Jump to content
 View Profile  See their activity

  • Posts

    167

  • Joined

  • Last visited

Steve Turner

Members

 Content Type 

Everything posted by Steve Turner

  1. Content Article Comment
    It 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...
  2. Community Post
    I'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/
  3. Article Comment
    It seems wrong to me that stories of this importance are paywalled?
  4. Content Article Comment
    Worrying that 'There are few results where the majority of people reported good experiences of mental health care.' This is the element of the report that needs emphasising. Where is the action plans? How are patients / users of services being involved? How will we know when 'lessons have been learned'? Reports need to be followed up by concise plans and a summary of actions taken, and their effect. Otherwise we just go round in circles. 'Key areas for improvement Crisis care 28% of people indicated that they would not know who to contact, out of office hours in the NHS, if they had a crisis. Of those who did try to contact this person or team, almost a fifth (17%) either did not get the help they needed or could not contact them (2%). Support and wellbeing 36% of people felt they had not had support with their physical health needs. 43% said they did not receive help or advice in finding support with financial advice or benefits. 43% of people did not get help or advice in finding support for keeping or finding paid or voluntary work, but would have liked this help. Accessing care 44% of people who had received NHS therapies in the last 12 months felt they waited too long to receive them. 24% of people felt they had not seen NHS mental health services often enough to meet their needs. 59% said they were ‘definitely’ given enough time to discuss their needs and treatment.'
  5. Content Article Comment
    Click on the attachment (above) to download the interactive pdf, which has clickable links. 😀
  6. 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.
  7. Content Article Comment
    A great initiative, simple and effective which in will share with my prescribing colleagues, locally and nationally. Thank you.
  8. Content Article Comment
    Great 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:
  9. Content Article Comment
    In 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...
  10. Article Comment
    What a terrible and totally inexcusable waste of public funds. Will anyone be held to account for this failing?
  11. Content Article Comment
    Really useful, thank you. This structured model of working needs to be spread to all areas.
  12. Content Article Comment
    Here'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
  13. Article Comment
    This is so sad, I feel desperately sad for Elizabeth Dixon and the family & everyone affected by cover ups of the death of a child . It is not an isolated incident. The case of Robbie Powell has been subject to a 30 year cover up and remains unresolved. It was Robbie's father Will who first identified the lack of a legal hashtag#dutyofcandour. To this day there is no individual duty of candour. Papers labelled this 'a doctor's right to lie'. As a clinician I am appalled. I should add, this isn't just about doctors, it's all clinicians. I remain deeply disappointed in my profession - #Nursing -for not speaking out. No #nurse leaders seem interested. I am pleased to be able to teach on this, at least I can do something. #learningfromdeaths #LeDeR
  14. Community Post
    Thanks 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.
  15. Community Post
    This 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.
  16. Content Article Comment
    Great 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?
  17. Content Article
    Robbie 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.
  18. Community Post
    Thank you. I agree. I think it's sometimes forgotten that when staff fail to speak out, are unable to speak out or are silenced & victimised for speaking, out it falls on patients, careers and relatives to do this. At great cost, because by this time someone has usually been harmed.
  19. Content Article Comment
    Here is Cornwall Council's Response to the Safeguarding Report: https://www.cornwall.gov.uk/council-and-democracy/council-news-room/media-releases/news-from-2020/news-from-november-2020/statement-in-response-to-the-safeguarding-adults-review-on-the-former-morleigh-group/
  20. Content Article
    Elderly people in care homes in Cornwall were abused and neglected while failings led to reports of concerns not being investigated, a new Safeguarding Adults Review has found. The Morleigh Group, which operated seven homes in Cornwall and has since shut down, was exposed in a BBC Panorama investigation in 2016. A new Safeguarding Adults Review which was commissioned as a result of the TV show has been published making a number of recommendations to all agencies which were involved in the case. The review was completed in April 2019 but has only just been made public - Rob Rotchell, Cornwall Council Cabinet member for adult social care said that this was due to the number of agencies being involved.
  21. Article Comment
    “Stand-alone units”, so-called “hot homes” and 'zoned accommodation' sound like good ideas. Given the current set up and the lack of a coordinated social care 'system' in England the start point needs to be having a strategy and plan for a radical overhaul of social care. Does this exist? Who leads it ?
  22. Content Article Comment
    Interesting, and there are some useful contributions in the A to Z. My concern over the work of the National Guardian Office remains the same. I believe it's potentially a good idea to have local Freedom to Speak Up Guardians, as long as they are part of a variety of ways to encourage openness, transparency and promote patient safety. Because #FTSU Guardians report to the Trusts this leads to a conflict interest and potential for the role to be misused. I have seen this in action. I have concerns about the National Guardian Office and the way it operates. Early on I tried to engage with the people involved and was ignored. I believe three things are missing and this omission makes the Freedom to Speak Up process as it stands potentially dangerous: 1.The lack of open discussion about whistleblowing, which is what happens when speaking up fails. We have to use the word 'whistleblowing' when it's appropriate not euphemisms. 2. The failure to involve patients & the public, as equals, at the heart of the Speak Up activities and process. Inexcusable. 3. The emphasis on good news stories and failure to speak openly about deep seated problems. I think an organisational psychologist may have lot to say on this. I'm no expert here, just someone who has seen the damage that can done to patient care if everyone's views are not valued and listened to. Here's my short blog on whistleblowing: https://www.smore.com/v7svc
  23. Article Comment
    This is really shocking and the full story should not be paywalled in my view.
  24. Community Post
    It's #SpeakUpMonth in the #NHS so why isn't the National Guardian Office using the word whistleblowing? After all it was the Francis Review into whistleblowing that led to the recommendation for Speak Up Guardians. I believe that if we don't talk about it openly and use the word 'WHISTLEBLOWING' we will be unable to learn and change. Whistleblowing isn’t a problem to be solved or managed, it’s an opportunity to learn and improve. So many genuine healthcare whistleblowers seem to be excluded from contributing to the debate, and yes not all those who claim to be whistleblowers are genuine. The more we move away for labelling and stereotyping, and look at what's happening from all angles, the more we will learn. Regardless of our position, role or perceived status, we all need to address this much more openly and explicitly, in a spirit of truth and with a genuine desire to learn and change.
  25. Community Post
    I've been posting advice to patients advising them to personally follow up on referrals. Good advice I believe, which could save lives. I'm interested in people's views on this. This is the message I'm sharing: **Important message for patients relating to clinical referrals in England** We need a specific effort to ensure ALL referrals are followed up. Some are getting 'lost'. I urge all patients to check your referral has been received, ensure your GP and the clinical team you have been referred to have the referral. Make sure you have a copy yourself too. Things are difficult and we accept there are waits. Having information on the progress of your referral, and an assurance that is is being clinically prioritised is vital. If patients are fully informed and assured of the progress of their referrals in real-time it could save time and effort in fielding enquiries and prevent them going missing or 'falling into a black hole', which is a reality for some people. It would also prevent clinical priorities being missed. Maybe this is happening, and patients are being kept fully informed in real-time of the progress of their referrals. It would be good to hear examples of best practice.
×
×
  • Create New...