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Mark Hughes


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About Mark Hughes

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  • Country
    United Kingdom

About me

  • About me
    I am Patient Safety Learning's Business and Policy Manager. Prior to this I worked in a range of different roles for Alzheimer's Society and two Members of Parliament. I have a strong interest in reforming the social care system and improving patient safety.
  • Organisation
    Patient Safety Learning
  • Role
    Business and Policy Manager

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  1. Content Article
    Below is the Department of Health and Social Care’s summary of the responses to the consultation: There were 61 respondents, comprised of 34 organisations and 27 individuals, responded to this consultation. 59% agreed or strongly agreed that the Commissioner should serve a term of 3 years. 64% agreed or strongly agreed that the Commissioner should be eligible for reappointment for an additional term of 3 years and that they may resign or be removed by the Secretary of State. 87% agreed or strongly agreed that the Commissioner should be remunerated. 69% agreed or
  2. Content Article
    The report suggests several measures which could accelerate progress in improving patient safety and encouraging the use of effective improvement strategies: Patient safety research, measurement, and practice improvement should encompass analytical approaches that support learning from how and why things go right, and how to monitor risk without losing sight of the importance of addressing specific adverse events and harms. There is a continuing need for more research to develop the patient safety evidence base, because safety is an important aspect of care for every patient in a
  3. Content Article
    Key findings from this report: Among a sample of records analysed, the most common description of the patient safety concern, in 26.6% of records, was that a patient had either tested positive for Covid-19 or was a person under investigation. Procedural issues with Covid-19 testing represented 13% of records analysed. The results indicate a need to close the loop on critical processes, such as testing, during a public health emergency. The exposure of patients and staff to individuals with positive Covid-19 test results was identified in 18.2% of records analysed. Results i
  4. Content Article
    Following the recent House of Commons debate on the prevention of surgical fires in the NHS, the AfPP is calling for: the Expert Working Group to reconvene and produce guidance on the prevention of surgical fires for review by NHS England. the four recommendations made by the Expert Working Group in their 2020 report to be implemented in both the NHS and the independent sector: Professional associations to explore the value of a national awareness campaign for healthcare professionals. Mandating of surgical perioperative education and training syllabus on surgical
  5. Content Article
    Background A surgical fire is one that occurs in, on or around a patient undergoing a surgical procedure and is an internationally recognised patient safety issue. Although rare, these incidents can cause serious harm to both patients and healthcare professionals and, in some cases, result in life-changing injuries. House of Commons Debate Key points raised in this debate included: There is a discrepancy in how surgical fires are reported, which raises questions about the true numbers of how many of these incidents occur annually in the NHS. Training courses and educ
  6. Content Article
    The Independent Inquiry into the Issues raised by Paterson was prompted by the case of Ian Paterson, a breast surgeon who was convicted of wounding with intent some of the 11,000 patients he treated and jailed for 20 years in 2017. More than 200 patients and family members gave evidence as part of the Inquiry and it is estimated that he could have harmed more than 1000 patients. Its findings and recommendations were set out in a report published on the 4 February 2020. Summary of the Government response to each of the recommendations Recommendation 1 – We recommend that there sho
  7. Content Article
    Background The UK Government committed to establishing a Patient Safety Commissioner for England in the Medicines and Medical Devices Act 2021. The introduction of a Patient Safety Commissioner also acts on the second recommendation of the report of the Independent Medicines and Medical Devices Safety Review (also known as the Cumberlege Review), First Do No Harm, published in July 2020. This was one of a number of recommendations made by the Review after examining the response of the healthcare system in England to the harmful side effects of three medical interventions: hormone preg
  8. Content Article
    In the report the Health and Social Care Select Committee say that the current social care system is “unfair and confusing”. They state that those living with dementia remain unprotected from unlimited costs and that navigating the system is burdensome for those providing support. Key recommendations to improve support for those living with dementia include: Urging the Government to accept the Committee’s recommendation from a previous report in 2020 that social care funding should be increased by an additional £7 billion per year by 2023–24 to cover demographic changes, uplift st
  9. Content Article
    What is an Adjournment Debate? There is a 30-minute Adjournment Debate at the end of each day's sitting of the House of Commons. They provide an opportunity for an individual backbench MP to raise an issue and receive a response from the relevant Minister. Unlike many other debates, these take place without a question which the House of Commons must then make a decision on.[1] NHS Allergy Services In this debate Jon Cruddas MP raised a series of points about improving allergy services in the UK and in support of numerous recommendations made in a recent report by the All-Party Par
  10. Content Article
    The investigation explored: Safety issues associated with the establishment of surgical services in independent hospitals to support the NHS and in particular the specialist services that are in place to deliver patient care. The assessment of patients prior to surgery to identify their risk and suitability for an operation and where it was to be undertaken; this included identification of patients with frail physical states. Key findings included: National and local NHS organisations had limited understanding of independent hospitals’ capabilities. This resulted in
  11. Content Article
    The National patient safety syllabus has five training levels. This page provides access to the first two levels of training. Level 1 - Essentials for patient safety This is the starting point for all NHS staff, and includes sections on: Listening to patients and raising concerns The systems approach to safety, where instead of focusing on the performance of individual members of staff, we try to improve the way we work Avoiding inappropriate blame when things don’t go well Creating a just culture that prioritises safety and is open to learning about risk and