HelenH

This seems comprehensive. But what are the mechanisms for ensuring that these standards are known, adopted, adhered to? And how are patients informed and engaged? @Steph O'Donohue @Claire Cox How can we find answers to those questions?

Carrie, this is a ghastly experience. And truly shocking to use Covid 19 as an excuse. We will be refocusing our work with Hysteroscopy Action. Have you been in touch with them? They’re amazing and so supportive. Thank you for sharing your experience. @Claire Cox @Steph O'Donohue

@Mary-Jo Patterson and @Jon Holt Hi both, would love it if you can use the hub and this community to engage, support, champion and challenge for patient safety. Please let us know how we can help. Helen

Thanks Sue for your comment and sorry to hear that you’ve had direct personal experience of these issues. I think the saddest part of your response for me was ‘There can be no dissenting, no admission of problems or bad practice and this usually results in the removal of both the person raising concerns and the manager who acknowledged it.’ We are destined to repeat errors and harm patients unless we challenge the status quo. Alarming also what you say about the role and approach of professional bodies. Would you like to share more? You’d be very welcome to contact me direct on this. Maybe that’s something we can explore and highlight on the hub? Thanks again for your insight and comment helen@patientsafetylearning.org

Hi Nik, Thanks for your post. How gruesome, I'm so sorry. We know that many women similarly report this intense pain and just have no idea what they're going to experience when they agree to the procedure. We've been working with the amazing women at Hysteroscopy Action to build on their campaigning to demand safer and pain free care with women being fully informed before they consent. @Claire Cox and I have been a little deflected with the pandemic but we're very keen to re-active our work on this important issue. Thanks for sharing. We must stop this happening. Helen

A truly wonderful initiative ❤️

One of the most powerful responses I’ve heard to the pandemic. Wonderful insight and advice. Thank you, Sally. I’m going to share widely. Helen

Thanks David. I’ve promoted on my FB and LinkedIn accounts too. Hope you’re well and safe. Helen

Think I’d do the same! Need a clinician’s input here @Claire Cox what do you think?

Well said Kathy. Some of this is resourcing but much of this is prioritisation that doesn’t put patient and staff safety as a core purpose. Lessons must be learned

‘There are not any showers for nurses at work.’ Outrageous. We have to care for staff. No staff safety, no patient safety

Great that Royal Free have recognised the necessity of supporting staff at this very difficult time. Wondeful that your skills, energey and compassion are being released to support this. Please do keep us in touch with insights into how its all going. I'm sure there's valuable learning that others can benefit from. Best wishes, Helen

I worry that the new NHSI PS incident framework allows organisations to chose whether they investigate or not. Those with poor safety cultures could chose to avoid proper investigation. No learning and no action will inevitably lead to further harm @Joanne Hughes

There is much that is well intentioned in this framework. I think there is much that will not achieve the aims and may result in serious unintended consequences. I'm drafting a blog to kick off discussion.

James says 'If our understanding of, and our systems for, patient feedback are limited to seeing it simply as data, concerns, compliments, or even stories, then I think we are missing this bigger picture. Feedback is a relationship. It is one way that people receiving a service can express their care, in return, for those who provide it, and for others who will use it. It is an expression of the values of equality and mutuality which lie at the heart of our health service. Our current approaches to patient feedback recognise little of this – and it is time they did.' Absolutely. Completely agree