Patient-Safety-Learning

This new qualitative study might be of interest to those who have experienced dental diagnostic error or diagnostic failure. It's a start in building research evidence around the harms that can be caused.

Patients’ experiences of dental diagnostic failures: A qualitative study using social media (April 2024)

Just wanted to share our latest Patient Safety Spotlight interview with Patient Safety Partner Tracey Hanson. Tracey talks about how her lived experience of navigating the criminal justice and healthcare systems as a victim of serious violent crime has shaped her role as a Patient Safety Partner.

Meeting notes from the meeting on 4 December 2023.

The fourth meeting of the Patient Safety Partners Network (PSPN) began with the chair asking members to share their ‘little wins’ from the past month. Members shared examples of increased engagement and improved communication with trust management and staff, as well as opportunities to talk about the role of PSPs through a variety of channels. There was then a discussion about the role of National Patient Safety Partners and how they interact with PSPs based in local trusts. Initial results from the PSP survey—which aims to get a picture of variation in how PSPs are being employed and engaged in different trusts—were also shared. There was a conversation about spreading the word about the network so that PSPs who are not yet members have the opportunity to get involved.

If you haven't yet completed the survey, you can access it here: https://forms.gle/B3kRZTQyBPqEDZab6

Patient Safety Partners Network meeting notes 4 December 2023.docx

This week we published our Simple guide to PSIRF - here's a link if you would like to read it. It may be of interest to you as Patient Safety Partners, as we hope it will be a helpful resource for explaining PSIRF to people from non-healthcare backgrounds, particularly patients, families and carers.

@DanBC Thanks so much for pointing this out, I have updated the notes with the correct link. Look forward to seeing you at a future meeting!

Meeting notes from the meeting on 7 November 2023

The third meeting of the Patient Safety Partners Network (PSPN) on 7 November 2023 started with a discussion about how members are finding their role as PSPs, with many having only been in post for a few weeks or months. Different members shared their experiences so far, with some reporting a positive level of engagement from trust leadership and patient safety teams. Others felt the significance of their role was not acknowledged by their trusts and that they could not access or influence key forums as was designed into their role. There was also a conversation about the extent to which PSPs should focus on governance rather than practical engagement with patients, and discussion about the value of a gradual approach to PSP implementation to allow trusts to establish an effective recruitment and induction process.

Patient Safety Partners Network meeting notes 7 Nov 23.docx

Glad you found them helpful @LucyHarding!

Hopefully see you at the meeting on Tuesday.

Lotty

Hi Fiona,

As you are already a member of the hub, please email support@PSLhub.org with a request to be added to the group.

On 11/07/2023 at 13:49, Laurence said:

Embarked on my Invisalign journey in late 2020 - to correct my anterior open bite. The treatment was £4,200 upfront and I was given a '100% guarantee' by my orthodontist and Invisalign themselves that Invisalign would be able to resolve this.

Everything initially seemed to be working well until early last year, where I started to experience severe discomfort around my jaw area… which later developed into a clicking sound and I’m now left with chronic jaw and bite problems as the end result.

 

My orthodontist doesn't seem to believe that this is related to my treatment, even though it is worth noting that I've never had this problem before in my entire life.

Oh, and to make matters worse, they tried to blame it on the fact that I’m autistic. Talk about gaslighting...  

 

Invisalign have also completely refused to accept any responsibility for this, stating: “We are not medically trained professionals, so we cannot supply any medical advice to Consumers. Your doctor is solely responsible for your treatment, so will be able to help with this matter.”

 

In other words... “It’s not our problem!”  

 

I was then referred to the NHS by my GP after contacting them - Where I attended 3 appointments at 3 different hospitals. All of which ended up being a complete waste of time and giving different excuses... “We don’t like to get too involved”, “Your jaw doesn’t seem too bad” and “it will all get better with time.”

 

Well... It is now July 2023 and I’m still in the exact same situation that I was in last year - With no noticeable changes to my condition. And quite frankly, it feels like it’s getting worse. Not to mention the terrible impact that it’s been having on my mental health and self-esteem.

 

It seems to me after reading a lot of other people’s stories online that this is a common issue in the orthodontic world... and I find that absolutely shocking and unacceptable. We aren’t paying to be tortured! 

Thanks so much for sharing your experience with us. I'm so sorry that you are still having jaw issues and have been unable to get the support you need from your orthodontist, and hope you are able to get some answers soon

Thank you for sharing your experience, and for raising some important questions around informed consent and the use of cosmetic procedures in children. Was your experience in the UK, and if so, was it a private or NHS orthodontist you saw?

We want to hear from patients with experience of NHS and/or private orthodontists and dentists in any healthcare setting, including community practices and hospitals.

• Did the orthodontist/dentist give you the treatment and support you needed?
• If you had ongoing problems, how did the orthodontist/dentist and other healthcare professionals respond?
• Have you tried to make a complaint?

You can read one patient's experience in this opinion piece: “I’ve been mocked, scolded and gaslighted”: a harmed patient’s experience of orthodontic treatment

@BDF @Jo Griffin @Greenfingers @Stefanie If any of you would be interested in sharing your perspectives as a parent in a blog about these issues, please do get in touch with us at content@patientsafetylearning.org. We can offer editorial support and blogs can be anonymous

The impact of living with undiagnosed ADHD can be significant, but adults and children in the UK are sometimes having to wait years for an initial ADHD assessment.

• Have you been diagnosed with ADHD?
• Are you or your child on a waiting list for ADHD diagnosis or treatment?
• Or are you a healthcare professional that works with people with ADHD?

Please share your experiences of assessment and diagnosis with us. You'll need to be a hub member to comment below, it's quick, easy and free to do. You can sign up here.

You can read more about the issues related to ADHD diagnosis in this blog: Long waits for ADHD diagnosis and treatment are a patient safety issue

Hi Jenn, I would recommend you go and see your doctor to get your symptoms checked out if you are still experiencing pain. I do hope you can find some relief and answers soon.

These comments were made by people with diabetes in response to a Twitter thread asking "Why is a hospital stay scary if you have diabetes?"

If you have diabetes, or care for someone who does, please share your experience with us by adding a comment to this community thread,

“I was in ICU after a car accident—none of the staff knew how to work my CGM and/or my insulin pump. I had to manage my own care”

“For me it was when I went into hospital for surgery and the nurse said 'Type 1... so do you take insulin for that?'... that's not a reassuring thing to hear minutes before you're taken into the theatre!”

“Lucky to get out alive.”

“DKA 10 years ago, once back in normal range the consultant insisted I didn't need anymore insulin & refused to let me have any. Obvs within 3 hours I was back in DKA, he wouldn't come see me but had a convo with my husband on the ward phone where hubs explained how T1 works.”

“I've been given a full day's bolus, through my iv and then told I was wrong when I said that I only bolused when I ate. Massive hypo followed quickly. I was then told it was my fault and I should have said something.”

“After being admitted as an emergency, my own insulin ran out.  I was given 2 (2!) of the wrong types of insulin and told that 'it would be okay'.”

“They were often confused about T2 versus T1 - lots of emphasis about low fat foods and only being allowed a low fat yoghurt for puddings even though I was on a pump! I had a bag of snacks though as it was a planned hospital stay”

“After a major medical issue I was denied insulin in the ICU for over 24 hours but was told I could have some pills to treat my type 1 diabetes”

“Last time I went to the hospital, they took my pump (forcefully) and refused to give it back. When I protested, they sedated me. I was in and out of sedation having a panic attack bc I couldn’t breathe. They sedated me again and put me on DKA protocol, even tho I wasn’t in DKA.”

“it’s so scary right like you know that you’re the expert on your condition and your needs but that power gets totally taken away”

“Handing over your care over to a group of nurses who have no idea what they are doing. It’s super scary. I hate it when they lock it all away and you can’t get to it.”

“I didn’t feel safe either. Told them on a few occasions I felt ‘low’. Finally Lucozade got wheeled out but it was almost an inconvenience”

“Totally understand why they don’t know much about it if it’s not their specialism BUT some are so arrogant that what they were told one afternoon 10yrs ago is the absolutely way to deal with, and that the person living with it doesn’t know what they’re talking about!”
Sarcastic responses “You seem to know a lot about it!”

“The neurologist told me I am a terrible diabetic.”

“I never feel safe because they don’t allow me to dose my own insulin and last time dropped me from 600 to 40 in three hours and then shot me back up so fast when i specifically told them that i would go low and high from that much insulin”
Report of being diagnosed with type 1 diabetes while in hospital, despite telling every healthcare professional she had T1.

“I smuggled in my own tester and meds and took care of myself.”

“I think the biggest thing for me is them not understanding insulin dose when they’re writing up your chart and how you don’t really have a “typical” insulin dose that fits neatly into their charts because of carb counting or correction doses/reduction dose. It’s strange, when I’ve had DKA admissions and I’m on the sliding scale IV it’s fine because there’s clear guidelines but for just day to day injection management it’s soooo difficult.”

"Daughter had food and insulin withheld in a mental hospital."

“the ward nurses didn’t even know I had T1 until the more mobile lady opposite me went and fetched a nurse who had been ignoring my call button. I was hypo and couldn’t reach my treatment.”

"Taken off insulin for two days as no doctor to prescribe."

“Particularly bad experience when a nurse left the glucose drip on but turned off the insulin. It terrifies me to think how bad this could have been.”

The comments below were all shared by members of Sling the Mesh in response to a call for the worst things that have been said to patients on their mesh journey.

If you have had mesh surgery, please add your accounts of interactions with doctors and other healthcare professionals in this thread.

Transvaginal mesh

Hubby said "It’s really painful for her when we have sex." Dr replied, "Have you tried anal?" and then winked at my hubby. I thought my husband was going to punch the surgeon.

My surgeon emailed me to attend mental well being therapy classes, as in ‘it was mind over matter’, for my pain and agony that I was suffering 12 weeks after insertion! You can only imagine my reply to her 😡 …10 weeks later she discovered under another general anaesthetic that the Mesh had cut right through my bladder!

"You will have to learn to live with the pain… Drs are not miracle workers."

Mine said, "l don't know why women over 50 want to have sex anyway!"

Top urogynaecologist: "don’t worry you don’t have cancer" patting my knee.

Surgeon said no way is it the mesh you are reading to much crap on the internet,  it’s working that’s all you need to know.

For a whole year, I was told by my implanting surgeon that the razor blade/ hot knife feeling cutting into me was all in
my head… his registrar discovered that the mesh was cutting into my vaginal wall. 

When I questioned about the "tape " I was told it was not mesh & don't believe everything you read in Newspapers .
Also my pain was in my head!

It’s your menopause not the mesh 😡

“I just don’t understand why you have all this pain, Anatomically you look beautiful” followed by a laugh!!

Mine told me I probably need hip replacements.

Surgeon punctured my intestine during mesh surgery and said “well it’s probably good that happened because it caused you to rest in a bed for a month.” Uh… a hospital bed in which I almost died because he refused to admit he did anything wrong. My family had to demand an independent team come in and evaluate me… I would have been dead within hours if they hadn’t.

I was SO relieved to find Sling The Mesh support group after hearing about it on the news (after the Cumberlege review) I wouldn't wish this sh*t on my worst enemy but I was SO glad to discover I wasn't going mad, its not all in my head, I wasn't the only person with complications. That evening I cried hard! Such a relief and source of support  🥰

What am I moaning about, your husband should be very pleased! I’m the only one to ever have anything wrong, it must be my body not the mesh! Your like a 21 year old down there now!

Where would I start 🤔so many gems to choose from! .. one of my faves is.. "DO YOU HAVE ANY OTHER MENTAL ILLNESSES??"

My surgeon told me that it definitely won't be the mesh that's causing my problems. I have learned since that he has received 6 figure sums from the mesh manufacturers for promoting it!

I had a “specialist” that actually said to me “ look shit happens ..and it happened to you.”

Don't be silly mesh doesn't cause leg pain. I have had 2 partial removals, drag my leg around daily, hip wear and tear, urine infections, have had E/coli infections in mesh with 7 times daily antibiotics.  "It's all in your mind, maybe you need to speak to someone. " Yes a lawyer you fool.

My surgeon said my mesh would last about ten years I asked what do we do then , he said we will worry about that when the time comes !

My urologist told me to stop looking at Sling the Mesh on Facebook 😂😂😂😂 and to believe the professionals!!! I stood up and walked out before I did him damage!!!😂

My surgeon said Chin up and have a glass of Prosecco.

I was told "Surely it's a good thing when sex hurts a bit"

After telling him for five years my new urinary issues were due to the mesh, I eventually got it removed due to erosion, but at my follow up being angry at not being listened to, he suggested I had PTSD and got referred to the psychiatric team! That is an insult to the poor people who do have it , I don’t I just had anger and vented it!

One of the doctors at my surgery said “your to complicated, I cannot help you. Book another appointment to see somebody else”

I was told that my GP practice could not help me as my problems are too complex.

Looking at me, he said "I just don't understand how you could be in pain, I will refer you to a Psychiatrist". To my partner, he said "I've made her nice and tight for you".

It’s your weight try exercise, when u can’t even walk.

I asked my surgeon, is there a good mesh and bad mesh! He said there is NO bad mesh!

Mine told me it was all in my head! That maybe I had a low pain threshold.

My gynaecologist said stop 🛑 listening to the hype !!!!! 😡

Mine said, "You’re too fat for your hips."

Has this all been brought on by the Mesh nonsense in the media!!!

The first doctor suggested my problems were I needed more foreplay or a lubricant during sex after I said my husband feels something sharp when inside me!!!

My original TVT had 'slipped'. My gynae surgeon said he would do a TVTO, a pelvic floor repair and a posterior pro-lift. At no point was the word mesh used and in my ignorance I thought he knew best, how gullible was I?

It is in your head by so many over the years that you feel you are going mad 😡 as you know the pain your in.

All in my head and then your too complex you must be imagining things you can’t be in that much pain.

Your back has nothing to do with your vagina so how can your back pain be linked (female consultant).

I have TOT mesh implant. Suffer with groin infection and fistula. After I had infection drained (unsuccessfully) I was seen by the gynaecologist, I mentioned that the infections were the mesh incisions in my groin ... he told me not to be silly .. that mesh is in the vagina not in the groin area .. he obviously only knew about tvt mesh not TOT.. I told him to go away and do some research... I didn't see him again!!!!

I got told it’s not the mesh it’s were it should be and doing it’s job 😡. Also got told to stop looking and reading stuff in mesh groups as everything isn’t true 🤬

My surgeon said "Oh, so you are jumping on the Mesh bandwagon?"

When I mentioned mesh because of my endless infections to yet another doctor at my previous surgery he said ‘as long as you’re nice, we look after people who are nice’. I was so taken aback I just couldn’t even answer- I’ve never been anything but nice through many surgeries and issues.

I was told -“Nothing more we can do for you so will discharge you”

Worst one was sent for testing STDs

When we told my surgeon I could no longer have sex because it was too painful he said I had a duty to my husband so I should just put up with it. My husband was furious he said do you really think I could enjoy sex knowing my wife is in pain.

My surgeon told me he had only one women with mesh had problems and she was "neurotic"...

Surgeon Quote “you can’t be in that much pain its a standard operation ?” Surgeon Quote “ It must be sciatic pain, I’ll get an orthopaedic doctor to look at you and send you home!”

Another mesh specialist “it’s blue and it’s eroded but majority of women are fine I don’t understand why you can’t walk anymore your infections and blood in urine must be due to a bladder infection!”

Diagnosis in 2018 Mesh cut through obturator nerve, put in to lateral too tight, too much pressure on urethra and permanent pain and damage.

I was treated in a very misogynistic way even though I have my husband present.

Just ignored every time I mention it, no matter who it is.

“You are an awkward patient…”

"‘You're to old to have pain there."

"It can't be the mesh causing you pain, I've inserted lots of these and your the only one who has complained!!" (2017) mesh inserted 2014.

“You can’t believe what you hear in the news about other people having mesh problems, after all, I am the trained consultant…” 😥🤦‍♀️

It’s just the menopause, you will get used to it.

“Your mesh is the gold standard, it is the old mesh that causes problems.“

“Your mesh just needs time to seed itself in.”

“ I don’t know why you can’t have a sex life, there is enough room for a penis.”

My implanting surgeon's response to my second visit following tvt implant was to take a cursory look in my vagina and pronounce all was fine. I have learned this response is common amongst patients who've had mesh complications. By this time I was peeing to the left and pooing to the right like some sort of sick trick. I likened it to turning up at A and E with a broken arm and the doctor not ordering an X ray. I later learned the mesh and resultant scar tissue had pulled my organs this way and that. I've just undergone my fifth and hopefully final operation to remove excessive scar tissue, small fragments of mesh after two full removals and perineum reconstruction.

Surgeon suggested I see a shrink because he thought it was all in my head.

“Go home and try to relax more” 😲

Neurologist -if you go see enough doctors you will eventually hear what you want to hear.

There are so many shockers, but the worst has to be, "Prescription pads are expensive and patients like you are not worth the cost of a prescription"

"It's all in your head nothing has snapped or eroded, you have to be patient with the incontinence settling down."

 GP listened to me telling her the unbearable vaginal pain I was going through feeling like glass cutting into me. She looked at me and said, "But why are you here today?"

The cost of your catheters is too expensive for the NHS, we would like you to change to washable catheters 😲

It's all in your mind, you need anti depressants, and motivate yourself.

A urologist that I had sought help from privately having walked out/discharged myself from care of implanting surgeon, "I sit on a board looking at mesh but I personally don’t believe any of this stuff you read on the internet . Mesh cannot cause such problems.“

“You must just have been coincidentally prone to interstitial cystitis and retention”

Eye rolled as she said, “You shouldnt believe everything you read on the internet. Mesh is perfectly safe…”

"This is a gold standard operation, it will be life changing." Well yeah, it was life changing but not in a good way.

When I told the specialist how painful it was when my husband tried to put his penis in to have sex, he said , "Is he putting it in right?" We'd been married 36 years. 

I was told to massage it better

My implanting surgeon said she "fixes up other surgeons mistakes" after putting mine in too tight and having to loosen it a year later.

Mine told me I had a "good quality of life. Just to go home and get on with it."

Surgeon said my operation was Tape is like a FREE TUMMY TUCK…”

My favourite, "it’s your body that’s at fault!!!"

“It can’t possibly hurt every time you urinate, that's an exaggeration surely.”

Mine said, “Off the record, if you complain about this no-one will want to work on you in the future”

Surgeon said, "If the mesh is still in place its doing its job" 🤬

I only brought it up to my surgeon once. He told me “not to believe I’m everything in the papers. Some women are just after a payout.”

Surgeon said,  “In 12 years I have never had anyone else complain so it cant be the mesh.” Blatant lie in 2016 as another patient at end of communication tether was busy putting warning flyers in his waiting room.

Said in an abrupt tone, ”I doubt the pain is from the mesh it all stories from media and internet.”

“You have been reading too much on the internet.” Well yes I have because from 3 days after the operation when I said something was horribly wrong you were telling me to go away and heal or that it could not possibly be the tape… thank goodness I googled TVT pain or I would never have found this group and thousands experiencing similar pain and disgusting treatment like me.

Implanting surgeon “you’ll learn to live with it!”

Consultant: "I've been to a conference and told some of colleagues about some of your problems and they said poor you, we're glad she's not our patient."

"There's nothing there, it's not mesh!" Saw somebody else who could feel the mesh hanging out straight away. 😥

"It’s not mesh it can’t do this you’re wrong it’s your hip, go away and lose weight and exercise." Female GP after I’d read medical documents saying it can 😡

I was told I was having surgery with a dissolving hammock and medical records show no mention of MESH.

"Oh it's you again!! I told you before it's not the TVT. You must be lonely or looking for attention." 😡

Surgeon said to stop listening to group (Scottish Mesh Survivors) as he was the expert with experience not a group of people who knew nothing!!!

I asked why I was in so much pain and was told it was because I wasn't in a sexual relationship!

"This has only ever happened to you. .... your body is to blame."

Before I had my surgery (vaginal hysterectomy with anterior & posterior repair), the surgeon said he would sew me up "nice & tight" and actually winked at my husband!! Well, we haven't been able to have intercourse for 10 years since my op, despite physio, hormonal lubrication etc and I'm now on a waiting list (5 yrs so far) to see a sexual psychologist, cos it's all in my head of course.

I ask him if the mesh he used was the same one they talked about on the tv program. He said no so I got him to write it down. When I got home I checked and it was the same polypropylene..

It’s got nothing to do with the mesh the pain is in your head 😡

My surgeons exact words to me, thankfully my husband was present... "I’m sick of all these women jumping on the mesh bandwagon. My surgery was a success. Your bowel is perfect. But if you think the mesh is to tight, I’ll open you up, detach the mesh from your spine, let it drop & put another piece of mesh over the top & reattach to your spine. You’ll be my first but I’ll give it a go!" Just to add, since removal of mesh I’m 80+% improved & my quality of life is really good.

I was told I was one of the unlucky ones.

He told me I needed to stop running all over the country trying to find a Dr who could help me even though He had not help me in five years.

There is no cause for your pelvic pain!

A pessary will fix you!

Maybe stop going on social media!

I’ve had a lot of problems since my removal of a TVT last August with extremely limited after care and no follow up appointments what so ever. When I did eventually get a telephone appointment I got upset because of the amount of issues I’ve had with no one to turn to for any help. Her reply was, "well you were warned that you could end up worse than before if YOU chose to go ahead with having it removed." My reply, "Yes I knew there was a risk of even more issues, as if I wasn’t having enough already… but what however was not explained was that there would be absolutely zero help with those issues if they did occur, no one to contact or answers to emails and voice mail messages…" She went very quiet after that.

I was trying to find out if mesh had been used in my op & the surgeon said, "People see one Victoria Derbyshire program and panic."

My female implanting surgeon told me she’d never had any problems with any other patients. She then told me it was a skin problem and gave me some cream then discharged me. She’d already discharged me and I asked my GP to go back and see her. My female GP kept telling me it was the healing process and to give it time. After months and months of me going back with pain and UTIs she started to get really sharp with me so I stopped going.

Rectopexy mesh

My surgeon said when I said my vagina was very tight and painful for intercourse that his wife would love an excuse like that not to bother. I got no referral elsewhere to investigate. Had no physical relationship for 11 years. 

Mine laughed in my face saying, "Don't be stupid I've done over 280 rectopexy surgeries and never once had a problem. This isn't mesh related."

"If I take some of this out, you will HAVE to have a colostomy bag for life." No choice given.

My implanting surgeon referred me to his colleague who was a pain specialist... the pain specialist said, "Its your periods you need to go into medical menopause." I was around 36 at the time.

I was told it wasn't the mesh that was causing problems and to take ownership of situation. Mesh all removed now left with permanent stoma 😫😡

When I called my bowel specialist in agony and in desperate need of help. "Aww hun I wish i could just give you a hug."

My GP said, "Some pain is unexplainable, you just have to live with it." 😡

Bowel specialist said you need rectopexy repair and don’t believe the hype about mesh.

They said smoking was good for you in WW2... WHEN I QUESTIONED THE CHOICE OF MESH

Hernia mesh

On the day of my operation, the general surgeon didn’t want to do the removal, he denied my Physiomesh had been recalled in May 2016. I had to show the link on the government site, so my plastic surgeon believed my symptoms could be related to the mesh and agreed the operation was necessary.

Mine told me these groups were filling our heads with rubbish. They are full of hysterical men and women. Was told I was the only one with these issues, never had issues like this before. Told me it was all in my head. Told mesh can't cause all of these symptoms.

The groups have been the biggest support to me. I finally felt normal as in I wasn't alone. This wasn't in my head. It was a sigh of relief to find the groups.

A hospital consultant said, "Hernia mesh can't cause these problems." (inflammation, autoimmune, joint pain, muscle pain, allergies, Lichen Sclerosis, etc.) "You're getting confused with vaginal mesh". "If hernia mesh were a problem, I would've heard about it and I've not seen one single case in my entire career... don't you think I would've heard if there were problems?" After I persisted in telling him the scale of the problem he then raised his voice and said, "You'll never prove it." And that spoke volumes! I guess he is still staying he has never heard of a single case. He also told me to stop believing what I read on the internet.

“It’s not THIS mesh that’s on the news. THIS is a great product.” (The very next year THIS mesh was recalled).

Are you a GP or other healthcare professional working in primary care?

• Have you noticed an increase in rejected referrals to outpatient services/for scans and other investigations?
• How have changes to the referral system affected you?
• What communication relating to referrals have you received recently from the NHS?
• What has the impact been on your own workload and wellbeing, and the safety of patients?

Please share your experiences with us so we can continue to highlight this important issue.

Have you had first-hand experience of a serious safety incident? Were you aware of what support was available following this? What support do you think is needed for staff following a serious safety incident?

Patient Safety Learning and SHBN are collaborating with patient safety experts and frontline staff to produce a manual to support staff, provide good practice and ‘how to’ tools to improve staff wellbeing following serious safety incidents.

If you work in healthcare we would welcome views on this, by completing our short survey and/or sharing your thoughts below.

Have you used an app to help manage or track Long Covid symptoms? Please share your experience with us.

• Which app(s) have you used?
• Was it 'prescribed' by a doctor or healthcare professional, or did you access it for yourself?
• How has it helped your Long Covid recovery? How could it be improved?