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HelenH

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Everything posted by HelenH

  1. Content Article Comment
    Very well made points. I think the new SI framework is indeed intended to address the 'hamster wheel' approach. It would be good to hear from the pilot sites how they've approached the challenges you outline and the approach to taking appropriate action - evaluating and sharing the impact of quality improvements. Would be great to get these on the hub. Will be of interest to you, I'm sure @Jon Holt
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    Thanks @Jon Holt I was really taken by your comment 'I think the idea is that trusts do too many investigations of poor quality with a RCA conveyor belt approach and their should be fewer high quality investigations undertaken by staff with specialist skills. ' Think that resonates with @Claire Cox too. And the opportunity to use insights from near misses/patient feedback/low harm events to lead to improvement. Will be fascinating to hear the outcome of the pilots and how the framework can be implemented so that we maximise the value for learning and action. And of course we'd love to be able to share the (suitably anonymised) learning and action on the hub.
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    I've a meeting scheduled with @cheryl crocker the PS Directors for the AHSNs. I'll raise with her and feedback.
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    Fascinating, I had no idea. And as a Mum of two, shouldn't I have known? Is this Antenatal Perineal Massage recommended practice in the NHS?
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    Hi Kelly, sorry to hear that the ‘you must have been hospitalised’ restrictions are in place
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    Thanks Andrea. Very helpful. We’ll follow up with COVID-19 Multidisciplinary Rehabilitation Workforce Not come across them before
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    @Sally A and others on longcovid support groups are highlighting that they are paying privately to access services as they are not getting referred from the NHS for the support they need. Are there others who have chosen to do this? Surely access to much needed services shouldn’t be dependent on the ability to pay for them?
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    Thank you @Natalie SullivanI wonder what those existing services are? thank you @Dawn Knight Would you kindly update us if you get a response?
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    So much for my blog, I just haven't got round to writing it. Small issue of being distracted by other issues and indeed, Covid. My main concern is that, as I understand it, NHS organisations will assess whether there is value in undertaking an investigation for learning. If they feel that the incident has happened before, and been amply investigated, they may chose to take no action. But how do they know that there's no new learning unless the undertake an investigation? And if there was learning, then was this applied successfully - maybe not if the incident/harm was repeated? The unintended consequence that gives me most concern is the potential impact on patients and family members. If there's harm and yet the organisational response is that no investigation is needed, how will patients and family members feel about this? Will they consider that the Trust has complied with their legal duty of candour? Will they feel that in order to get answers as to what happened and why and to get redress, they need to make a formal complaint? Will they be offered a mediation approach and if so, how will this be informed if there is no investigation? Will this frustrate families into a more litigious approach? It will be very interesting to hear from the pilot Trusts and CCGs as to whether this has been an issue for them. And if so, what their advice would be to NHSE/I? And have patient organisations been engaged for their views? What do others think? Helen
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    Sounds good. I know the timeframe has been put back because of the pandemic. Will be really good to get those networks established. Trust and CCGs?
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    And this got me wondering. Are there national or regional networks of Patient safety managers?
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    Thank you @Jon Holt. Hadn’t realised they were publicly available
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    Hi Mary-Jo, a very good question and I’d very much like to know the answer! These providers are known by some informally, but I don’t think have been reported publicly. Maybe hub members know? @Jon Holt would be able to help on this. @Claire Cox do you know? Let’s see if we can collectively source the information to help Mary-Jo.
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    Thx for your comments. Increasingly others, like yourself, are calling for clinics that takes a more holistic approach regards assessment and subsequent treatment. We’ll be adding our voice to this too
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    Shocking. Thanks for sharing. How can that be properly informed consent?
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    Thanks for your comment. That’s a really strong response from the surgeon and confirms what patients have been saying in the U.K. for years.
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    @Goingviral Thank you, will do, Helen
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    @Goingviral And re Phase 2 of th portal, we've not heard anything. I was talking with colleagues about that yesterday. We're meeting up with Professor Trish Greenhalgh tomorrow and were going to ask whether she knows any more. @Mark Hughes Let's include in the letter too.
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    @Goingviral Thank you so much for your post. That's a sorry tale indeed, all rather confusing and clearly evidences that one of the reasons that the clinics are difficult to find, is that they're just not there! We will take up your suggestion and I will write to Sir Simon Stevens today. Do you have a contact in his office that we can follow up with? @Stephanie O'Donohue Let's look at the other helpful contacts suggested and follow up. Talk tomorrow?
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    @ElspethJ Many thanks. The framework looks really good and we'll add to the hub. There's no mention of an implementation plan with timeline, resources, patient communication and engagement etc. They conclude in their framework : 11. Key First Steps This Framework has been developed to enable organisations to support their planning for recovery and rehabilitation services following the Covid-19 pandemic. We know that there is excellent practice already in place and it is essential to share and build on this across the whole system. A National Advisory Board for Rehabilitation, which will also address the public health aspect of early intervention for prevention will be formed to provide expert advice to the Scottish Government and support leadership in NHS Boards and Integration Authorities. The Scottish Government has appointed a Professional Advisor for Allied Health Professions who will take a leadership and advisory role and will oversee the deployment of the plan across Scotland, feeding back to Ministers and policy colleagues on its implementation. It is anticipated that this work will closely align to existing rehabilitation pathways and strategies and a Once for Scotland Approach will be developed and provide a practical, accessible strategy to deliver quality rehabilitation to everyone who needs it. @Patient Safety Learning Let's add the Scottish framework to the hub and ask on social media (twitter and LinkedIn) what the timescale is for implementation
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    @Aileen I agree with you, it doesn't seem that GPs are getting the information or support they need. By starting this thread we thought that we'd be highlighting where the clinics were. Seems to be more that we're hearing that there aren't clinics being set up and a general confusion as to who is responsible and what action is being taken. We most definitely will use this insight to write to DHSC, NHSE etc
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    @Luke Brown 'Bandage not band aid.' Absolutely
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    Love Claire's 3 things! For me, 1. Physical safety - staff should not be harmed by working in health and social care; whether PPE to prevent Covid 19/HAI, lifting and handling support so staff don't get injured , prevention of burnout through overwork/unsafe staffing levels; sufficient rest time so staff are properly eating and drinking on long shifts etc 2. Safety goals and teamwork - breaking down the professional silos and working in ways that have safety as a common core goal. Everyone can and should contribute to safety with staff supported with skills, training, knowledge and ways of working that promote safety 3. Psychological safety. A just and learning culture must be psychologically safe for staff to speak up for safety, to challenge unsafe care, to call out and address the blame culture and to work in an environment that supports their growth and self esteem. Leaders and organisations providing the space and support for staff to raise difficult issues and demonstrate that the listening leads to action and change (then sharing for wider implementation)
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    'If reporters don’t get any feedback and can’t see any changes made as a result of reporting, they’re going to stop reporting.' The heart of a learning system is acting on staff and patients' insights on what can be improved and what has gone wrong. If reporting doesn't demonstrably lead to lead to improvement, then what's the point? Reporting just becomes part of accountability not learning. How much time and money do we spend on reporting? What's the value if we don't act on this knowledge?
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    @Steve Turner I think you raise important issues. We know well the very visible whistleblowing cases. But the ones that reinforce the power imbalance are more seditious - the quiet underhand reminders that if you speak up you’ll be performance managed; the suggestions that people want team players, not trouble makers; the threat of not getting a deserved reference; that someone will make sure there’s a quiet word spoken; that the organisation is more important than the customers; the banter about ‘not being like us’ etc. So difficult to prove. People shouldn’t have to be brave and take huge personal risks to do the right thing. How do we lift the lid?
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