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Claire Cox

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Everything posted by Claire Cox

  1. Content Article
    Isaac Samuels, co-chair of the National Co-production Advisory Group explains how he can be helped to stay out of hospital and Natasha Burberry, Think Local Act Personal policy advisory gives some hard facts and practical advice.
  2. Content Article
    “Words can invite people in, or keep them out”. Listen to this podcast about why language matters and the impact this has on people who access services (5 mins) with Catriona Moore and Sally Percival, hosted by Linda Doherty from Think Local, Act Personal.
  3. Content Article
    How people are treated following their involvement in a workplace accident can have far reaching implications for both the individual and the organisation. This paper, published by Science Direct, examines the impact the use of retributive justice mechanisms within the accident analysis process have on both the individual and the organisation. It analyses the perceptions of those involved in five accidents where retributive justice mechanisms were used. The study of these cases shows retributive justice mechanisms used as part of the accident analysis process negatively impacts three key areas; (1) the mental health of the individual; (2) organisational learning and; (3) organisational performance. The study also illustrates that the language used as part of the accident analysis has a significant impact upon the perception of the process and the willingness to participate. Key points Language influences the perceptions of the accident process. The use of punishment can be harmful to individuals. Punishment does nothing to help achieve future safety. Accident analyses are not independent from the organisation politics.
  4. Content Article
    In the past 15 years, healthcare has focused primarily on building the technical infrastructure for incident reporting systems: online reporting systems, data collection forms, categorisation schemes and analytical tools. These are all important foundations. But this focus on incident data is also the source of many of our current problems with incident reporting: we collect too much and do too little. Learning depends critically on the less visible social processes of inquiry, investigation and improvement that unfold around incidents. Over the next 15 years we must refocus our efforts and develop more sophisticated infrastructures for investigation, learning and sharing, to ensure that safety incidents are routinely transformed into system wide improvements.
  5. Content Article
    The European Medicines Agency (EMA) has published an PDF icon overview of its key recommendations in 2019 on the authorisation and safety monitoring of medicines for human use. Innovative medicines are essential to advancing public health as they bring new opportunities to treat certain diseases. In 2019, EMA recommended 66 medicines for marketing authorisation. Of these, 30 had a new active substance which had never been authorised in the EU before. The infographic includes a selection of medicines that represent significant progress in their therapeutic areas.  Once a medicine is authorised by the European Commission and prescribed to patients, EMA and the EU Member States continuously monitor its quality and benefit-risk balance and take regulatory action when needed. Measures can include a change to the product information, the suspension or withdrawal of a medicine, or a recall of a limited number of batches. An overview of some of the most notable recommendations is also included in the document.
  6. Content Article
    This document records the findings of an online survey sent to 7,106 members of the RCN’s Emergency Care Association network exploring their experiences of corridor care.
  7. Content Article
    World Cancer Day every 4 February is the global uniting initiative led by the Union for International Cancer Control (UICC). By raising worldwide awareness, improving education and catalysing personal, collective and government action, people are working together to reimagine a world where millions of preventable cancer deaths are saved and access to life-saving cancer treatment and care is equal for all – no matter who you are or where you live.  Created in 2000, World Cancer Day has grown into a positive movement for everyone, everywhere to unite under one voice to face one of our greatest challenges in history. Each year, hundreds of activities and events take place around the world, gathering communities, organisations and individuals in schools, businesses, hospitals, marketplaces, parks, community halls, places of worship – in the streets and online – acting as a powerful reminder that we all have a role to play in reducing the global impact of cancer. This year's World Cancer Day's theme, 'I Am and I Will', is all about you and your commitment to act. Through positive actions, together we can reach the target of reducing the number of premature deaths from cancer and noncommunicable diseases by one third by 2030. Talking openly about cancer and our experiences makes a huge difference in increasing understanding, overcoming stigma and reducing fear. This page give you access to numerous stories from around the world from people living with and have experience of living with cancer.
  8. Content Article
    Chemotherapy is strong medicine, so it is safest for people without cancer to avoid direct contact with the drugs. That’s why oncology nurses and doctors wear gloves, goggles, gowns and, sometimes, masks. When the treatment session is over, these items are disposed of in special bags or bins. After each chemotherapy session, the drugs may remain in your body for up to a week. This depends on the type of drugs used. The drugs are then released into urine, faeces and vomit. They could also be passed to other body fluids such as saliva, sweat, semen or vaginal discharge, and breast milk. Some people having chemotherapy worry about the safety of family and friends. There is little risk to visitors, including children, babies and pregnant women, because they aren’t likely to come into contact with any chemotherapy drugs or body fluids. This resource by the Cancer Council advises these safety guidelines to reduce exposure to chemotherapy drugs at home, both for you and your family and friends during the recovery period at home. Safety precautions can vary depending on the drugs you receive, so ask your treatment team about your individual situation.
  9. Content Article
    Philippa Jones, past head of acute oncology, speaks to ecancer at UKONS 2019 in Telford about safety with regards to not only patients, carers and families but also healthcare workers. She explains that measures include appropriate training, qualifications and understanding of treatments so that they can give good advice and support to patients. Philippa highlights some training resources, guidelines and development opportunities for nurses and other healthcare workers.
  10. Content Article
    Delivering world-class cancer research is at the heart of what they do at The Christie. Developing new treatments to improve outcomes for patients is one of their key priorities. They lead research into innovative techniques such as using DNA to personalise treatment and to help people’s immune systems fight cancer and there are more than 650 clinical research studies and trials running at any given time. The Christie have internationally recognised expertise in cancer research. Their research makes a difference for people living with cancer and their friends and families. Cancer research expertise at The Christie includes: running research studies and trials across all types of cancer  delivering the highest quality clinical trials identifying appropriate research participants and involving them in the right research studies providing an excellent service and patient support Watch Professor John Radford's video explaining the importance of research at The Christie Watch Professor John Radford's interview with Sky News, explaining the importance of research at The Christie:
  11. Content Article
    Children with Cancer UK is a charity whose mission is to improve survival rates and the quality of survival in young cancer patients, and to find ways to prevent cancer in the future. They fund groundbreaking research to help children with cancer. They,raise awareness to inspire others to help, and they support families with our welfare projects. In these videos, follow Laraib, an inspiring child diagnosed with acute lymphoblastic leukaemia (ALL), through a 24-hour window into her life. Understand what it means to be a child living with cancer and learn about the vast support network that’s needed to care for those affected by the disease.
  12. Content Article
    This Clinical Knowledge Summary (CKS) topic is based on the National Institute of Health and Care Excellence (NICE) post-traumatic stress disorder guideline. This CKS topic covers the management of children and adults with post-traumatic stress disorder in primary care. It does not cover the management of post-traumatic stress disorder in secondary care; or the management of anxiety, depression, drug or alcohol misuse, dissociative disorders, or adjustment disorders. 'Scenario: Management of adults and children with post-traumatic stress disorder' covers the management of adults and children presenting with post-traumatic stress disorder. It includes guidance on how to manage the person whilst they are waiting to be seen by the specialist and outlines the treatments that may be offered.
  13. Content Article
    Anxiety is a feeling of unease, like a worry or fear, that can be mild or severe. Everyone feels anxious from time to time and it usually passes once the situation is over. It can make our heart race, we might feel sweaty, shaky or short of breath. Anxiety can also cause changes in our behaviour, such as becoming overly careful or avoiding things that trigger anxiety. When anxiety becomes a problem, our worries can be out of proportion with relatively harmless situations. It can feel more intense or overwhelming, and interfere with our everyday lives and relationships. This self help guide, produced by Southern Health and Social Care Trust, explains what anxiety is, why it occurs and how to manage anxiety.
  14. Content Article
    Dr Catherine Oakley speaks to ecancer at the 2019 UKONS meeting in Telford about the recognition of patient symptoms during treatment. She explains some of the issues that patients face during treatment and why they may be hesitant in reporting their symptoms. Dr Oakley states that the Cancer Research UK patient treatment guide, which has been based on the UKONS triage tool can be used to help patients manage their treatments.
  15. Content Article
    The appointment of a Freedom to Speak Up (FTSU) Guardian is a requirement of the NHS Standard Contract in England. The National Guardian’s Office (NGO) provides leadership, support and guidance to FTSU Guardians. Guidance on recording data was originally issued in January 2017 and guardians in trusts and foundation trusts have been asked to provide quarterly reports on the number of cases they have received since April 2017. These quarterly reports have been published on the NGO’s webpages. This end of year report represents a summary and analysis of the second year’s return and compares across the two years for which data is available.  Key findings Between 1 April 2017 and 31 March 2019, 19,331 cases were raised to FTSU Guardians in trusts and foundation trusts. 12,244 cases were raised to FTSU Guardians in trusts and foundation trusts between 1 April 2018 and 31 March 2019. The total number of cases raised in 2018/19 was 73% higher than that raised in the 2017/18 reporting period. The number of cases raised in Q4 of 2018/19 was 38% higher than that raised in Q1 of the same year. In 2018/19: The average number of cases per trust was largest among combined acute and community trusts (an average of 75 cases per trust reported over the year). This is the same trend as was observed in 2017/18. More cases (3,728, 30% of the total) were raised by nurses than other professional groups. 1,491 cases (12%) were raised anonymously, compared to 18% of cases the previous year. 3,523 cases (29%) included an element of patient safety / quality. 4,969 cases (41%) included an element of bullying / harassment. 564 cases (5%) indicated that detriment as a result of speaking up may have been experienced The highest number of cases in a single trust reported over the year was 270. The lowest number of cases reported was 1.
  16. Content Article
    Frailty is increasingly recognised as a critically important policy and quality of care issue in healthcare systems. There is clear evidence that frail older people are at increased risk of acute illness. These heightened risks mean that frailty is associated with high mortality and high healthcare utilisation. It is a key consideration in clinical decision-making. However, frailty is a contested concept, both in definition and measurement terms. Identification of frailty is complex and issues of over-diagnosis and over-treatment are increasingly garnering attention. This report from the New South Wales Agency for Clinical Innovation draws on scientific literature, empirical data and experiential evidence from patients, carers and clinicians regarding over-diagnosis and over-treatment in frail elderly patients. Underlying reasons for over-diagnosis and over-treatment include professional, cultural, organisational, health system, patient and carer and technology issues. A shift towards balanced care that supports realistic expectations and delivery models informed by research, empirical and experiential knowledge is required to address issues related to over-treatment and over-diagnosis.
  17. Content Article
    Every four days a person takes their life in prison, and rising numbers of ‘natural’ and unclassified deaths are too often found to relate to serious failures in healthcare. The lack of government action on official recommendations is leading to preventable deaths. Deaths in prison: A national scandal exposes dangerous, longstanding failures across the prison estate and historically high levels of deaths in custody, and offers unique insight and analysis into findings from 61 prison inquests in England and Wales in 2018 and 2019. The report details repeated safety failures, including mental and physical healthcare, communication systems, emergency responses, and drugs and medication. It also looks at the wider statistics and historic context, showing the repetitive and persistent nature of such failings. The report by INQUEST sets out the following recommendations to improve safety and prevent future deaths: 1. Halt prison building, commit to an immediate reduction in the prison population and divert people away from the criminal justice system. 2. Prison staff, including healthcare staff, require improved training to meet minimum human rights standards to ensure the health, well-being and safety of prisoners. 3. Ensure access to justice for bereaved families through the provision of automatic non-means tested legal aid funding for specialist legal representation to cover preparation and representation at the inquest and other legal processes. Funding should be equivalent to that of the state bodies/public authorities and corporate bodies represented. 4. Establish a ‘National Oversight Mechanism’ – a new and independent body tasked with the duty to collate, analyse and monitor learning and implementation arising out of post death investigations, inquiries and inquests. This body must be accountable to parliament to ensure the advantage of parliamentary oversight and debate. It should provide a role for bereaved families and community groups to voice concerns and provide a mandate for its work. 5. Ensure accountability for institutional failings that lead to deaths in prison. For example, full consideration should be given to prosecutions under the Corporate Manslaughter and Corporate Homicide Act, where ongoing failures are identified and the prison service and health providers have been forewarned. The reintroduction of The Public Authority (Accountability) Bill would also establish a statutory duty of candour on state authorities and officers and private entities.
  18. Community Post
    Great question @Jo Wailling we would love to hear your thoughts on this!
  19. Content Article
    This study covers the world outlook for patient engagement solutions across more than 190 countries. For each year reported, estimates are given for the latent demand, or potential industry earnings (P.I.E.), for the country in question (in millions of U.S. dollars), the percent share the country is of the region, and of the globe. These comparative benchmarks allow the reader to quickly gauge a country vis-à-vis others. 
  20. Content Article
    In this book, you’ll learn the definitions behind the 4-point process of patient activation. It will also share how leading health care organisations and other clients have successfully used the model in a wide range of different initiatives. Along the way, you will gain specific techniques for applying patient activation in your own efforts. In this book, patient activation will refer to a fully integrated system to move from awareness to action.
  21. Content Article
    Organisations around the world are using 'Lean' to redesign care and improve processes in a way that achieves and sustains meaningful results for patients, staff, physicians, and health systems. Lean Hospitals, Third Edition explains how to use the Lean methodology and mindsets to improve safety, quality, access, and morale while reducing costs, increasing capacity, and strengthening the long-term bottom line. This updated edition of a Shingo Research Award recipient begins with an overview of Lean methods. It explains how Lean practices can help reduce various frustrations for caregivers, prevent delays and harm for patients and improve the long-term health of your organisation.
  22. Content Article
    Positive Psychology studies how people are able to perform extraordinarily well in challenging situations. After a dozen years of research in prestigious medical centres, an evidence-based method for applying this science has been developed. That six step program is PROPEL. In this book, you will read stories illustrating the experiences of doctors, nurses and administrators who learned to use PROPEL to transform their professional life (and, for many, their personal life as well). You will learn how they were able to attain remarkable results with their teams, units and clinics: Wait times for chemotherapy infusion reduced 6 hours Staff turnover dropped 80% Paediatric MRI scheduling driven down from 14 weeks to 10 days Bone marrow transplant procedures increased by 50% Emergency department diversion due to psychiatric patient boarding virtually eliminated Patient fall rate cut by 70% Use of agency and travellers nurses abolished Patient satisfaction scores up 50%. The cumulative impact to the bottom line has been calculated to be millions of dollars. The most meaningful measure of PROPEL’s success, however, comes from the thousands of dedicated professionals who have expressed heartfelt gratitude for having learned how to recapture their joy for working in healthcare.
  23. Content Article
    Patient Safety and Healthcare Improvement at a Glance is an overview of healthcare quality written specifically for students and junior doctors and healthcare professionals. It bridges the gap between the practical and the theoretical to ensure the safety and well-being of patients. Featuring essential step-by-step guides to interpreting and managing risk, quality improvement within clinical specialties, and practice development, this highly visual textbook offers preparation for the increased emphasis on patient safety and quality-driven focus in today's healthcare environment. 
  24. Content Article
    Ethical medical treatment is an important aspect of healthcare that is affected by multiple influencing factors in, both private and public, medical organisations. By understanding and adapting the components of the health system to these influencing factors, healthcare can have better outcomes for patients and practitioners. Healthcare Administration for Patient Safety and Engagement provides emerging research on the theoretical and practical aspects of healthcare management for optimal patient care and communication. While highlighting topics, such as clinical communication, ethical dilemmas, and preventive medicine, this book will teach readers about the tools and applications of ethical treatment and hospital behaviour in both private and public medical organisations. This book is a resource for managers and employees of health units, physicians, medical students, psychology and sociology professionals, and researchers seeking current research on healthcare organisation and patient satisfaction.
  25. Content Article
    Safety and Improvement in Primary Care: The Essential Guide is ideal for frontline clinicians, managers and healthcare administrators needing practical guidance on safety and is also highly recommended for improvement advisers, patient safety officers, clinical governance facilitators, risk managers and health services researchers wanting a critical review of theory and evidence. Primary care educators, too, will find much of interest in relation to designing and delivering training to help trainee doctors, established clinicians, managers and other colleagues meet the demands and obligations of specialty training, appraisal and revalidation, routine contractual requirements and continuing professional development. It provides reading for healthcare policy makers seeking implementation evidence on interventions for improving quality and safety at the professional, team and organisational levels. This book offers practical guidance and evidence for a broad range of related improvement methods, concepts and interventions developed and implemented by the NES primary care team, or as a direct result of fruitful partnerships between academic, professional, public or regulatory institutions across the UK and internationally. It is organised into five interlinked parts, each with a number of related chapters. Part I provides an overview from an organisational systems perspective Part II focuses on the role of patients, clinicians and staff Part III is concerned with the role of learning, education and training Part IV outlines human error theory and the types and causes of some common patient safety incidents in primary care, while considering how they may be prevented or related risks mitigated or reduced Part V focuses on outlining the evidence for, and providing good practice guidance on, a wide selection of improvement methods that can be applied by primary care teams.

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Patient Safety Learning is registered as a charity with the Charity Commission Registration number 1180689.

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