PHSO investigations

Articles in this category

1. Second PHSO investigation into the Care Quality Commission’s regulation of the Fit and Proper Persons Requirement (July 2019)

   • Investigation
   • Recommendations
   • (and 1 more)

     Tagged with:

     • Investigation
     • Recommendations
     • Complaint

   By Patient Safety Learning, 26 October, 2019

   • 0 comments
   • 291 views
   • 
   • Added by Patient Safety Learning
   • 26 October, 2019

2. PHSO: Maintaining momentum – driving improvements in mental health care (March 2018)

   • Mental health unit
   • Organisational learning
   • (and 1 more)

     Tagged with:

     • Mental health unit
     • Organisational learning
     • Mental health

   By Heather PHSO, 10 September, 2019

   • 0 comments
   • 470 views
   • 
   • Added by Heather PHSO
   • 10 September, 2019

3. PHSO: Ignoring the alarms – How NHS eating disorder services are failing patients (December 2017)

   • Mental health unit
   • Mental health - CAMHS
   • (and 5 more)

     Tagged with:

     • Mental health unit
     • Mental health - CAMHS
     • Resources / Organisational management
     • Internal major
     • Patient death
     • Adolescent
     • Young Adult

   By Heather PHSO, 4 March, 2020

   • 0 comments
   • 330 views
   • 
   • Added by Heather PHSO
   • 4 March, 2020

4. PHSO submission: PACAC’s follow-up to PHSO report ‘Ignoring the Alarms’ Inquiry (April 2018)

   • Recommendations
   • Investigation
   • (and 4 more)

     Tagged with:

     • Recommendations
     • Investigation
     • Mental health
     • Transfer of care
     • Patient death
     • Training

   By Patient Safety Learning, 26 June, 2019

   • 0 comments
   • 605 views
   • 
   • Added by Patient Safety Learning
   • 26 June, 2019

5. PHSO Investigation: Man died after excessive wait for cancer treatment (2019)

   • Pre-op period
   • Medicine - Oncology
   • (and 3 more)

     Tagged with:

     • Pre-op period
     • Medicine - Oncology
     • Patient death
     • Complaint
     • Investigation

   By Claire Cox, 25 September, 2019

   • 0 comments
   • 227 views
   • 
   • Added by Claire Cox
   • 25 September, 2019

6. Parliamentary and Health Service Ombudsman - 'How can we help you?'

   • Patient
   • Complaint
   • (and 3 more)

     Tagged with:

     • Patient
     • Complaint
     • Investigation
     • Policies / Protocols / Procedures
     • Standards

   By Claire Cox, 12 February, 2020

   • 0 comments
   • 326 views
   • 
   • Added by Claire Cox
   • 12 February, 2020

7. Missed opportunities: What lessons can be learned from failings at the North Essex Partnership University NHS Foundation Trust (June 2019)

   • Mental health unit
   • Mental health
   • (and 4 more)

     Tagged with:

     • Mental health unit
     • Mental health
     • Patient death
     • Staff factors
     • Investigation
     • Young Adult

   By Claire Cox, 20 September, 2019

   • 0 comments
   • 263 views
   • 
   • Added by Claire Cox
   • 20 September, 2019

8. Clinical Advice Review Commissioned by the PHSO: Report of the Independent Adviser to the Review (December 2018)

   • Recommendations
   • Safety report
   • (and 3 more)

     Tagged with:

     • Recommendations
     • Safety report
     • Systematic review
     • Organisational culture
     • Investigation

   By PatientSafetyLearning Team, 1 January, 2020

   • 0 comments
   • 219 views
   • 
   • Added by PatientSafetyLearning Team
   • 1 January, 2020

9. Blowing the whistle: An investigation into the Care Quality Commission’s regulation of the Fit and Proper Persons Requirement (13 December 2018)

   • Investigation
   • Organisational culture
   • (and 2 more)

     Tagged with:

     • Investigation
     • Organisational culture
     • Leadership
     • Complaint

   By Claire Cox, 22 July, 2019

   • 0 comments
   • 267 views
   • 
   • Added by Claire Cox
   • 22 July, 2019

10. Baby’s death from heart defect was avoidable (August 2019)

    • Baby
    • Patient death
    • (and 4 more)

      Tagged with:

      • Baby
      • Patient death
      • Omissions
      • Human error
      • Complaint
      • Investigation

    By Claire Cox, 19 December, 2019

    • 0 comments
    • 454 views
    • 
    • Added by Claire Cox
    • 19 December, 2019

11. An investigation report into how the NHS failed to properly investigate the death of a three-year old child (July 2016)

    • Investigation
    • Children and Young People
    • (and 4 more)

      Tagged with:

      • Investigation
      • Children and Young People
      • Patient death
      • Safety culture
      • Organisational culture
      • Organisational learning

    By PatientSafetyLearning Team, 1 January, 2020

    • 0 comments
    • 343 views
    • 
    • Added by PatientSafetyLearning Team
    • 1 January, 2020