Mark Hughes
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Everything posted by Mark Hughes
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Content Article
This report provides an overview of keynote speeches and panel sessions at the third annual Safety For All Conference at the Royal College of Physicians in London on Tuesday 10 December 2024 The Safety For All campaign is focused on driving improvements in and between healthcare worker safety and patient safety. It seeks to highlight how poor staff safety standards and practice impact adversely on patient safety, and vice versa. The campaign champions the need for a systematic and integrated approach to improve safety for staff and patients across health and social care. Safety For All is jointly coordinated by the Safer Healthcare and Biosafety Network and Patient Safety Learning, supported by Boston Scientific and Stryker. -
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This report presents the first cross-sectional analysis of quality of care and patient safety in the World Health Organization (WHO) European Region. It is based on an analysis of macro-level data from international sources and the results of a WHO survey conducted in 53 Member States. Critical gaps identified include limited implementation of national action plans and policies for quality of care and patient safety and wide variations in indicator outcomes for dimensions of quality of care, health system functions and population health outcomes across the region. -
Content ArticleThis is one of a series of Health Services Safety Investigations Body (HSSIB) reports on the theme of patient safety in mental health inpatient settings. This investigation explored the issue of care of people experiencing mental health problems and includes discussion about suicide, death and sexual safety. The aim of the investigation was to examine the impacts of transition from inpatient children and young people’s mental health services to adult mental health services on people who have experienced it, their families and carers, and on staff involved. The investigation also considered wider system implications regarding the integration of childhood to adulthood transitional services across health, social care and education.
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Content ArticleThis report presents the national state of patient safety in England in 2024. Two years on from their first report, the authors provide an updated analysis of the publicly available data. The report concludes that performance in key areas such as maternity care has deteriorated, requiring urgent attention. This report was produced by Imperial College London's Institute of Global Health Innovation in partnership with the charity Patient Safety Watch.
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Content ArticleWomen’s reproductive health conditions, such as endometriosis, adenomyosis and heavy menstrual bleeding are highly prevalent in the UK. This report looks at the experiences of care women with reproductive conditions get in England. It states that many women find their symptoms dismissed and normalised by those they turn to for help. For some conditions, it highlights that accessing diagnosis and treatment can take years, leaving patients to endure pain that interferes with every aspect of their daily lives, while their conditions worsen.
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Content ArticleThis was a debate in the House of Lords on the 5 December 2024 considering what the review, announced by the Secretary of State for Health and Social Care on 20 November, of the physician associate (PA) and anaesthetist associate (AA) roles will cover and what actions they plan to take in advance of the outcome.
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Content ArticleThis is a brief summary of a Westminster Hall debate in the House of Commons on the 5 December 2024 concerning pelvic mesh and the Independent Medicines and Medical Devices Safety Review (also known as the Cumberlege Review).
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This report highlights the burden of health care-associated infections (HAIs) and antimicrobial resistance (AMR) and the related harm to both patients and health workers in care settings. It also presents an updated global situation analysis of the implementation of infection prevention and control (IPC) programmes at the national and health care facility levels, including a focus on the WHO regions. -
Content ArticleThis is the second in a series of reports by the Health Services Safety Investigations Body (HSSIB) on the theme of healthcare provision in prison. The first investigation focused on the delivery of emergency care. This investigation looks at improving patient safety in relation to continuity of care for patients detained in prison.
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Content ArticleThis report presents the findings of a call for evidence on the statutory duty of candour for healthcare providers, conducted by the Department of Health and Social Care between 16 April and 29 May 2024. In essence, the duty places a direct obligation upon trusts to be open and honest with patients and service users, and their families, when something goes wrong that appears to have caused or could lead to moderate harm or worse in the future (known as a ‘notifiable safety incident’).
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This Safety for All webinar promises to deliver valuable insights into PPE standards and safety protocols that safeguard both healthcare professionals and patients in the operating theatre. This event is designed for perioperative practitioners, safety officers, and all healthcare workers committed to enhancing safety standards in high-risk surgical environments. Attendees will gain practical insights on PPE usage, standards, and quality control directly impacting healthcare safety. The webinar will feature two expert speakers who bring decades of hands-on experience and strategic expertise in PPE and healthcare safety. Dr. Ali Mehdi – Consultant Trauma and Orthopaedic Surgeon, Medical Director at Kent & Canterbury Hospital, and a prominent educator in global safety standards. Edward Curtin, BSc (Hons) – Clinical Theatre Manager, East Kent Hospitals’ Day Surgery Unit, with extensive practical experience in managing operating room safety. Topics to be covered will include: The essential role of PPE in safeguarding healthcare workers and patients Differentiating PPE standards for various perioperative roles Addressing variability in PPE standards and its impact on safety Best practices for PPE usage within surgical settings The session will conclude with a live Q&A, providing you with the opportunity to engage directly with the experts and address any specific questions or concerns you may have regarding PPE standards. Register here. -
Content ArticleThis exploratory investigation by the Healthcare Services Safety Investigations Body (HSSIB) considered the potential of conducting a full investigation into the patient safety risks associated with sexual safety. As part of this work, HSSIB engaged with 20 different stakeholder organisations including national organisations, regulators, universities, royal colleges and professional organisations, national patient advocacy organisations, and independent activist groups. HSSIB found there were many ongoing and new initiatives, such as the NHS sexual safety in healthcare organisational charter, that would take time to develop, embed and reach a mature state to allow evaluation. It concluded that a full HSSIB investigation would therefore offer limited value at this time.
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Content Article
This is letter from #ThereForME calls for an inquiry into the persistent and historical gaps in care for those with ME and Long Covid. It is co-signed by 28 organisations and smaller initiatives and has been sent to the Chair of the Select Committee, Layla Moran MP. Patient Safety Learning are one of the signatories of this letter. -
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In this podcast episode, hosts Liz Jones and Darren Kilroy from RLDatix speak to Helen Hughes from Patient Safety Learning about how people, technology, and healthcare come together to create great experiences and support patient safety. The Connection: Where Tech Meets Humanity in Healthcare, is a podcast series from RLDatix, which explores the intersection of technology and human-centred care with the health and care sector. -
Content ArticleIn this blog the Patient Safety Commissioner for England, Dr Henrietta Hughes, talks about the aims and intentions of her newly published Patient Safety Principles, and how they will help to keep the patient at the heart of everything, with particular reference to equity and addressing healthcare inequalities.
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Content ArticleThe Patient Safety Commissioner for England's Patient Safety Principles are intended to act as a guide for leaders at all levels on how to design and deliver safer care for patients and reduce avoidable harm in a just and learning culture. They are relevant to healthcare providers as well as commissioners, regulators, manufacturers, and the broader supply chain. The principles were developed as one of the Commissioner's statutory duties following a public consultation which received over 800 responses.
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On Wednesday 15 October 2024, the Department of Health and Social Care announced an independent review of patient safety across the health and care landscape in England. This blog sets out Patient Safety Learning’s response to this announcement. -
Content ArticleThis report, commissioned by Alzheimer’s Society from Carnall Farrar, presents the outcomes of a study seeking to quantify the economic burden of dementia. This focuses on looking at how earlier diagnosis and treatment could delay need for more expensive care for some people with Alzheimer’s disease.
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Content ArticleThis report, commissioned by Alzheimer’s Society from Carnall Farrar, presents the outcomes of a study seeking to quantify the economic burden of dementia, using detailed healthcare data to bring new insight into the costs of people with dementia.
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Content ArticleThis report explores attitudes toward dementia, examining how the condition is perceived and understood by society and the stigma that still surrounds the condition. The report delves into the results of an international survey analysed by the London School of Economics and Political Science, consisting of more than 40,000 responses from people living with dementia, carers, health and care practitioners, and the general public from over 166 countries and territories.
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Content ArticleQuality and safety recommendations are made to the healthcare system as a mechanism to drive improvements and/or mitigate an identified patient safety risk. These recommendations are made by many different stakeholders both within the healthcare system and outside of it, and can be directed towards any level of the healthcare system. This report by the Health Services Safety Investigations Body (HSSIB) is the output of work commissioned by the Department of Health and Social Care, which looks at how safety recommendations made to the healthcare system are developed, made and implemented.
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Content Article
In July 2024, the Secretary of State for Health and Social Care commissioned Lord Darzi to conduct an immediate and independent investigation of the NHS. Lord Darzi’s report provides an overview of the current performance of the NHS across England and the challenges facing the healthcare system. Lord Darzi has considered the available data and intelligence to assess: patient access to healthcare the quality of healthcare being provided the overall performance of the health system -
Content ArticleThis investigation by the Health Services Safety Investigations Body (HSSIB) explores the challenges of integrating temporary clinical staff (bank only staff, agency staff and locum doctors) into healthcare providers. Integration is important because temporary staff coming into a new healthcare setting may be unfamiliar with its systems, processes and patient groups, which can pose a risk to patient safety.
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Content ArticleThis is the first in a series of reports by the Health Services Safety Investigations Body on the theme of healthcare provision in prison. This initial investigation focuses on the delivery of emergency care to patients in prison, looking specifically at access to 999 emergency services and the ability of ambulance services to respond to 999 calls.
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Content ArticleIn this episode, Caring Corner speaks to Claire Cox, an experienced nurse of over 25 years who co-founded and chairs the Patient Safety Management Network. Their conversation looks at how the Patient Safety Management Network was created using Appreciative Inquiry at its heart. They also talk about the future of Appreciative Inquiry in patient safety and how the Patient Safety Incident Response Framework (PSIRF) can help to improve organisational culture. Caring Corner is a podcast hosted by Katy Fisher and Kayleigh Barnett sharing real stories of Appreciative inquiry in health and care.
