Steve Turner
Members
-
Joined
-
Last visited
Everything posted by Steve Turner
-
A0ccfd6e190c17f9902b739a7927df09This important blog, in my view, highlights the need for national action on prescribing & for greater support for Care Home staff. They have been working under extreme pressure and don't always have access to the resources or learning needed to ensure prescribing is appropriate and safe. There is also, in my view, a wide variation in the processes for prescribing, reviewing, de-prescribing & monitoring the effect of medicines in Care Homes and many opportunities to share best practice. 'We would like to hear your views We are keen to explore this issue further and would like to learn more from people’s experiences concerning the prescription of antipsychotic medications for people living with dementia. Are you a carer or a family member of a person living in a care setting with experience of this issue? Do you work in a care home, nursing home or in domiciliary care and have a view on this issue?'
-
-
-
Community PostIn the UK there is a Prescribing Competency Framework which applies to ALL prescribers. This has been in place since 2012. In my blog I use examples of, what I believe to be, fundamental prescribing failings to discuss its impact and the extent to which it has been adopted. 1. Do the prescribers in your team use the competency framework? 2. Is the competency framework part of the prescribing CPD in your organisation? 3. Is the competency framework used as part of prescribers’ annual appraisals? 4. How is prescribing competency monitored in your organisation, and is the competency framework included in clinical supervision? 5. Does your organisation use the prescribing competency framework in clinical governance sessions? 6. Is the prescribing competency framework referred to in incident investigation reports? Link to blog:
-
Content Article
Medicines and prescribing are highly risky areas of health care. It is estimated that more than 200 million medication errors occur in NHS every year, and that avoidable adverse drug reactions (ADRs) cause 712 deaths per year, at a financial cost of at least £98.5 million every year.[1] Many medicines and prescribing issues have been highlighted in reports and investigations into patient deaths over the years, yet the issues around prescribing competency are yet to be fully addressed. It is time this omission was rectified. This blog explains why I believe patients, the public and healthcare practitioners, need to be aware of the Prescribing Competency Framework.[2] It outlines why the framework must be applied in practice, used in clinical supervision and CPD, and why we must all speak out of it is not being followed. The benefits of this will include prevention of unnecessary medicines being prescribed, avoidance of drug related harm, and lives saved. -
A0ccfd6e190c17f9902b739a7927df09Good to see the issue of referrals getting lost mentioned. This is usually a 'systems problem', and it needs attention. Nobody wants this to happen. I recommend that #patients are encouraged and helped to be part of the referral process. Doing this prevented a friend's urgent referral for cardio-version / cardiac ablation being missed. Had he not chased up the referral himself, and been persistent, he would not have been treated. The referral had not got through to the relevant team. We never did find out what had happened to it. I recommend all patients (who can) keep copies of all letters / summaries / consultations /test results and referrals, and follow this up themselves if there is a delay.
-
A0ccfd6e190c17f9902b739a7927df09Worrying figures. Especially as this is based on the NHS staff survey which some staff are very wary of taking part in. I believe that the survey responses (although anonymous) can be viewed by managers at Team level. This puts some staff off, as they fear they may be identified, especially when they work in small Teams. In the past I've asked the Picker Institute about this to check my facts. If anyone can expand on this, or correct me if I'm wrong, that would be helpful for us all.
-
A0ccfd6e190c17f9902b739a7927df09A promising development. The person specification & job description of the Patient Safety Commissioner will be key. E.g, someone who is credible and comfortable at all levels, with patients, carers, the public and with professionals, has a background in inter-disciplinary working, and is able to consider things from all angles. A tall order indeed. I believe this will need an open recruitment process, and the role will need involvement of ALL stakeholders spanning professional boundaries / hierarchies, and fully including those who raise difficult questions and issues. #OneTeam #patientsafety
-
Community PostThe recent press release from the UK Government outlines a White Paper which contains the reforms: "Major reform of Mental Health Act will empower individuals to have more control over their treatment and deliver on a key manifesto commitment. Reforms will deliver parity between mental and physical health services and put patients’ views at the centre of their care. Plan will tackle mental health inequalities including disproportionate detention of people from black, Asian and minority ethnic (BAME) communities, the use of the act to detain people with learning disabilities and autism, and improve care for patients within the criminal justice system..." The report covers: "A package of reforms has been set out in a wide-ranging new Reforming the Mental Health Act white paper, which builds on the recommendations made by Sir Simon Wessely’s Independent Review of the Mental Health Act in 2018. At the heart of the proposed reforms to the Mental Health Act is greater choice and autonomy for patients in a mental health crisis, ensuring the act’s powers are used in the least restrictive way, that patients receive the care they need to help them recover and all patients are viewed and treated as individuals. These reforms aim to tackle the racial disparities in mental health services, better meet the needs of people with learning disabilities and autism and ensure appropriate care for people with serious mental illness within the criminal justice system." Do you work for Mental Health services? Are you someone who uses Mental Health services? What are your views?
-
Community PostSome years ago I stopped writing for journals, in favour of blogging & volgging. My reasons were: I specialise in patient involvement and inclusion, so I want the work of me and my colleagues to be easily found by everyone We didn't want our work to end up behind a paywall We work across disciplines and try to bypass hierarchies, especially in promoting action learning and patient led care I can see there are some really good Open Access Journals around. So my question for us all is: Which are the best Open Access Journals? Here a link to my digital profile: https://linktr.ee/stevemedgov This is our developing model of working, a away of working in healthcare that all use and participate in:
-
A0ccfd6e190c17f9902b739a7927df09Steve Turner commented on Steve Turner's article in Investigations, risk management and legal issuesSomething happened this week which reminded me how important a public inquiry into the circumstances and aftermath following the death of Robbie Powell is for us all, and for patient safety in general. I watched the ITV docudrama 'The Pembrokeshire Murders' In this programme it was twice mentioned that Dyfed Powys Police had previously been found to be institutionally incompetent. In my opinion, the script implied (unintentionally) that it was the media who found the Dyfed Powys Police institutionally incompetent. In fact it was an inquiry into the handling of the Robbie Powell case by Avon and Somerset Police that made the finding of institutional incompetence. I was saddened to see this apparent misrepresentation. The Robbie Powell case is the landmark case on patent safety that too few people know about. Important patient safety learning was lost in the cover up after Robbie's Death. I agree with the English & Welsh Health Ombudsmen and support the call for a public inquiry. #robbieslaw
- 5 comments
-
1
-
A0ccfd6e190c17f9902b739a7927df09It's great to see people like Raymond recognised. There are many like Raymond helping keep patients & residents safe in all health systems across the world. 👍🙏 #OneTeam 🌏
-
A0ccfd6e190c17f9902b739a7927df09It will be important to see examples of this in action. Staff praised for speaking out Changes made as a result People who victimise those who speak out for patients held to account NHS returners who spoke out in the past welcomed back Otherwise it's just words...
-
Community PostI'm hoping that the Long COVID clinics link up with all initiatives for people with long term conditions. We started looking at medicines and expanded this to include ALL treatments and approaches. We're looking at how our work can link with this. Here's an early video on our work: More here: https://medicinegovorgmedlearn-innovation-event-nhs.blog/patient-education-support-sessions-helping-you-manage-your-own-care/
-
A0ccfd6e190c17f9902b739a7927df09Click on the attachment (above) to download the interactive pdf, which has clickable links. 😀
-
Content Article
The objective of this piece of work was to try and create a different way of navigating through the various themes in mental health. There are a huge range of posts on mental health and related areas on the hub. Seemingly endless information, and so little time to absorb it. I know from experience, and from the learning I have undertaken and delivered on information mastery, that there is so much material available it is difficult to find the time to discover, and then read fully, what is most relevant to the work in hand. As a result I have created a diagram (below - click on it to enlarge it) and an interactive pdf (attached), which has a number of topics and subtopics links to existing hub content to help people to do exactly that. In doing this, the focus has been on including patients/users of services, avoiding medical jargon, taking a holistic view. I am really interested in everyone’s views on this. Is this a useful approach and a helpful model? Will it help you post and find what matters to you? I would love to gather people's ideas and potentially improve the model further. -
-
A0ccfd6e190c17f9902b739a7927df09Great post, picking out the key issues. I wonder what people would want in the person specification and job description for a Patient Safety Commissioner Will there be a public consultation on this I wonder? This could really help in engaging everyone and bringing in all perspectives. Some visual reminders of what matters most:
-
A0ccfd6e190c17f9902b739a7927df09In addition to enabling speaking out about patient safety concerns I'm hoping that staff will begin to feel freer to share more examples of best practice, and when lessons have been successfully learned, on the Patient Safety Learning Hub. There can be a reluctance to do this because of the controlling attitudes of some employers. I believe many of us have great stories of successful work, that needs to be shared. I do. Watch this space...
-
A0ccfd6e190c17f9902b739a7927df09Really useful, thank you. This structured model of working needs to be spread to all areas.
-
A0ccfd6e190c17f9902b739a7927df09Steve Turner commented on Steve Turner's article in Investigations, risk management and legal issuesHere's a 2 minute video on the history and current status of Duty Of Candour in UK Healthcare, which I use in my teaching work. Comments welcome: #dutyofcandour #robbieslaw #TeamNHS #TeamPatient
- 5 comments
-
Community PostThanks Derek, I think you have hit on a critical issue and a solution. As a community nurse, someone who is keen on interdisciplinary working & patient empowerment I'd like to see ways in which this approach can be adapted and adopted to work outside hospitals. I'm sure it can be. Time for the #NHS to truly modernise and focus on patients safety, and patient involvement, in IT projects.
- 5 replies
-
- Accountability
- Board member
- Bullying
- Communication problems
-
Tagged with:
-
Community PostThis looks good. I hope the #NHS I.T. will catch up with this. It shows that health is not 'unique' when it comes to safety and human error. I particularly like the way the patient is an equal part of this solution. I agree...'The system would have saved 450 Gosport patients 30-years ago, and currently under live investigation by Police (Operation Magenta).' Thank you.
-
A0ccfd6e190c17f9902b739a7927df09Great vlog on consent, illustrated by real examples & current gaps. Showing the international commonalities & highlighting the problem of variation across hospitals. Times have changed. I remember in the 1980s when I trained as a nurse in large teaching hospital there were some consultants who did not tell patients their diagnosis if they had cancer. This, I'm sad to say, was accepted as 'their way of working'. Would this be acceptable today? Are we less paternalistic or has paternalism ended? Who decides how much information to give to patients?
-
Content ArticleRobbie Powell, 10, from Ystradgynlais, Powys, died at Swansea's Morriston Hospital, of Addison's disease in 1990. Four months earlier Addison's disease had been suspected by paediatricians at this hospital, when an ACTH test was ordered but was not carried out. Although Robbie's GPs were informed of the suspicion of Addison's disease, the need for the ACTH test and that Robbie should be immediately admitted back to hospital, if he became unwell, this crucial and lifesaving information was not communicated to Robbie's parents. At the time of Robbie's death, the Swansea Coroner refused the Powells' request for an inquest claiming that the child had died of natural causes. However, the Powells secured a 'Fiat' [Court Order] from the Attorney General in 2000 and an inquest took place in 2004, fourteen years after Robbie died. The verdict was 'natural causes contributed by neglect' confirming that an inquest should have taken place in 1990. Since Robbie's death, his father Will Powell, has mounted a long campaign to get a public inquiry into Robbie's case.
- 5 comments
