory Care Sensitive (ACS) Conditions, ASCOF: Adult Social Care Outcomes Framework, Avoidable Mortality, Avoidable Premature Mortality, Cancer Registration Data, Care Integration, care.data, Carer Experience, CCGOIS, CCGOIS: Clinical Commissioning Group Outcomes Indicator Set, CCGOIS: Formerly the Commissioning Outcomes Framework, Clinical and Health Outcomes Knowledge Base (NCHOD), Clinical Commissioning Group (CCG) Indicators, Clinical Commissioning Group Outcomes Indicator Set (CCG OIS), Community Mental Health Services, Community Mental Health Services Survey, Compendium of Population Health Indicators, Dementia Diagnosis, Deprivation, Diagnosis, Diagnosis and Referral, Diagnosis Rates, Early Diagnosis, Emergency Admission Rates in UK, Emergency Admissions, Emergency Readmissions, EQ-5D), Equalities Protected Characteristics (Age Disability Gender Reassignment Marriage and Civil Partnership Pregnancy and Maternity Race Religion and Belief Sex Sexual Orientation), Equality Analysis, Excess Mortality, Friends and Family Test (NHS), General Practice Extraction Service (GPES), Government Statistical Service, GP Extraction Service (GPES), GP Patient Survey (GPPS), GP Practice Data, Gratitude Bias in Patient Experience Surveys, Health and Social Care Information Centre (HSCIC), Health Inequalities Duties in the Health and Social Care Act (2012), Health Outcomes, Healthcare-Associated Infections (HCAIs), HES: Hospital Episode Statistics, Hip Fractures, Hospital Episode Statistics, Hospital Episode Statistics (HES), HSCIC's Indicator Portal, HSCIC: Health and Social Care Information Centre, IAPT: Improving Access to Psychological Therapies, ICD-10 Codes, Improving Access to Psychological Therapies (IAPT) Programme, Index of Multiple Deprivation (IMD), Indicator Assurance Pipeline Process (IAPP), Inpatient Survey, Integrated Commissioning, Integration, International Classification of Diseases (ICD), Labour Force Survey (LFS), Life Expectancy, Live Birth, Local Basket of Inequalities Indicators (LBOI), Long-Term Conditions (LTCs), Lower Respiratory Tract Infections (LRTI), Mandate from the Government to NHS England, Mandate to NHS England, Mandatory Surveillance of Healthcare Associated Infections (MRSA & C. Difficile), Maternity Services Survey, Mental Health Minimum Database (MHMDS), Mental Health Services, Modified Rankin Scale (mRs), Mortality, Mortality Rates, National Bereavement Survey (VOICES), National Hip Fracture Database (NHFD), National Learning and Reporting System (NRLS), National Neonatal Research Database (NNRD), National Quality Board (NQB), National Reporting and Learning System (NRLS), National Trauma Audit, NHS England (Formerly the NHS Commissioning Board), NHS Friends and Family Test, NHS Group, NHS Mandate, NHS Outcomes Framework, NHS Outcomes Framework 2015 to 2016, NHS Outcomes Framework 2015-16: What We Heard and Government’s Response, NHS Outcomes Framework 2015/16, NHS Outcomes Framework Domains, NHS Outcomes Framework Equality Analysis, NHS Outcomes Framework Indicators, NHS Outcomes Framework: At a Glance, NHSOF: NHS Outcomes Framework, Office for National Statistics (ONS), ONS Birth Notifications (NHS Numbers for Babies), ONS Child Mortality Statistics: Childhood Infant and Perinatal, ONS Mid-Year Population Estimates, ONS Mortality Data, ONS Period and Cohort Life Expectancy, Outcomes Framework Technical Advisory Group (OFTAG), Outpatient Survey, Patient and Carer Experiences, Patient Experience, Patient Experience of Community Mental Health Services, Patient Reported Outcome Measures, Patient Reported Outcome Measures (PROMs), Period Life Expectancy, PHOF: Public Health Outcomes Framework, Poor Patient Experience, Post-Diagnosis Support, Potential Years of Life Lost (PYLL), Premature Mortality, Primary Care Mortality Database (PCMD), PROMs: Patient Reported Outcome Measures, Protected Characteristics (Age Disability Gender Reassignment Marriage and Civil Partnership Pregnancy and Maternity Race Religion and Belief Sex Sexual Orientation), Psychological Therapies, Public Health Outcomes Framework, Public Health Outcomes Framework (PHOF), Public Health Outcomes Framework: At a Glance, Quality and Outcomes Framework (QOF) Dementia Prevalence Data, Quality Improvement, Reablement Services, Readmissions, Retrospective Case Record Review (RCRR), Retrospective Case Record Reviews (RCRRs), Service Integration, Severe Harm Attributable to Problems in Healthcare, Stillbirth, Survival From Major Trauma, Timely Diagnosis, Transparency, Transparency in Outcomes, Trauma Audit Research Network (TARN), University of Manchester: Trauma Audit & Research Network (TARN): Data Release (HSCIC), Unplanned Hospitalisation, User Experience, Venous Thromboembolism (VTE), Views of Informal Carers: Evaluation of Services (VOICES) | Leave a comment

The Financial and Human Costs of Mistakes (BBC News / Frontier Economics / CQC / NHS England / NHS IQ / BMJ Quality and Safety / Department of Health / BMC Family Practice)

Posted on October 16, 2014 by Dementia and Elderly Care News

Summary The NHS in England is being urged to reduce mistakes by half, as mistakes in hospitals cost the NHS around £2.5bn per year. Four aspects of poor patient safety include falls, bed ulcers, urinary infections caused by poorly fitted … Continue reading →

Posted in Acute Hospitals, BBC News, Commissioning, Community Care, CQC: Care Quality Commission, Department of Health, Falls, Falls Prevention, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, Local Interest, Management of Condition, National, NHS, NHS England, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Academic Health Science Networks (AHSNs), Adverse Events, AHSNs, Australia, Australia's Safety Alert Broadcasting Systems, Avoidable Harm, Avoiding Litigation, Avon and Wiltshire Mental Health Partnership NHS Trust, BBC Health News, BBC Shared Data Unit, Bed Sores, Bed Ulcers, Behavioural Insights Team, Berwick Review, Berwick Review of Patient Safety, Birmingham Children’s Hospital (BCH), Birmingham Children’s Hospital NHS Foundation Trust, Blood Clots, BMC Family Practice, BMJ Quality and Safety, Bradford, Bradford Institute for Health Research, Bradford Royal Infirmary, Capping Lawyers' Payments (Negligence Claims), Care Quality Commission (CQC), Centre for Clinical Governance Research: University of New South Wales, Consequences of the Francis Inquiry Report, Costs of NHS Mistakes (Statistics), Costs of Unsafe Care in NHS, County Durham and Darlington NHS Foundation Trust, CQC Hospital Inspections, Decubitus Ulcers, Dr Chris Streather: Managing Director of Health Innovation Network (AHSN for South London), Dr Liz Mear: Chief Executive, Dr Mike Durkin: NHS England’s Director of Patient Safety, DVT, Effectiveness, Ensuring Correct Personal Information, Falls Prevention, Financial Incentives, Financial Penalties, Former Health Secretary Jeremy Hunt, Francis Inquiry, Frontier Economics Ltd, Guy's and St Thomas' NHS Foundation Trust, Haelo (Innovation and Improvement Centre), Harm Free Care, Harm Free Care Website (Run by Haelo Team), HC 691, Healthbus, Healthcare Quality Improvement, Hospital Aquired VTE, Hospital Discharge, IHI Outpatient Adverse Event Trigger Tool, Improving Patient Safety, Incentives, Infection Prevention, Institute of Psychological Sciences, Institute of Psychological Sciences: University of Leeds, Leeds, Legal Costs: Negligence Claims, Litigation Claims, Local Area Teams (LATs), Local Patient Safety Collaboratives, Medical Negligence Claims, Medicines Safety, National Audit Office (NAO), National Patient Safety Agency (NPSA), National Reporting and Learning System (NRLS), Negligence Claims Against the NHS, Never Events, Never Events Policy Framework, Never Events Policy Framework Review, Never Events Policy Framework Review Consultation, NHS Area Teams (ATs), NHS England's Sign Up to Safety Campaign, NHS Improving Quality (NHS IQ), NHS IQ, NHS Litigation Authority (NHSLA), NHS Resolution, NHS Safety Thermometer, NHS Standard Contract, NIHR Greater Manchester Primary Care Patient Safety Translational Research Centre: University of Manchester, North West Coast AHSN, Northamptonshire Healthcare NHS Foundation Trust, NRLS Harm Definitions, Parliamentary and Health Service Ombudsman (PHSO), Patient Safety, Patient Safety Collaboratives, Patient Safety Collaboratives Programme, Patient Safety Thermometer, Pay-Outs by NHS Litigation Authority, Payments in Respect of Negligence Claims Against the NHS, Performance Incentives, Positive and Negative Deviance, Positive Behaviours, Positive Deviance, Pressure Sores, Pressure Ulcer Avoidance, Pressure Ulcers, Pressure Ulcers: Prevention, Preventable Adverse Events, Productivity, Professor Don Berwick, Promise to Learn: Berwick Report, Prospective and Proactive Thinking, Quality Improvement Methodologies, Raising Concerns, Raising Questions, Reducing Clinical Negligence Claims, Reducing Litigation Costs, Reduction in Bureaucracy, Rotherham Doncaster and South Humber NHS Foundation Trust, Rt Hon Jeremy Hunt MP: Former Secretary of State for Health, Safety Alert Broadcasting Systems (Australia), Safety Initiatives, Safety Standards in Hospitals, Safety Standards in Hospitals in England, Safety Thermometer, Salford Royal NHS Foundation Trust, School of Community Health Sciences: University of Nottingham Medical School, Serious Incident Framework, Service Redesign for Productivity, Severe Pressure Ulcers, Sign up to Safety, Sign Up to Safety Campaign, Sign Up to Safety Pledges, STEIS, Strategic Executive Information System (StEIS), Suzette Woodward: Sign Up to Safety, Tools for Primary Care Patient Safety, UK NHS Institute for Innovation and Improvement Primary Care Trigger Tool, University College London Hospitals NHS Foundation Trust, University of Leeds, University of Manchester, University of New South Wales, University of Nottingham, University of Nottingham Medical School, Unsafe Care in NHS, Urinary Catheters, Urinary Infections, Urinary Tract Infections, Urinary Tract Infections (in Patients with Catheters), Urinary Tract Infections (UTIs), Venous Thromboembolisms (VTEs), VTE (Venous Thromboembolism), Winterbourne View, Zero Harm | Leave a comment

Patient Safety Risks: Focus on Patient Handover and Patient Discharge From Secondary Care (NHS England)

Posted on August 31, 2014 by Dementia and Elderly Care News

Summary NHS England has issued a patient safety alert in the effort to improve the quality and timeliness of communication with primary and social care when patients are discharged from hospital. Read more: NHS England. Patient safety alert on risks arising from breakdown … 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), Integrated Care, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, NHS England, Patient Care Pathway, Person-Centred Care, Personalisation, Quick Insights, Standards, UK, Universal Interest | Tagged Avoidable Harm, Avoidable Mortality, Avoidable Rehospitalisations, Breakdowns or Failures in Communication, Clinical Quality Improvement, CMHT: Community Mental Health Teams, Communication During Handovers, Community Mental Health Teams, Continuing Care Team (CCT), Deficient Checking and Oversight, Department of Primary Care and Public Health: Imperial College London, Discharge, Discharge and Out of Hospital Care, Discharge Coordination, Discharge From Acute and Mental Health Trusts, Discharge Information, Discharge Planning, Dysfunctional Patient Flow, Equipment-Related Errors, Failure of Prevention, Failure to Recognise Deterioration, Handover, Handover Records, Hospital Discharge, Imperial College London, Improving Patient Safety, Inpatient Falls, Institute of Global Health Innovation: Imperial College London, Integrated Discharge Process, Mental Health Trusts, Mismanagement of Deterioration, National Reporting and Learning System (NRLS), NHS England (Patient Safety), NHS England Patient Safety Domain, NHS England Patient Safety Steering Group, NHS England Primary Care Patient Safety Expert Group, NHS Patient Safety Culture, Patient Discharge, Patient Discharge From Secondary Care, Patient Flows, Patient Handovers, Patient Safety, Patient Safety Alert on Breakdown and Failure to Act: Communication During Handover at Discharge From Secondary Care, Patient Safety Alerts, Patient Safety First (PSF), Patient Safety in the NHS, Patient Safety Incidents, Patient-Safety-Related Hospital Deaths in England, Post-Discharge Support, Quality Improvement, Reducing Early Hospital Readmissions, Review of NRLS Incidents at Discharge From Acute and Mental Health Trusts, Stage 1 Patient Safety Alert | Leave a comment

Fit and Proper Persons Test Regulations / Statutory Duty of Candour / Fundamental Standards (Department of Health)

Posted on July 13, 2014 by Dementia and Elderly Care News

Summary Directors of NHS providers will have to meet a fit and proper person test from October 2014, subject to parliamentary approval. The Care Quality Commission (CQC) can insist on the removal of directors who fail this test. Statutory Duty … Continue reading →

Posted in Acute Hospitals, Commissioning, Department of Health, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), National, NHS, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest | Tagged Accountability, Barring List, Berwick Review of Patient Safety, Best Interests, Best Interests of Patients, Candour, Candour: Safety and Improvement, Care Quality Commission (CQC), Care Quality Commission’s (CQC’s) Regulation and Inspection of Care Providers, Communicating With Patients About Medical Errors, Compassionate Care, Complaints, Confidence, Consent, Consent to Treatment and CTOs, Consequences of the Francis Inquiry Report, Consultations on Fundamental Standards: Duty of Candour, Consultations on Fundamental Standards: Fit and Proper Persons Requirement for Directors, Corporate Accountability, Culture Change, Culture of Candour, Dalton Williams Review: Threshold for Duty of Candour, Dignity and Respect, Duty of Candour, Fit and Proper Person Test, Fit and Proper Person’s Test, Fit and Proper Persons Requirement for Directors, Francis Inquiry, Fundamental Standards, Good Governance, Government Policy, Grounds for Unfitness, Hard Truths, Harm, Harm Free Care, Harm Threshold, Harm Threshold for Adult Social Care, Health and Adult Social Care Providers, Health and Social Care Providers, Health Policy, Healthcare Providers, Healthy Living and Social Care: Red Tape Challenge, Improving Patient Safety, Improving the Safety of Patients in England, Incentivising Candour, Incident Disclosure, Incidents Errors and Near Misses, Informed Patient Consent, Inspection of Commissioners, Learning From Mistakes, Local Care Providers, Local Service Providers, Mental Capacity Act 2005, Mental Capacity and Best Interests, Mid Staffordshire NHS Foundation Trust, Misconduct and Mismanagement, National Reporting and Learning System (NRLS), New Start (CQC), NHS Complaints Process, NHS Constitution, NHS Culture, NHS Providers, No Harm Culture, NRLS Harm Definitions, Nutrition and Hydration, Nutritional Needs, Offences, Open Culture, Openness, Openness and Transparency, Patient Complaints, Patient Safety, Patient Safety Incidents, Patients First and Foremost, Penalties, Policy, Policy Development, Post-Paternalist Age, Premises and Equipment, Protecting Adults from Abuse or Neglect, Providers, Public Confidence, Quality Regulation Branch: Department of Health, Quality Regulation Team: Department of Health, Red Tape Challenge, Registration with the Care Quality Commission (Requirements), Repercussions From the Francis Inquiry Report, Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry, Reporting Culture, Requirements for Registration with the Care Quality Commission, Safe Care and Treatment, Safe Staffing, Safeguarding Against Abuse, Service Providers, Staff Skills, Stafford Hospital, Standards of Care, Statutory Duty of Candour, Strengthening Corporate Accountability, Threshold for Duty of Candour, Transforming Care, Transparency, Transparency and Accountability, Wilful Neglect | Leave a comment

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