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Patient-Safety-Learning

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Everything posted by Patient-Safety-Learning

  1. Event
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    The Healthier Nation Index (HNI) is Nuffield Health’s annual survey of the nation’s physical and mental health. The HNI aims to understand how people are feeling, how they are managing their own physical and mental health, and explore some of the factors that are impacting the health of the nation. This session run by Public Policy Projects will explore the findings of the HNI and provide useful insights into the issues policymakers and stakeholders within the health sector should be focusing on as we move on from the pandemic and into the ‘levelling up’ landscape.  The findings of this year’s HNI survey show the long-term impact of the pandemic on the nation’s physical and mental health, including how waiting times and the elective care backlog are having a detrimental effect on people’s wellbeing, as well as changing traditional models of healthcare. As we emerge from the pandemic, what lessons can be learned? How can we rebuild the nation’s health? Discussion points 1. What role can prevention and interventions outside the hospital setting play in relieving pressure? The HNI adds to a growing body of evidence which demonstrates that people are finding it difficult to access health services. What role can prevention and interventions outside the hospital setting play in relieving pressure on an overburdened NHS and tackle the elective care backlog?  2. What is the effect of the pandemic on how people use the NHS? What impact are long NHS waiting lists having on mental and physical health? Has the pandemic changed the way that people seek health advice and access healthcare?  3. How can we address health inequalities? How can we widen access to healthcare? Are the ‘Levelling Up’ health missions the right ones to improve the health of under-served populations?  4. What are the opportunities of Integrated Care Systems and Partnerships? As the fledgling bodies are brought into statutory footing in July 2022, what should the new structures be focusing on? Register for this webinar
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    Development Partnerships, whilst common in other sectors, are rare in the NHS. However, these have proven remarkably successful when they’ve been implemented. HUC, one of the highest performing NHS 111 and GP OOH providers in the country, provides Integrated Urgent and Emergency Care for a population of 3.3M in the East of England. For the past six years HUC has worked in a joint Development Partnership with Content Guru, whose storm® contact centre solution is Europe’s biggest and most advanced cloud-based communications platform. The Development Partnership has jointly adapted Content Guru’s storm platform to meet HUC’s specific and evolving requirements across its service. This has grown to become the exemplar communications model for IUEC in England. It is currently being rolled out across all 16 NHS 111 providers in England. Development Partnerships, whilst common in other sectors, are rare in the NHS. However, these have proven remarkably successful when they’ve been implemented. In this webinar HUC’s CEO and Content Guru’s Head of Healthcare will discuss their journey together, share their key tips for success, and showcase some of the resulting innovations. Register for the webinar.
  3. Content Article
    In this blog for Refinery 29, journalist L'Oréal Blackett discusses the additional risk and associated worries faced by black pregnant women in the UK. With black women four times more likely to die in childbirth than white women, and 40% more likely to suffer a miscarriage, she examines what action the government is taking to improve outcomes for black women and their babies. She speaks to a number of campaigners who highlight the importance of including black women at every stage of research and policy to tackle race-based health inequalities, and who question whether this is being done by the UK government's new Maternity Disparities Taskforce. She also argues that empowering women to make informed, evidence-based decisions is the most effective way to improve maternal safety for black women.
  4. Community Post
    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.
  5. Content Article
    An increasing number of cancer patients are using the internet to better understand their disease and connect with others facing the same challenges. Online cancer communities have developed into resources that highlight new research and evolving treatments. Combined with increasing health literacy and social media, they have enabled some patients to become experts in their cancer. This article in the journal JCO Oncology Practice examines the role of expert patients (e-patients) in advancing cancer medicine, and looks at opportunities available to those who wish to become more involved in research advocacy. The authors found that e-patients play a greater role in their own care and in larger conversations regarding practice, research, and policy. They highlight that clinicians can engage e-patients as partners in cancer care to work together towards improving healthcare access and outcomes for people with cancer.
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    Our societies are currently at a crossroads. Demographic change, growing inequalities, the climate crisis, COVID-19, and the impacts of the war in Ukraine are all having a negative impact on the health and well-being of our societies. These challenges are straining public resources and the social fabric of our communities. How can we overcome these issues and grow stronger in times of crisis?  The early years and later years of life are crucial stages in the life-course. How we approach health and wellbeing during these phases has a direct impact on the long-term resilience of our health systems and our wider societies. We must prioritise health equity and wellbeing among children, youth, families and older people to ensure they have the essential conditions and resources to thrive, setting them up for lifelong health and wellbeing. Alternative economic and care models, such as the Economy of Wellbeing – as well as socially-conscious public and private investments offer the potential to grow stronger and more sustainably out of the current crises. This in-person seminar will gather experts and policy makers to explore the necessary conditions in which all members of society, including young and older people, feel like capable and valued members of their immediate and wider communities. New and innovative approaches and investments will be presented, in the context of current European policy developments, and with a critical focus on their impacts on health equity. Discussions will be centred around the following themes: Securing conditions for health equity and wellbeing in childhood and adolescence in times of uncertainty Prioritising public investments for healthy and active ageing in the wake of multiple crises Exploring how we can turn our current uncertainties into opportunities for strength, through concepts like the Economy of Wellbeing Sign up for the seminar
  7. Content Article
    Health literacy is about people having enough knowledge, understanding, skills and confidence to use health information, be active partners in their care and navigate health and social care systems. Health literacy levels in the UK are low, with 43% of 16 to 65-year-olds in England struggling with text-based health information and 61% unable to understand health information that includes both text and numbers. This e-learning resource by Health Education England and NHS Scotland aims to help people working in health and social care understand and promote health literacy.
  8. Content Article
    In this article in the journal Public Health, Göran Dahlgren and Margaret Whitehead, the original authors of the Dahlgren and Whitehead model of the main determinants of health, sometimes known as ‘The Rainbow Model', reflect on how the model has been used over the past thirty years. They tell the story of the model’s journey from initial rejection to worldwide acclaim, and reflect on why it has proved illuminating in many different settings. The authors also outline how they use the model with the complementary Diderichsen Framework to explain the how the known determinants of health bring about health inequalities. They then discuss what else needs to be done to gain insight and take action on determinants of health and growing inequalities in the post-pandemic world.
  9. Content Article
    Making it Real is a framework for how to do personalised care and support for people who work in and access health, adult social care and housing services.  The framework is built around six themes that support co-production between people, commissioners and providers: Wellbeing and independence Information and advice Active and supportive communities Flexible and integrated care and support When things need to change Workforce
  10. Content Article
    Rebuild General Practice is a campaign that represents GPs from across England, Scotland and Wales, to call for support to address the severe pressures currently faced by primary care. Rebuild GP is calling for Government action on: Recruitment: The UK Government delivering on its commitment of an additional 6,000 GPs in England by 2024 Retention: Tackling the factors driving GPs out of the profession such as burn out Safety: A plan to reduce GP workload and in turn improve patient safety This video shows highlights of a press conference held to launch the campaign. It features accounts from GPs about the pressures they face and how this is affecting staff and patients, as well as a statement from Jeremy Hunt MP, former Health Secretary. Dr Kieran Sharrock, deputy chair of the BMA GP Committee, calls on the Government to work with GPs to find a solution to the issues faced by primary care.
  11. Content Article
    In this episode of the Ipsos Politics & Society Podcast, Kate Duxbury and Anna Quigley from Ipsos, Tim Gardner from The Health Foundation and Dan Wellings from The King’s Fund, discuss public perceptions towards the NHS and Social Care. They discuss: findings from the first results from the Health Foundation and Ipsos Policy Polling Programme. recent findings from the Expectations Tracker, including the public’s current and future expectations of the NHS and Social Care. upcoming findings from the King’s Fund British Social Attitudes survey.
  12. Content Article
    Dr Katherine Henderson is a senior A&E consultant in London and the president of the Royal College of Emergency Medicine. In this article for The Guardian, she describes the deep crisis facing urgent and emergency care in the UK. She describes hospital warnings of dangerous delays that have seen vulnerable patients waiting hours to be seen and admitted to hospital. This is dangerous, frustrating and undignified for patients, but also distressing for staff, who are finding themselves unable to offer the quality of care they want to deliver. Dr Henderson attributes the issues to shortfalls in healthcare staff and hospital beds, but also a lack of capacity in community care that is delaying patients being discharged from hospital. The situation is exacerbated by staff absence due to Covid-19. To tackle the crisis, she calls for clear plan to increase bed capacity and a robust, fully funded long-term workforce plan.
  13. Content Article
    This customisable, educational toolkit published by the Agency for Healthcare Research and Quality (AHRQ) aims to help ICUs reduce rates of central line-associated bloodstream infection (CLABSI) and catheter-associated urinary tract infection (CAUTI). The materials can be used to assess current safety practice, implement new approaches and overcome particular challenges related to CLABSI and CAUTI in ICUs.
  14. Event
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    The Big Conversation will bring people together for a range of interactive discussions, workshops and presentations, giving a space for people to talk through the challenges of the Covid-19 pandemic, explore continuous improvement opportunities and share fresh insights and ideas on how to promote the improvement of health and care for the benefit of everyone, those who experience services and those who provide them. The Big Conversation will take place over two days. You can choose how much or how little you can attend for - feel free to join one session or stay for the whole time. We want to provide a space, time and environment where anyone can share innovative health and care improvements, that is, methods and approaches that have produced real changes for the benefit of enhancing patient and staff experiences, or changes that have improved population health, and or reduced costs. Day 1 will have the look and feel of a “virtual conference” with presentations, health and care improvement case study sessions and skills-building improvement workshops. Day 2 will be shaped around “open conversations” hosted by members of the audience around topics and questions that matter to them. Register now for the NHS Big Conversation. Don’t worry you are not committed to anything formally by clicking and registering, you are just saying you are interested at this point. Once you are registered, we will ask you to agree to us contacting you again. This will allow us to send you an email to confirm we have saved your details correctly and to tell you more about the Big Conversation plans. We will ask you to think about how you might want to become more involved in being part of the Big Conversation and this includes: An opportunity to submit a nomination for the National Improvement Awards To ask if you would like to sign-up to lead or co-lead your own virtual session on the second day of the Big Conversation
  15. Content Article
    This study in JAMA Network Open aimed to investigate whether attention-deficit/hyperactivity disorder (ADHD) is over diagnosed in children and adolescents. The authors reviewed 334 published studies and found convincing evidence that ADHD is over diagnosed. They highlight that the harms associated with ADHD diagnosis may outweigh the benefits, particularly in children and young people with milder symptoms.
  16. Content Article
    The UK Government has announce a statutory public inquiry into the handling of the Covid-19 pandemic - the Hallett inquiry. However, in light of the wide-ranging impact of the pandemic, the inquiry faces a huge task to decide on the highest priority areas for investigation. This long read by Tim Gardner, Senior Policy Fellow at The Health Foundation, aims to examine what the parameters and structure of the UK Covid-19 Inquiry could be, and set out what it might realistically cover.
  17. Content Article
    This study in the British Journal of General Practice aimed to examine trends in prescribing for anxiety in UK primary care between 2003 and 2018. Anxiolytic drugs are a group of medications used to relieve anxiety. The authors analysed data from 2.5 million adults to determine prevalence, incidence rates and treatment duration for prescriptions of any anxiolytic, and also for each drug class. The authors found that, between 2003 and 2018: prevalence of any anxiolytic prescription increased, driven by increases in those starting treatment, rather than more long-term use. incident beta-blocker prescribing increased over the 16 years, whereas incident benzodiazepine prescriptions decreased. long-term prescribing of benzodiazepines declined, yet 44% of prescriptions in 2017 were longer than the recommended four weeks. incident prescriptions in each drug class have risen substantially in young adults in recent years. They conclude that increases in incident prescribing may reflect better detection of anxiety or increasing acceptability of medication. However, they also caution that prescribing approaches may cause unintended harm, as some prescribing is not based on robust evidence of effectiveness and may contradict guidelines. They highlight that there is limited evidence on the overall impact of taking antidepressants long term.
  18. Content Article
    Disease-modifying antirheumatic drugs (DMARDs) are a group of medications commonly used in people with rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis and systemic lupus erythematosus (SLE). They work by work suppressing the body's overactive immune and/or inflammatory systems and take effect over weeks or months. This information guide gives information for patients on conventional and biologic DMARDS, including how they work, the different kinds available and their side effects.
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    Digital technologies are transforming the way in which health and care is delivered. They have played a crucial role in enabling the delivery of services during the pandemic and are set to continue to play a pivotal role in the design, delivery and innovation of health and care going forward. This event will take a deep dive into the practical implementation of digital solutions in health and care. We will explore how data insights and technology are being used to improve care, access and user experience against the backdrop of the impact of Covid-19. Sessions will also provide an opportunity to assess how a range of digital tools from simple to complex can be used to innovate service design, support integration, improve population health management, and reduce health inequalities, touching on implications for staff and patients. Book a ticket
  20. Event
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    This study day from the Royal College of Emergency Medicine will give you the unique opportunity to hear from top national and local public health experts. We will consider how to identify and address inequalities in an emergency department. Gain basic skills in public health advocacy and prepare for your role as agents of change by tackling the major causes of premature death and issues driving the demand across the healthcare system. Learning Objectives Gain a better understanding of the prevention and public health priorities in the context of unplanned emergency care. Develop ideas and showcase projects for local public health activities that align with these priorities. Identify some of the tools to implement public health interventions including through partnership working with other agencies. This event is open to all employment grades, as well as other public health practitioners and specialists. More information and booking
  21. Content Article
    This report by the Royal College of Obstetricians & Gynaecologists (RCOG) examines the real-life impact of long gynaecology waiting lists on women and on the wider health system. It highlights the problems that existed in accessing NHS gynaecology services before the Covid-19 pandemic, and reveals how the situation has become far worse due to the backlog of care: Gynaecology waiting lists across the UK have now reached a combined figure of over 570,000 women across the UK – just over a 60% increase on pre-pandemic levels Gynaecology waiting lists in England have grown the most in percentage terms of all elective specialties The number of women waiting over a year for care in England has increased from 66 before the pandemic to nearly 25,000 RCOG recognises that gynaecology has often been overlooked, and calls for the specialty to be given parity in recovery plans.
  22. Content Article
    This briefing examines the results of a US study which showed that 80% of patients that have an infection from a cardiac implant are not treated according to clinical practice guidelines, increasing their chances of death from infection. When patients with implantable cardiac devices have an infection, current guidelines state that these devices should be removed, however, this did not happen for the majority of the 1,065,549 Medicare patients included in the study that had a cardiac implant infection between 2006 and 2019.
  23. Content Article
    This webpage provides an overview of how human factors affect outcomes in surgical emergencies. It includes: An introduction to human factors Video exploring the case of Elaine Bromiley Explanation of human error and the Swiss Cheese Model Table of factors that reduce human error 'What if?' video showing how simple changes could have resulted in a different outcome in Elaine Bromiley's case Practical tips for managing the paediatric airway in a critically ill child
  24. Content Article
    What Matters to You? (WMTY) is an international person-centred care movement. It is based on the principle that healthcare workers should 'Ask, listen, do', in order to shift the power to the person who knows best about the help or support needed - whether that be the person with a medical issue or the clinicians providing care. WMTY conversations help healthcare teams understand what is “most important” to patients, leading to better care partnerships and improved patient experience. This website contains information about organisations involved in the movement as well as resources to help healthcare professionals and services implement WMTY.
  25. Content Article
    In this blog for NHS Confederation, Kadra Abdinasir talks about how mental health services have failed to engage with young black men, and describes how services need to change to overcome the issue. She argues that delivering effective mental health support for young black men requires a move away from a crisis-driven response, to investment in system-driven, community-based projects. Kadra looks at learning from Shifting the Dial, a three-year programme recently piloted in Birmingham as a response to the growing and unmet needs of young black men aged 16 to 25. A recent report on the project found that most young men involved in Shifting the Dial reported good outcomes related to their wellbeing, confidence, sense of belonging and understanding of mental health.
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