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HelenH

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Everything posted by HelenH

  1. Community Post
    Key Learning 11: ‘ Had the management focus been upon the question of Why rather than Who, it would have helped to foster a culture where those who have what they believe to be a legitimate patient safety concern feel free to express it through an appropriate channel.’
  2. Community Post
    KL 10: ‘The need for an open culture in which staff understand the importance of incident reporting, confident that all will be dealt with fairly, is one that applies to all NHS organisations. A culture where staff feel the need to keep their heads down has to be addressed.’
  3. Community Post
    Key Learning 9: ‘an apparent reluctance to raise a Datix.. In the best NHS organisations, there should be a high level of incident reporting combined with low levels of harm to patients and risks to patient safety. Datix reports help to identify and address patient safety risks.’
  4. Community Post
    Key Learning 8: ‘There can be particular difficulties for Medical Directors who are in the sometimes awkward position of being part of the overall corporate Trust management, but at the same time seen by their colleagues as one of the consultant medical body’
  5. Community Post
    Key Learning 7: ‘Where concerns and criticisms appear or do turn out to be misguided, NHS leaders must avoid jumping to any conclusion that the individual raising them is simply making trouble.’
  6. Community Post
    Key Learning 6: ‘. However difficult, leaders need the ability to get over whatever personal discomfort they may feel and appreciate the potential value of the advice being offered. If it turns out to be correct, then the matter in question can be addressed and everyone will be better off as a result. NHS leaders need to value those who raise concerns. They also need to be seen to be even-handed in their approach.’
  7. Community Post
    Key learning 5: ‘If clinical leadership is to have any real meaning, senior executives need to allow clinical leaders to be respected participants in the decision- making and management process.’
  8. Community Post
    Key Learning 4: ‘ It is important that the culture of the organisation & the leadership environment & approach allows for individuals to feel comfortable with the various checks and balances operating effectively – such as challenge from their Boards’
  9. Community Post
    Key Learning 3: ‘ It is also important that all NHS organisations are aware of and have implemented the May 2018 Guidance for NHS Boards. This requires them, where concerns raised are wholly or in part about members of the Board, to inform the Trust’s FTSU Guardian in confidence’
  10. Community Post
    Key Learning 2: ‘The approach to FTSU by NHS organisations continues to develop. Those responsible for its operation … may need further support in some important areas. eg understanding the importance of separating FTSU from performance and disciplinary matters’
  11. Community Post
    Key learning 1: ‘Staff who do Speak Up may not always be right, but that should not matter. Important patient safety concerns would be less likely to be raised if staff feared being wrong and facing disciplinary action (or simply being castigatedasatroublemaker)’
  12. Community Post
    Hi Steve, I’ve just finished reading the Exec Summary and have been tweeting the key learnings identified within it. Shocking. I’ll add
  13. Community Post

    Hysteroscopy

    HelenH

    HelenH replied to a topic in Women's health

    It’s very kind of you to share your experience with us. How absolutely awful, it’s shocking to hear. The staff ‘appeared kind and caring’ was such a telling phase. From what you outline, they must have seen how much pain and distress you were in. I agree with you, we must ensure that women are provided with the information and support they need, so that women don’t experience such avoidable pain. The guidance is there, it needs to be followed. Thank you again and sending you my very best wishes. Helen
  14. Community Post
    Thank you. You must be so relieved. It's great to be able to promote a 'good news' outcome.
  15. Community Post
    Thank you so much for posting. I’m so pleased it worked out really well for you and the staff sound fabulous. Have you thought about sharing on CareOpinion too? It’s a great site for giving positive feedback that shared directly with the staff concerned.
  16. Content Article
    In this blog, Patient Safety Learning’s Chief Executive, Helen Hughes, highlights a recent discussion at a meeting of the Patient Safety Management Network about how After Action Reviews (AARs) can help promote learning and patient safety improvement.
  17. Content Article Comment
    Thank you for your comment. It’s a dreadful and upsetting set of circumstances. My husband was recently in hospital and the experience of calls being unattended was routine. This was clearly devastating for the patient, her family and all involved. It reinforces the need for a safety systems approach and sufficient resources to ensure that risks are assessed and managed. There are 50k nursing vacancies in the NHS, this comes with significant safety consequences. I strongly agree with your point of the need to prioritise for acuity and dependency, clearly a huge challenge for the service at the moment.
  18. Content Article
    In this blog Patient Safety Learning’s Chief Executive, Helen Hughes, reflects on her recent experience attending a meeting of the Patient Safety Management Network and hearing about the work of the Quality and Safety Department at the Sussex Community NHS Foundation Trust.
  19. Community Post
    Thank you for posting. I’m really pleased it worked out well for you and your health is good. Such a relief. It would be awful if women are put off having a necessary procedure because of fear of pain. But as you say, the percentage of women who do experience severe pain is very high. I don’t know the evidence base for the Drs statement that women who have an injection have higher pain scores. Does anyone reading this post have more information on this?
  20. Community Post
    Sobering example and very good advice. Would you mind us turning this into a blog? @Patient Safety Learning
  21. Content Article Comment
    David makes a valid point, CEOs must be able to listen to those that raise concerns, staff and patients. And that how issues are raised will be affect this, I’m sure. But we have so much evidence that there is a failure to acknowledge and respond to concerns. We need a culture that celebrates and takes action when people highlight where improvements are needed. Think it’s Appropriate to add one of my favourite Einstein quotes: insanity, doing the same thing over and over again and expecting different results
  22. Community Post
    Hi all, I've a personal experience which I'll share, but it has to be un-attributable. After 5 cancellations of surgery over the last 18 months (partly Covid, partly building maintenance and partly because there were no post surgery ICU beds available), my friend/family member was told that they were being referred to a specialist hospital, relatively nearby. No explanation was given as to whether this was a matter of clinical urgency, capacity or another factor. Within a few weeks, they were phoned up by the specialist hospital and told that the referral should never have been made and they were not accepting it. My friend/family member was then told that they had to go back to the referring hospital, tell them that the referral wasn't being accepted and that the surgery needed to be rescheduled. All of this information was presented in a manner of irritation that the specialist hospital had been inconvenienced. It was also made clear that it was the patients' responsibility to communicate with the referring hospital and 'sort this mess out.' There was no suggestion that my friend/family member's GP might be involved and could/should be able to be supportive, nor was there any indication of what impact this could have on surgery waiting time and her deteriorating health. This may have happened at any time, but we suspect that the huge backlog and capacity constraints have had an impact on the availability of treatment, clinical prioritisation and patient communication. Is this an isolated incident? Please share if you have an experience as a patient or member of staff trying to deliver safe and effective care.
  23. Content Article Comment
    Excellent blog, thanks Becky. A colleague of mine has brought this project to my attention:https://www.visualdx.com/projectimpact/ It’s a Global project with a strong US focus. Many members of the ILDS are contributing to this project https://ilds.org/our-members/ Our Mission Project IMPACT is a global effort brought to you by VisualDx to reduce disparities in medicine and highlight the tools we use to bridge gaps of knowledge and improve care.
  24. Community Post
    Thanks so much for taking time to share your experience. Glad it worked out well for you. That’s an excellent idea, the ‘dry run.’ Is that widely available, I wonder? I’m sure colleagues will let us know!
  25. Community Post
    Thank you for sharing your ghastly experience. It drives us @Patient Safety Learning to support the wonderful campaigners that have been exposing this obscenity, affecting so many women. I hope we can deliver the change needed to stop this. Women should not be exposed to this pain. It’s avoidable. I’m so sorry that you suffered in this way, the pain and the betrayal. Helen
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