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Tag Archives: Responses to the Francis Inquiry Report
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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Government Response to the House of Lords Select Committee Report on the Mental Capacity Act (Ministry of Justice / Department of Health / JCN)
Summary The government, with partners, has considered the recommendations made by the House of Lords. This response report defines a system-wide programme planned for 2014 to 2015 (and beyond) on improving implementation of the Mental Capacity Act 2005. Full Text … Continue reading
Posted in Acute Hospitals, Commissioning, Community Care, Department of Health, Diagnosis, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Guidelines, Integrated Care, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, Patient Care Pathway, Person-Centred Care, Standards, UK, Universal Interest
Tagged Abuse of Vulnerable Adults, Access to Court, Adult Safeguarding, Advance Decision to Refuse Treatment (ADRT), Assessment of Needs, Association of Directors of Adult Social Services (ADASS), Association of Public Authority Deputies (APAD), Awareness and Understanding, Best Interest Assessor (BIA), Best Interests, Care Act 2014, Care and Support Planning, Care for Vulnerable Older People, Care Quality Commission (CQC), Challenge on Dementia (David Cameron), Civil Legal Aid (Financial Resources and Payment for Services) Regulations 2013, Closing the Gap, Closing the Gap: Priorities for Essential Change in Mental Health, Convention on the Rights of People with Disabilities, Core Principles (Mental Capacity Act 2005), Court of Protection, Criminal Law, Dementia Awareness, Dementia Friendly Communities Champion Group, Deprivation of Liberty Safeguards, Deprivation of Liberty Safeguards (DoLS), Elderly Human Rights, Empowerment, England and Wales Court of Appeal, English Local Authorities, European Convention on Human Rights, Five Principles of the Mental Capacity Act, Hard Truths, House of Lords, House of Lords Select Committee on the Mental Capacity Act 2005, Human Rights, Human Rights Culture, Human Rights in Care Homes, Implications of the Francis Inquiry Report, Independent Advocacy, Independent Mental Capacity Advocate (IMCA), Independent Mental Capacity Advocates (IMCAs), Information and Advice, Journal of Clinical Nursing, Lasting Power of Attorney (LPA), Lasting Powers of Attorney, Least Restrictive Option, Least Restrictive Practice, Legal Aid, Legal Aid: Sentencing and Punishment of Offenders Act 2012 (LASPO), Local Authorities, Local Government Association: LGA, MCA: Mental Capacity Act 2005, Mediation, Mental Capacity Act, Mental Capacity Act 2005, Mental Capacity Act Steering Group, Mental Capacity Act Training, Mental Capacity Act: Government Response to the House of Lords Select Committee Report, Mental Capacity Advisory Board, Mental Capacity Assessments, Mental Health Act 2007, Ministry of Justice, National Governance, Neglect, Norman Lamb (Former Care Minister), Norman Lamb MP (Former Minister of State for Care and Support), Office of the Public Guardian, Office of the Public Guardian (OPG), OPG: Office of the Public Guardian, Oversight and Monitoring, Parliament, Parliamentary and Health Service Ombudsman (PHSO), Post‐Diagnosis Support, Post‐Diagnosis Support Working Group, Prevention of Abuse and Neglect in the Institutional Care of Older Adults, Prime Minister's Challenge on Dementia, Prime Minister’s Dementia Challenge, Professional Training and Awareness, Protecting Adults from Abuse or Neglect, Protecting Vulnerable People, Public Health, Public Health England (PHE), Reactions to the Francis Inquiry Report, Relevant Person‘s Representative (RPR), Responses to the Francis Inquiry Report, Restriction, Restrictive Practices, Safeguarding, Safeguarding Adults at Risk, Safeguarding Adults in Care Homes, Safeguarding of Vulnerable Adults (SOVA), Select Committee on the Mental Capacity Act 2005, Simon Hughes MP, Simon Hughes MP: Minister of State for Justice and Civil Liberties, Simon Hughes: Ministry of Justice, Transforming Care, Transparency, UK Government Dementia Awareness Campaign, UK Parliament, Unannounced Hospital Inspections, United Nation Convention on the Rights of Persons with Disabilities (UNCRPD), United Nations Committee on the Rights of Persons with a Disability, Universal Declaration of Human Rights UDHR (United Nations 1948), Unwise Decisions, Valuing Every Voice Respecting Every Right, Vulnerable Adults, Vulnerable Older People, Winterbourne View
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The Francis Report (Report of the Mid-Staffordshire NHS Foundation Trust Public Inquiry) and the Government’s Response (House of Commons Library / UK Parliament)
Summary This briefing provides background on the Government’s response (November 2013) to Robert Francis QC’s report into poor standards of care at Mid Staffordshire NHS Foundation Trust (published in February 2013). The Government’s initial response: Patients First and Foremost was published … Continue reading
Posted in Acute Hospitals, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Local Interest, Management of Condition, National, NHS, Patient Care Pathway, Quick Insights, Standards, UK, Universal Interest
Tagged Accountability, Acute Care, Acute Hospitals, Care in General Hospitals, Care Quality, Care Quality Commission (CQC), Caring for older people, Chief Inspector of Hospitals, Compassionate Care, Culture, Culture of Compassionate Care, Culture of Complacency, First Francis inquiry and Previous Government’s Response, Francis Inquiry, Francis Inquiry Report, Francis Report, Hard Truths, House of Commons Library, Mid Staffordshire NHS Foundation Trust, Mid Staffordshire NHS Foundation Trust Inquiry, Mid Staffordshire NHS Foundation Trust Public Inquiry, Mid Staffordshire NHS FT Public Inquiry: Government Response, Mid-Staffordshire NHS Trust, Mortality Statistics, NHS Culture, NHS Regulation, Patients Not Heard, Performance Management and Strategic Oversight, Poor Governance, Preventing and Detecting Problems, Prioritising Patients, Putting Patients First, Quality and Sustainability, Quality Improvement, Quality Standards, Raising Concerns, Reactions to the Francis Inquiry Report, Regulating Healthcare Systems, Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry, Responses to the Francis Inquiry Report, Safety and Quality Standards, Scrutiny, Sir Robert Francis QC, Staffing Levels, Stafford, Standard Note: SN/SP/6690, Strengthening Corporate Accountability, Taking Action Promptly, Transparency and Accountability, Values, Warning Signs, West Midlands, Whistleblowing
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Patient Safety Reporting Systems: Integrated Development (E-Health Insider)
Summary NHS England and the MHRA are working to integrate the two national reporting systems for patient safety in the NHS. The National Reporting and Learning System (NRLS), previously run by NPSA, and one run by MHRA are being merged … Continue reading
Posted in Acute Hospitals, Commissioning, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), In the News, Integrated Care, National, NHS, NHS England, Patient Care Pathway, Quick Insights, Standards, UK, Universal Interest
Tagged Consequences of the Francis Inquiry Report, DATIX (Patient Safety Healthcare Incidents Software), Health Information Technology, Improving Patient Safety, Information Technology, Medicines and Healthcare Products Regulatory Agency, Medicines and Healthcare Products Regulatory Agency (MHRA), Medicines Healthcare Products Regulatory Agency (MHRA), National Medical Devices Safety Network, National Patient Safety Agency (NPSA), National Reporting and Learning System (NRLS), Patient Safety, Patient Safety Alerts, Patient Safety Collaborative Programmes, Patient Safety Improvement Collaboratives, Patient Safety Incidents, Patient Safety Indicators, Repercussions From the Francis Inquiry Report, Responses to the Francis Inquiry Report
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NHS England Plans for Improving Patient Safety (NHS England)
Summary NHS England plans to launch a number of patient safety collaborative programmes, create an NHS Improvements Fellows Programme, ensure patient safety data is easily accessible, publish never events data and refresh the Patient Safety Alerts system. These steps to … Continue reading
Posted in Acute Hospitals, Commissioning, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), National, NHS, NHS England, Quick Insights, Standards, UK, Universal Interest
Tagged Berwick Review, Berwick Review of Patient Safety, Candour, Consequences of the Francis Inquiry Report, Francis Inquiry Report, Implications of the Francis Inquiry Report, Improving Patient Safety, Never Events, Never Events Data, NHS England (Formerly the NHS Commissioning Board), NHS England (Patient Safety), NHS Improvements Fellows Programme, Openness, Openness and Transparency, Patient Safety, Patient Safety Alerts, Patient Safety Champions, Patient Safety Collaborative Programmes, Patient Safety Incidents, Patient Safety Indicators, Patient Safety Strategies, Professor Don Berwick, Responses to the Francis Inquiry Report, Transparency, Transparency and Accountability, Transparency and Open Data
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NHS Reform Under the Coalition Government (King’s Fund / BBC News)
Summary Chris Ham, Chief Executive of the King’s Fund, has released an authoritative and thorough review of major reform and re-organisation within the NHS during the first three years of the coalition government. “He was agin’ it”. Mark Twain. Full … Continue reading →