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Tag Archives: Tick Box Culture
New End of Life Care Guideline (BBC News / NICE)
Summary The National Institute for Health and Care Excellence (NICE) has published a new guideline on individualised end of life care, to replace the widely discredited Liverpool Care Pathway (LCP) which was phased-out in 2014. This fresh guideline advocates a … Continue reading →
Posted in Acute Hospitals, BBC News, Commissioning, Community Care, End of Life Care, 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, National, NHS, NICE Guidelines, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Personalisation, Quick Insights, Standards, UK, Universal Interest
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Tagged Advance Care Planning (ACP), Agreed Care Plans, BBC Health News, Care of Dying Adults in Last Days of Life, Care Plan, Communication, Compassionate Care, Culture Change, Culture Change in the NHS, Culture of Compassionate Care, Dehydration, Dignity and Respect, End of Life Care, End of Life Care Pathway, End of Life Care Plans, End of Life Care Strategy, Hydration and Nutrition, Individualised Approaches, Individualised Support, Liverpool Care Pathway (LCP), Liverpool Care Pathway for the Dying Patient (LCP), Medically Assisted Hydration, National Institute for Health and Care Excellence (NICE), NHS Culture, Palliative and End of Life Care, Personalised Care Planning, Pharmacological Interventions, Reduction in Box-Ticking, SDM: Shared Decision Making, Shared Decision-Making, Tick Box Culture
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GP Incentive Schemes to Reduce Referrals to Hospital? (BBC News / Pulse / NHS England / Department of Health)
Summary GP practices may sometimes receive incentive payments for reducing the number of patients referred to hospital, according to an investigation by Pulse. The aim of NHS leaders is to reduce inappropriate patient referrals, i.e. where patients can be better … Continue reading →
Posted in Commissioning, Community Care, Diagnosis, 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, NHS England, Quick Insights, Standards, UK, Universal Interest
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Tagged A&E Attendances, A&E Attendances and Emergency Admissions, Achieving World-Class Cancer Outcomes: Strategy for England 2015-2020, Assessment and Referral, Attitudes to Health and Cancer, Attitudes Towards Cancer Treatment, Avoidable Emergency Admissions, Barriers to Early Diagnosis, Barriers to Integration, Barriers to Joined-Up Care, Barriers to Support, Barriers: Discrimination, Barriers: Potential Age Discrimination, Cancer, Cancer Referrals, Cancer Targets, Cancer Test Waiting Times, Cancer Treatment, Cancer Treatment Standards, Cancer Waiting Times, Cancer: Waiting Times for Testing and Treatment: NHS Performance Indicators, Care Closer to Home, CCGs: Clinical Commissioning Groups, Clinical Commissioning Groups (CCGs), Conflict of Interests, Diagnosis and Referral, Early Cancer Diagnosis, Early Screening, Ethical Considerations, Ethical Dilemmas, FOI: Freedom of information, General Practice, GPs, Identification and Referral, Improving Referral Pathways, Incentive Payments, Incentives, Incentivising Practices to Reduce Urgent Cancer Referrals, Ipsos Mori, Jagtar Dhanda: Head of Inclusion at Macmillan Cancer Support, John Young: NHS England, Macmillan Cancer Support, NHS Birmingham South Central CCG, NHS Bolton CCG, NHS Cancer Taskforce, NHS England’s Cancer Taskforce, NHS Lambeth CCG, NHS North East Lincolnshire CCG, Older People’s Day, Older People’s Day (2015), Outpatient Attendances, Outpatient Follow-Ups, Preventing Avoidable Emergency Admissions, Prevention of Avoidable Emergency Admissions: Case Management, Professor John Young: Former National Clinical Director for Integration and Frail Elderly at NHS England, Referral Management, Referrals, Speed of Cancer Diagnosis, Target-Driven Behaviour, Target-Driven Priorities, Tick Box Culture, Timely Diagnosis, Timely Referral, Unintended Consequences, Working the System and Unintended Consequences
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NICE Consultation on Draft Guidelines for Care of the Dying Adult (BBC News / NICE)
Summary The National Institute for Health and Care Excellence (NICE) has released draft guidelines concerning the care of adults potentially entering the last days of their lives while in the care of the NHS. The guideline covers people dying from … Continue reading →
Posted in Acute Hospitals, BBC News, Community Care, End of Life Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, Models of Dementia Care, National, NHS, NICE Guidelines, Non-Pharmacological Treatments, Nutrition, Patient Care Pathway, Person-Centred Care, Personalisation, Quick Insights, Standards, UK, Universal Interest
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Tagged BBC Health News, Care of the Dying Adult, Draft Guidelines for Care of the Dying Adult, End of Life Care, End of Life Care for People with Dementia, End of Life Care Pathway, End of Life Care Strategy, Liverpool Care Pathway (LCP), Liverpool Care Pathway for the Dying Patient (LCP), Liverpool Care Pathway: Poor Implementation, MDTs: Multidisciplinary Teams, Multi-Disciplinary Team (MDT), National Institute for Health and Care Excellence (NICE), Nutrition and Hydration, Pain Relief, Palliative and End of Life Care, Palliative Care, Personalised Care Planning, Personalised Carer Support, Shared Decision-Making, Tick Box Culture, Treatment at End of Life, User Complaints, Withdrawal of Medication Food and Fluids
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Update on End of Life Care: Liverpool Care Pathway Phased Out (NHS Improving Quality)
Summary The Leadership Alliance for the Care of Dying People (LACDP) has published an update on its position following the “More Care, Less Pathway” report on the Liverpool Care Pathway (LCP). “The independent review concluded that many of the issues … Continue reading →
Posted in End of Life Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), Health Education England (HEE), In the News, National, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, UK
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Tagged Care Quality Commission (CQC), College of Healthcare Chaplains (CHCC), End of Life Care, End of Life Care Pathway, End of Life Care Plans, End of Life Care Strategy, General Medical Council (GMC), General Pharmaceutical Council (GPhC), Health and Care Professions Council (HCPC), Help the Hospices, Independent Review of the Liverpool Care Pathway, LACDP: Leadership Alliance for the Care of Dying People, Leadership Alliance for the Care of Dying People (LACDP), Liverpool Care Pathway (LCP), Liverpool Care Pathway for the Dying Patient (LCP), Macmillan Cancer Support, Marie Curie Cancer Care, Monitor, National Care Forum and the Voluntary Organisations Disability Group, National Institute for Health and Care Excellence (NICE), National Institute for Health Research (NIHR), NHS Improving Quality (NHS IQ), NHS Trust Development Authority (NTDA), Nursing and Midwifery Council (NMC), Palliative Care, Public Health England (PHE), Richmond Group of Charities, Royal College of GPs, Royal College of Nursing (RCN), Royal College of Physicians (RCP), Sue Ryder, The National Council for Palliative Care, Tick Box Culture
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NHS Culture, Patient Safety and Care Quality (Lancaster University)
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
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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
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Minimum Standards for Healthcare Assistants: Certificate of Fundamental Care (BBC 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), Health Education England (HEE), In the News, Management of Condition, National, NHS, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest
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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, 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
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Patient-Centred Leadership: Rediscovering NHS Purpose (King’s Fund)
Summary This report explores findings from the Francis Inquiry about failings of care at Mid Staffordshire NHS Foundation Trust regarding NHS leadership and culture. It discusses what steps might help to avoid comparable failures in future, and looks into three … Continue reading →
Posted in Acute Hospitals, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), King's Fund, National, NHS, NHS Confederation, NHS England, Patient Care Pathway, Person-Centred Care, Quick Insights, RCN, Royal College of Physicians, Standards, UK, Universal Interest
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Tagged Acute Care, Acute Hospitals, Boards, Bullying, Candour, Care in General Hospitals, Care Quality, Care Quality Commission, Clinical Leadership, CNO Summit (2014), Command-and-Control Leadership, Commission for Patient and Public Involvement in Health (CPPIH), Consequences of the Francis Inquiry Report, Contractual Duty of Candour, Culture, Culture Change, Culture of Compassionate Care, Culture of Zero-Harm, Defensive Leadership, DIMPLE (Diabetes Improvement through Mentoring and Peer-led Education) Project, Doctors as Clinical Leaders, Experience-Based Co-Design (EBCD), Faculty of Medical Leadership and Management, Foundation Trust Status, Francis Inquiry, Francis Inquiry Report: Executive Summary, Francis Inquiry Report: Full Report, Francis Report, Friends and Family Test (NHS), Fundamental Standards, Gagging Clause Culture, General Hospitals, Jane Cummings: Chief Nursing Officer for England, King’s Fund Leadership Survey 2013, Kingston General Hospital: Ontario, Leadership, Leadership and Culture, Leadership by Patients, Leadership Concept, Leadership Development, Leadership for Culture Change, Leadership in the NHS, Leadership: Professionals From BME Backgrounds, Listening into Action (LiA), Low Morale, Managers in Partnership, Mid Staffordshire NHS Foundation Trust, Mid Staffordshire NHS Foundation Trust Inquiry, Mid-Staffordshire NHS Trust, Monitor, National NHS Leadership, NHS Constitution, NHS Culture, NHS England (Formerly the NHS Commissioning Board), NHS Leadership, NHS Leadership Academy, NHS Leadership Academy (NHS LA), NHS Professionals, NHS Quest, NHS Trust Development Authority (NHS TDA), NHS Trust Development Authority (NTDA), Nurses as Clinical Leaders, Nursing Standards, Openness, Patient and Public Involvement Forums (PPIFs), Patient Experience, Patient-Centred Culture, Patient-Centred Leadership, Patients First and Foremost, Patients Not Heard, Poor Governance, Positive Culture, Preventable Hospital Mortality, Professional Disengagement, Putting Patients First: NHS England Business Plan 2013/14 – 2015/16, Quality Improvement, RCGP, Reactions to the Francis Inquiry Report, Rediscovering NHS Purpose, Repercussions From the Francis Inquiry Report, Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry, Responses to the Francis Inquiry Report, Royal College of General Practitioners (RCGP), Royal College of Midwives, Sandwell and West Birmingham Hospital NHS Trust, Shaping Culture, Sir Robert Francis QC, Six C’s (Jane Cummings: Chief Nursing Officer for England), Staff Motivation, Stafford, Statutory Duty of Candour, Target-Driven Priorities, Task-Centred Care, Teams, Tick Box Culture, Time-Task Culture, Warning Signs, West Midlands
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Patients First and Foremost: Government Response to the Mid Staffordshire NHS Public Inquiry Report (Department of Health)
Summary The government’s official response to the Francis Inquiry report, entitled “Patients first and foremost” was published today. It defines the Department of Health‘s commitment and action plan for the health and care system. The main recommendations / resolutions include: Ofsted-style ratings for hospitals … Continue reading →
Posted in Acute Hospitals, Commissioning, Community Care, Department of Health, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Management of Condition, National, NHS, NHS Confederation, Patient Care Pathway, Person-Centred Care, Practical Advice, Quick Insights, Standards, UK, Universal Interest
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Tagged Accountability, Acute Care, Acute Hospitals, Allied Health Professionals (AHPs), Ban on Clauses Intended to Prevent Public Interest Disclosures, Barbara’s Story: Increasing Awareness of Dementia, Barring System, Barring System for Healthcare Assistants, Berwick Review, Blame Culture, Burdett Trust, Bureaucracy, Candour, Care, Care Assistants, Care in General Hospitals, Care Quality Commission (CQC), Chief Inspector of Social Care, Clinically-Led Commissioning, Code of Conduct and Minimum Training for Health and Care Assistants, Commissioning for Quality and Innovation (CQUIN) Indicators, Commitment, Communication, Compassion, Competence, Contractual Duty of Candour, Courage, CQUINs, Creating Time to Care, Creating Time to Lead, Criminal Sanctions, Cultural Care Barometer, Culture, Culture Change, Delivering Dignity, Detecting Problems Quickly, Dignity, Dignity and Respect, Disclosure and Barring Service (DBS), Everyone Counts, Expert Inspectors, Foundation Trust Status, Foundation Trust Status Distractions, Francis Inquiry, Francis Inquiry Report: Executive Summary, Francis Report, Friends and Family Test (NHS), Fundamental Standards, Gagging Clause Culture, Gagging Orders, Gaming the System, General Hospitals, General Medical Council, Health and Social Care Act (2012), Health and Social Care Information Centre (HSCIC), Healthcare Assistants, Healthwatch, Healthwatch England, House of Commons Library, Human Rights and Nursing, Increasing Awareness of Dementia, Independent Chief Inspector of Hospitals, Informatics Services Commissioning Group (ISCG), Leadership, Leadership in the NHS, Local HealthWatch, Mandate to the NHS Commissioning Board, Measuring Culture, Mid Staffordshire NHS Foundation Trust, Mid Staffordshire NHS Foundation Trust Inquiry, Mid-Staffordshire NHS Trust, NHS Confederation Review of Bureaucratic Burdens, NHS Constitution, NHS Constitution and Whistleblowing, NHS Constitution: Updated 2013, NHS Culture, NHS Friends and Family Test, NHS Health and Social Care Act (2012), NHS Mandate, NHS Outcomes Framework, NHS Safety Thermometer, Nurse Education, Nursing and Midwifery Council (NMC), Ofsted-Style Inspections, Ofsted-Style Ratings for Care Homes, Ofsted-Style Ratings for Hospitals, Openness, Patient and Public Involvement Forums (PPIFs), Patient and Staff Feedback, Patient Safety, Patients First and Foremost, Patients Not Heard, Penalties for Disinformation, Perverse Incentives, Poor Governance, Positive Culture, Proactive Professional Regulation, Problem Detection, Problem Prevention, Professional Disengagement, Professional Regulation, Public Interest Disclosures, Putting Patients First, QSGs: Quality Surveillance Groups, Quality Improvement, Quality Surveillance Groups (QSGs), Reduced Gaming of the System, Report of Mid Staffordshire NHS Foundation Trust Public Inquiry, Restorative Supervision, Revalidation for Nurses, Royal United Hospital Bath NHS Trust, Schwartz Rounds: Royal Free London NHS Foundation Trust, See It My Way, Shaping Culture, Sir Robert Francis QC, Six C’s of Nursing, Staff Motivation, Staff Training, Staffing Levels, Standards To Avoid Perverse Incentives, Statutory Duty of Candour, Supervisory Nurse Ward Managers, Supporting Staff to Care, Teaching Agency: Barring Scheme, The 6Cs, Tick Box Culture, Time Limited Failure Regime, Transparency, Transparency and Accountability, Whistleblowing, Zero Harm
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Care Quality Commission: Health Regulator Problems ‘persist’ (BBC News / House of Commons Health Select Committee)
Summary The Care Quality Commission (CQC) health and care regulator for England was created in 2009, but has not yet won universal public’s confidence, according to a critical House of Commons Health Select Committee report. The Commons Health Select Committee thinks the CQC has not realised its primary role … Continue reading →
Posted in Acute Hospitals, BBC News, Community Care, CQC: Care Quality Commission, For Carers (mostly), For Nurses and Therapists (mostly), For Social Workers (mostly), In the News, National, Proposed for Next Newsletter, Quick Insights, Standards, UK, Universal Interest
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Tagged Accountability Hearing (2012 CQC), BBC Health News, Care Quality Commission (CQC), CCQ, Commons Health Select Committee, Health Select Committee, House of Commons Health Select Committee, Role of CQC in Improving Dementia Care, Short Observational Work For Inspection (SOFI), Tick Box Culture
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