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HelenH

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Everything posted by HelenH

  1. Community Post
    A very intersyting question from our conference and especially so in the run up to the general election. NHS Providers CEO, Chris Hopson, has today called on all political parties not to use the NHS as a 'political; waepon.' Politicians have a huge impact in a state funded system - from setting priorities, agreeing funding and clearly setting the culture within which everyone works. I wonder whether there has been formal research undertaken on this? Does anyone know - whether in the UK or internationally? A few initial reflections/comments/questions: - Never events are a concept much loved by politicians and leaders as it shows that they are taking things seriously and and can respond to unsafe care with 'something must be done' investsigations. But does this concept help people's understanding of the complexity of care. And indeed, why are some events 'never' and others not? - Politicians vary in their interest and bravery when it comes to patient safety. Jeremey Hunt commisioned some significant inquiries into unsafe care and organisational failure. Will others do so? - What evidence is there of political committment to implement recommendations from multiple reports and inquiries that affect patient safety? From Bristol Heart, Mid Staff, Morecambe Bay, Liverpool Community and many more...can we say that politicians have driven change and improvement? The All Party Parliamentary Group on Patient Safety hasn't been active for a while now. Post election, aren't these issues ones that they should be addressing? Comments/discusison welcome. @Mark Hughes
  2. Community Post
    HI Emma, good luck with your project. Sounds very valuable and please do share with us on the hub when you've completed it. I attended a great PS conference at the Homerton Hospital last week. One of the projects that they outlined involved a thematic analysis of deteriorating patients. They used the findings to restructure the resources of the clinical team and night cover as well as changing communication, improving team work etc. You might find it valuable to review. @linniepontin is the Quality and Safety lead. Linnie, can you help? Helen
  3. Community Post
    @linniepontin Fabulous day at Homerton yesteday. Thanks for inviting me and giving me insight into the great work that's going on. Stephens' suggestions above could be very helpful for you and as you develop better quality data on patient safety eg 'Ward Assurance results, satisfy yourself that where it is possible, they are outcome orientated rather than just focusing on compliance with a process. Look for ways of 'humanising' the data i.e. use a language that identifies the impact on patients and, importantly, use language throughout that will be understood by patients and the public.' What do you think? Helen
  4. Community Post
    Great stuff. @Clive Flashman will be in touch with you to follow up how we can make this happen. @Jon Holtand @Mary-Jo Patterson can you invite other CCG PS Managers onto this discussion forum and we'll use it to kick off a new communiity
  5. Community Post
    Talking with John Holt, PS Mnager at Birmingham and Solihull CCG today. Would it be helpful to set up a CCG PS Mansger community?
  6. Community Post
    Devina outlines the local intelligence networks that she’s set up as accountable officer for controlled drugs in NHSI NW. Providing ideas and evidence for improving patient safety and support to front line staff in a multi organisation setting
  7. Community Post
    Fabulous presentation by Vikki from North Middlesex and @Ben Tipney The Greatix initiative is fantastic! As is your human factors training programme and the excellent ideas and changes have come directly from it. Would love to have a write up on the hub
  8. Community Post
    Fabulous conference. Please share your take away actions and start a discussion
  9. Content Article Comment
    @Samantha Does this automatically get posted to the community for discussion?
  10. Content Article Comment
    Excellent blog, thanks Adam. You absolutely nail it in that it’s not just about knowledge and skills but behaviours and values. @Lesley W and Lubna and I have been working with colleagues at HEE to try and design this into their competency framework - not just for specialist roles in patient safety but for all leaders. To be honest, we’re not getting much traction. It seems to be more about updating the curriculum. Any suggestions as to how to create more influence?
  11. Content Article Comment
    I found this related resource that might be helpful: https://www.gov.uk/drug-safety-update/paraffin-based-skin-emollients-on-dressings-or-clothing-fire-risk
  12. Content Article Comment
    @Clive Flashman I so agree. I also remember this from NPSA days and am absolutely shocked that reports of theatre fires are still increasing. Well done @Kathy Nabbie for sharing your insights, really helpful resources and the disarming video.
  13. Community Post
    Hi Alison, definitely a discussion for you to contribute to! @alisonleary And Elaine Maxwell too. Helen
  14. Community Post
    @Pete Smith We'd be delighted with that prize! Helen
  15. Community Post
    Hello Aine Welcome to the hub. Fantatic that you're on it and great to connect again. You'll have seen the resources in Learn, I know https://www.pslhub.org/learn/patient-engagement/ We're looking forward to meeting up with your collegue, Ray Power, tomorrow at our conference. We'll get him regsistered on the hub too! Helen
  16. Content Article Comment
    Fabulous reflective piece, thanks Lorri.
  17. Community Post
    Hello Jaoine, thank you so much for your post and support. A really good question although I don’t personally know the answer. But let’s hope someone can help you through the hub. I wonder whether Laurie can help you? @Laurence Goldberg FRPharmS
  18. Content Article Comment
    Brilliant artcle but painful to read. I can see why the nurse wants to remain anonymous. The nurse derserves praise for finding the right way to ensure the patient was safe but its clearly tough on the front line. And good on the surgeon for listening and taking action too. I wonder what other nurses would have done?
  19. Content Article Comment
    Briilliant and challenging, thanks Martin. How many investigations would be able to meet this criteria: 'How do I know that I have investigated an incident to allow prevention to occur? Revisit the scenario and see if it could occur again.?' I wonder how much of this insight will be reflected in the new SI framework that is due to be published by NHSI 'soon.' Looking forward to the next blog! @Claire Cox I saw that you've tweeted Martin's blog for wider covergae. Thx
  20. Content Article Comment
    “People shouldn’t need courage to come to work." And when people make courageous decisions for safe care, they are too often not applauded and supported but vilified. Ghastly as when that happend, people just keep their heads down. We can't learn and imporve in that kind of environment. We're going to be publishing some blogs about the courage that staff have had to show. Sadly we think many of these will have to be anoymous. Do you have a story to tell? Please contact me @HelenH or Claire at @Claire Cox
  21. Community Post
    Just ordered your 'The Below Ten Thousand' book. And then the amzing @Claire Cox has shared her copy with me. Great stuff! Can't wait to read. Creating the image. That's a really intesting concept and soemthing we should think about too @Sophie Caswell Really awful that clinicians need to be brave. Think @Claire Cox is developing a blog on courage. Won't it be wonderful when all staff and patients are actively encouraged to identify areas for improvement and new ideas are celebrated , actioned and shared?
  22. Community Post
    Hello everyone, We know there is much learning to be gained from listening to patient and families. This is particularly true when it comes to patient safety. Have you had an experience that you'd like to share with us? Maybe you identified a risk or shared a concern and were listened to and unsafe care was avoided? Maybe you weren't listenied to or you didn't realise what was going on and you or your family member were harmed? How did you find out about the patient safety incident? Was information shared with you that you needed to know? Were you supported? Was there an invetsigation into the incident and were you invited to contributed to it? Were lessona learned and acted upon? Have others learned from this experience, do you know?
  23. Content Article Comment
    And great to be able to share for World Sepsis Day too. Thanks @Ron Daniels
  24. Content Article Comment
    Judy, an excellent article, thank you. A lot of guidance on formal invetstigations in healthcare but not AARs. Such a missed opportunity. Do you think healthcare organisations will share their AARs? It would be fantastic to learn and share from these. Helen
  25. Community Post
    Hi @Ben Tipney, the more I learn about effective safety management systems the more I understand how related everything is! I agree that Professionalising Patient Safety is so vital - having specialist knowledge and capacity to support the design of safer systems, analysing data, improving services and safety and evidencing that change from reporting and shared learning. Expecting over-worked clinicians to report incident and near misses when they don't have the time or confidence that anything will happen with the data will make reporting rates per se an unreliable indicator of safety performance. And with regard to professionalising patient safety, I don't think we have standardised role descriptions, competency frameworks and person specifications for patient safety roles. Or do we? Does anyone know whether these have been developed and if so where these might be?

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