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  7. Patient Safety Learning started following Learning from COVID-19 medical errors.jpg and Call 4 Concern leaflet - Royal Berkshire NHS Foundation Trust
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    @Danielle Haupt @Mandy Odell @Claire Cox We are restarting our Call 4 Concern project and wondered whether anyone has any more up to date data on C4C activity? Also, do you have a SOP for C4C or include it within your CCOT SOP? Thanks,
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    Learning from COVID-19 medical errors.jpg
    From a recent ISMP presentation. Confusion about labelling leading to risk of over dosing
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    Learning from COVID-19 medical errors.jpg
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  12. Patient Safety Learning started following ISQua's 37th International Conference. Emotion, inspiration and creativity: Pathway to global health quality and Diabetes management
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    Diabetes technology, in particular real-time continuous glucose monitoring (rt-CGM) devices are revolutionising the management of type 1 diabetes (T1D). The devices provide important advances in blood glucose monitoring technology that address the unmet need for detection of day-to-day glycaemic variability and patient-specific patterns of hyper- and hypoglycaemia. Currently it is estimated that less than 5% of people with T1D are using continuous glucose monitoring to manage their diabetes1 and the access to this technology can vary significantly between clinical commissioning groups2 cr
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    This year ISQua is holding a virtual conference. Reasons to attend: To acknowledge the hard work that the healthcare workers around the world have undertaken during the COVID-19 pandemic;. To remember those who have died and to dedicate ourselves to improve what we do, so that we will be better prepared for the next time a crisis arises. To share knowledge and to learn from the experts in the field, as well as those who deliver and receive care. To hear from the great plenary speaker line-up that we have assembled. To attend symposia on coproduction of health
  15. Patient Safety Learning started following NICE launches ambitious strategy to provide quicker access to new treatments and innovations, Infant mortality in Birmingham 'not openly discussed', Windrush scandal made ethnic minority people ‘fearful’ of using cancer services and 2 others
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    Fears that their data would be shared with the Home Office following the Windrush scandal left some people from ethnic minorities afraid to access cancer services during the pandemic, an NHS England document has revealed. The paper from the West Midlands Cancer Alliance said there was a “perception” the government was “accelerating immigration removals” and that, as a result, “individuals (particularly those affected by the Windrush scandal) are then fearful of accessing cancer treatment and may not participate in screening programmes for fear their information will be inappropriately sha
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    Six out of seven new mothers in England are not getting a checkup of their health six weeks after giving birth, despite such appointments becoming a new duty on the NHS last year. Just 15% of women who have recently had a child are having a dedicated consultation with a GP to discuss their physical and mental health, according to a survey by the parenting charity National Childbirth Trust (NCT). The requirement was introduced last year to boost maternal health and especially to try to identify women having psychological problems linked to childbirth such as postnatal depression. The
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    Doctors, nurses and NHS bosses have pleaded with Boris Johnson to spend billions of pounds to finally end the chronic lack of staff across the health service. The strain of working in a perpetually understaffed service is so great that it risks creating an exodus of frontline personnel, they warn the prime minister in a letter published on Wednesday. They have demanded that the government devise an urgent plan that will significantly increase the size of the workforce of the NHS in England by the time of the next general election in 2024. Their intervention comes after the lates
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    NICE will speed up patients’ access to the latest and most effective treatments, and dynamic guideline recommendations will be put in the hands of healthcare professionals more quickly under plans unveiled by NICE in its 5-year strategy launched on Monday (19 April 2021). NICE will transform key elements of its approach to ensure efficiency and speed while maintaining robust, trusted methods. The COVID-19 pandemic has reaffirmed the need to place science and evidence at the heart of health and care decision making and improve outcomes for all patients across the healthcare system.
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    Infant mortality is not "openly discussed" among some communities, a charity worker in Birmingham said, as the city attempts to tackle a long-standing problem. For the last decade, Birmingham has had one of the highest rates of infant mortality in England. The city council has set up a taskforce in a bid to halve the number of deaths. It heard rates were highest in deprived areas and among Black, Pakistani, and Bangladeshi heritage families. Shabana Qureshi is the women wellbeing manager for the Ashiana Community Project, a charity which works to improve quality of life for thos
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  24. Last week
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    Three acute trusts have teamed up to carry out surgical procedures on hundreds of children over several weekends as part of plans to tackle waiting lists in the region. Trusts across the Bath and North East Somerset, Swindon and Wiltshire Integrated Care System are pooling resources to tackle long waits in paediatric oral and ear, nose and throat services. The initiative began on the April bank holiday weekend. Thirty-eight of the longest waiters from Royal United Hospitals Bath Foundation Trust, who had been waiting up to 74 weeks for oral surgery, were treated by Salisbury FT. The
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    New powers given to the health secretary as part of proposed legislation could make local services unsafe, NHS Providers has warned the House of Commons health select committee. In a letter to committee chair Jeremy Hunt, seen exclusively by HSJ, the membership organisation said proposed new powers over local reconfiguration outlined in the government’s recent health white paper must include an “explicit” test that proves the intervention will not worsen patient safety. The letter, signed by Chris Hopson and Saffron Cordery, CEO and deputy CEO respectively of NHS Providers, said: “Gi
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    Raw sewage flooding wards, power failures, and rat infestations were just some of more than 1,200 critical incidents at NHS trusts in the past year caused by ageing equipment and crumbling infrastructure. NHS leaders have said more investment is needed to reverse a backlog in buildings maintenance across the health service which has now reached an unprecedented £9bn. The situation is getting worse, with the backlog costs rising by 60 per cent in four years. In some hospitals the problems have become so severe they are affecting patient care leading to wards being closed, operations d
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    The mother of a man who died after suffering neglect said she felt "extreme distress and anger" at a critical new report into his care home. James Delaney, 37, died while he was a resident at Sapphire House in Bradwell, Norfolk, in July 2018. After an inadequate rating by the Care Quality Commission (CQC), Mr Delaney's mother said she felt lessons had not been learned from her son's death. A spokeswoman for operator Crystal Care said it had "addressed all concerns". Mr Delaney, who died of a diabetes-related illness, was required to take insulin twice a day, but, despite staff n
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    Almost 20% of patients seen by neurology consultant Dr Michael Watt were given a wrong diagnosis, a report has found. A review of 927 of Dr Watt's high-risk patients found 181 people received a diagnosis described as "not secure", Health Minister Robin Swann said. He was speaking as the Belfast Trust announced the recall of a further 209 neurology patients seen and discharged by Dr Watt between 1996 and 2012. This is the third such recall. Dr Watt was at the centre of Northern Ireland's biggest patient recall linked to his work at Belfast's Royal Victoria Hospital. Mr
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    A new hospital review process, supported by Sands, came into place across the UK, just before 2019. But is it working? Does it answer parents’ questions about why their baby died? Are parents even told by hospital staff a review of their care is taking place? If your baby died at any time, from January 2019 until now, after 22 weeks of pregnancy, Sands would like to know more about your experience in this short anonymous survey. Your feedback could help improve care for parents. Follow the link below to find out more and access the survey.
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