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Sam

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  1. News Article
    At-home abortions should be allowed for up to 12 weeks of pregnancy across the UK, according to academics, after a study found they were just as safe and effective as hospital care. A medical abortion involves taking two medications, mifepristone and misoprostol, to end a pregnancy. In 2022, at-home medical abortions were made permanent in England and Wales, after temporary legislation allowed them to take place at home during the pandemic. In Northern Ireland, at-home abortion care is not permitted at any gestation. Despite the World Health Organization (WHO) recommending that early medical abortions can occur safely at home in the first 12 weeks of pregnancy, legislation across England and Wales limits this to 10 weeks. The study, published in BMJ Sexual & Reproductive Health, looked at the outcomes of abortions carried out between 10 and 12 weeks of pregnancy in hospital and at home across NHS Lothian in Scotland, between 2020 and 2025. At-home medical abortions are legal in Scotland up to 12 weeks. During this period, 14,458 referrals were made to the abortion service, and of these 485 women (3.5%) were assessed as being between 10 and 12 weeks of pregnancy either by the date of their last period or by an ultrasound scan. The researchers found that 97% of abortions were successful for both groups of women. They also found cases of serious complications, such as heavy bleeding or infection, one month after the procedure among those who had opted for a medical abortion at home. But despite this, the researchers concluded it was a rare complication among women who are less than 20 weeks pregnant. Read full story Source: The Guardian,
  2. News Article
    Plans for a new NHS “online hospital” service to deliver millions of appointments each year by “digitally connecting patients to specialist clinicians” are set to be unveiled by the prime minister today. The new service will be branded “NHS Online” and be accessible through the NHS App. It is scheduled to go live in 2027 and will deliver “up to 8.5 million extra GP and consultant-led elective services in its first three years”, Sir Keir Starmer is expected to pledge in his speech to the Labour Party conference in Liverpool. NHS England said the increased capacity will help cut demand and reduce waiting times, saying the announcement was “a huge step forward for the NHS”. But experts said that while NHS Online would be “an interesting initiative and helpful for some”, detail was “largely lacking at this stage” and there were “difficult questions” to address about how it would be staffed and funded, and how patients would be passed between digital and physical services. A Number 10 statement said: “Patients will always have the choice between NHS Online and their local hospital. Those who opt in to the service will also access and track prescriptions, be referred for scans and tests, and receive clinical advice on managing their condition – all from the comfort of their own home. Read full story (paywalled) Source: HSJ, 30 September 2025
  3. News Article
    A student described as "traumatised" has been awarded a £26,000 settlement from her former dental practice after alleged negligence led to a severe abscess and a near-sepsis incident. Katelyn De Blick, then 16 and from Keighley, West Yorkshire, sought treatment at her local Skipton Road Mydentist practice in summer 2021 for a cracked tooth. Instead of addressing underlying decay, the tooth was reportedly cleaned and covered with a sealant. Weeks later, Ms De Blick returned to the practice experiencing "severe pain and a swollen jaw." She was diagnosed with a potential infected abscess, given antibiotics, and advised to attend A&E if her condition worsened. As the "throbbing, stabbing" pain and swelling persisted, Katelyn’s mother took her to Airedale General Hospital’s A&E department. There, she was informed that the tooth required immediate removal and that the abscess posed a significant risk of causing sepsis. She subsequently underwent surgery under general anaesthetic at Bradford Royal Infirmary. Medics removed the tooth and drained the abscess externally, leaving her with a "painful" open wound for several weeks and a lasting 50p-sized scar. “The whole experience was traumatic.” After being put in touch with the Dental Law Partnership, which completed further investigations and analysis, it was revealed Katelyn’s dentists failed to diagnose and treat decay for years. The progression of the decay resulted in the infected abscess, the emergency hospital admission and the need for an operation and tooth removal, all of which “could have been easily avoided”. “It was frustrating and devastating to hear that, if they had just taken a few more minutes to clean (the tooth), then I wouldn’t have had to go through all of this,” she said. The Dental Law Partnership took on Katelyn’s case in 2021 and it was successfully settled in January 2025, when she was paid £26,000 in an out-of-court settlement. Read full story Source: The Independent, 22 September 2025
  4. News Article
    The NHS needs to do more to prevent suicides among pregnant women and new mothers, a national audit has recommended. Specialist perinatal mental health teams need to have a leadership role in the care of pregnant women with mental health conditions, the Maternal State of the Nation Report for 2021-23 said. This should include risk assessment, advice and guidance, and rapid onward referral if needed. The report, published this month, also called for all those caring for pregnant women and new mothers to be aware of any known domestic abuse via flags in their records. In the years covered by the report, 13 women were killed by their partner or former partner, six of whom had previously reported domestic abuse. Suicide was the leading cause of death for women between six weeks and a year after the end of their pregnancy. According to the 2021-23 audit, 88 women in Britain and Ireland died by suicide while pregnant or within a year, which was more than 50 per cent higher than in 2017-19. “Women with social and medical complexity require urgent, specialist care and interagency communication to fully appreciate and coordinate all aspects of care,” the report said, highlighting the trauma suffered by the loss of a child, whether through stillbirth, perinatal death or custody proceedings. Read full story (paywalled) Source: HSJ, 16 September 2025
  5. News Article
    A campaign group representing families involved in maternity failures says its members feel “completely betrayed” by the health and social care secretary, and are calling for greater scrutiny of national NHS decisions. The Maternity Safety Alliance includes families from several of the 14 trusts that will feature in the investigation confirmed today, as well as some from Nottingham, which is subject to a separate investigation. The 14 were named today, following Mr Streeting’s announcement of the investigation in June. Some campaigners have welcomed the process, but others remain sceptical and continue to call for a full public inquiry. In a strongly worded statement, the MSA said the terms of the Amos review had not been co-produced with families as promised. They said they were still in the dark about many details. Wes Streeting has not met with them since the investigation was announced, they said, and letters to him have gone unanswered. They said that Promises from Mr Streeting about “co-production” have not been carried through, with no consultation over the make-up of the investigation team, final terms of reference not being shared with families and feedback ignored. Families said they have been “gaslit” by government claims that they have been involved, when their views have in fact not been listened to. Families called for the most serious harms to be focused on, but they feel this has been ignored and there is no mention of deaths caused by negligence in the draft terms seen by the group. Read full story (paywalled) Source: HSJ, 15 September 2025
  6. News Article
    A long-awaited "Hillsborough Law" bill will force public officials to tell the truth during investigations into major disasters. The news has been welcomed by campaigners, who had feared the legislation was going to be watered down. The landmark Public Office (Accountability) Bill will force public bodies to cooperate with investigations into major disasters or potentially face criminal sanctions, as well as provide legal funding to those affected by state-related disasters. Prime Minister Sir Keir Starmer had previously pledged to bring in the law by the 36th anniversary of the tragedy, but Downing Street then said more time was needed to redraft it. The bill will be introduced to Parliament on Tuesday to begin its journey towards becoming law. The government has confirmed a new professional and legal "duty of candour" will be part of the bill, meaning public officials would have to act with honesty and integrity at all times and would face criminal sanctions if they breached it. Margaret Aspinall, whose 18-year-old son James died at Hillsborough, said she was hopeful the new law "will mean no-one will ever have to suffer like we did". The government said the new legislation would "end the culture of cover-ups" and learn lessons from wider disasters including the Grenfell Tower fire and the Post Office Horizon and infected blood scandals. Read full story Source: BBC News, 15 September 2025 Related reading on the hub: Why patient safety demands a Hillsborough Law with a legal duty of candour for all health and care professionals “Accountability is important, but that can only come when you get to the truth.” An interview with Will Powell, father of Robbie
  7. News Article
    A rising number of stroke victims are putting themselves at risk by taking themselves to A&E instead of waiting for an ambulance, a charity has warned. It comes amid concerns about long waits for an ambulance. But stroke patients who seek help via 999 have a better chance of getting specialist help, the Stroke Association said. The charity acknowledged people’s concerns about ambulance wait times, but this is still the “fastest and most efficient way to get the best treatment and care for stroke”. Certain treatments can reduce the risk of death and long-term disability if they are delivered in a timely way. But new analysis from the Stroke Association shows that a stroke patient makes their own way to A&E, instead of arriving by ambulance, every 22 minutes across England, Wales and Northern Ireland. Overall 26.8% of stroke patients – some 23,491 people – reported making their own arrangements to get to the hospital in 2024/25, according to the Sentinel Stroke National Audit Programme. The Stroke Association is encouraging people to call 999 rather than making their own way to A&E, saying this is the fastest way to get specialist stroke treatments. Paramedics know which units are the best for emergency stroke care – which are not available at all hospitals, it added. Read full story Source: The Independent, 11 September 2025
  8. News Article
    The death of a 27-year-old man who killed himself in a hospital toilet after waiting 22 hours to be seen by the mental health team was “contributed to by neglect”, a coroner has ruled. Jamie Pearson was admitted to Blackpool Victoria hospital’s A&E department after taking an overdose of high-strength painkillers on 17 August 2024. An inquest heard that Pearson should have been seen within four hours by mental health specialists but was deemed low risk and was still waiting 22 hours later when he killed himself in a toilet. His mother, Julie Knowles, previously told the Guardian her son was “badly failed and let down” by health professionals. Alan Wilson, the senior coroner for Blackpool and Fylde, concluded on Tuesday that Pearson’s death had been “contributed to by neglect”. He said the cumulative effect of the missed opportunities to provide mental health care “very comfortably” crossed the high threshold required for a finding of neglect. The inquest heard that the hospital was struggling to manage patient levels at the time, with no medical bed available. This meant Pearson was left in a waiting area overnight and into the following day. A communication breakdown meant that plans were not made for mental health specialists to see him as a priority, the coroner was told. Read full story Source: The Guardian, 10 September 2025
  9. News Article
    More than half of women having a baby in Britain now do so with the help of medical intervention, an audit of NHS maternity care has revealed. Of the 592,594 births that took place in 2023, 50.6% involved either a caesarean section or the use of instruments such as forceps or a ventouse suction cup. The increasing regularity of medical intervention is largely down to the sharp rise in caesarean births, in which the baby is delivered during an operation. The proportion of babies born that way across England, Scotland and Wales has risen from 25% in 2015-16 to 38.9% in 2023, according to the National Maternity and Perinatal Audit (NMPA). Dr Shuby Puthussery, an associate professor in maternal and child health at the University of Bedfordshire, said: “It’s worrying that over 50% of births involved medical intervention. But it’s linked to a broader demographic trend. “We see a rather worrying trend of births to [older] women increasing year by year, along with significant increases in factors such as obesity, maternal diabetes and pre-existing medical conditions, leading to more complex medically assisted births, especially among women from ethnic minority groups and those living in poverty.” Better access to antenatal care, especially scans, would help detect problems earlier and reduce the risk of mothers needing medical assistance while in labour, she said. However, Prof Asma Khalil, the vice-president of the Royal College of Obstetricians and Gynaecologists (RCOG), disagreed that a caesarean increases the risk faced by women. “Caesarean births are common and the steady increase isn’t necessarily a cause for concern as long as future services are well-prepared to adapt and ensure they have the right staffing, training and facilities to manage increasingly complex births. “The caesarean birthrate in England has steadily increased over the past decade. One factor in this is the increasing proportion of pregnancies that are complex. “We are seeing national rising rates of obesity and people choosing to have children at a later stage in their life, both of which can increase the chance of complications.” Read full story Source: The Guardian, 11 September 2025
  10. News Article
    Trusts are battling a “blizzard” of new tasks from the centre as officials are “making it up as they go along” in the wake of the 10-Year Health Plan, a chair has complained. Andrew George, chair of Oxleas Foundation Trust, last week told his board he believed some trusts, NHS England and the Department of Health and Social Care were “making it up as they go along to some extent” following major reforms pledged for the health service. He further said that the “earned autonomy” promised to high-performing trusts in the plan was not yet a reality, with organisations being sent a “deluge” of documents to look through in wake of the 10YHP. Professor George said the promise that top trusts would “be left to get on with it to carry on performing highly” did not feel like the current reality. He said: “There’s a deluge of stuff that we are being sent to confirm, to check and to everything else. So at the moment it doesn’t feel like that.” Professor George added: “Stuff that’s happening at pace is therefore coming as a blizzard and is perhaps not as well thought through as it would be more conventionally done." Oxleas chief executive Ify Okocha also echoed these sentiments, criticising the pace at which trusts had been asked to come up with five-year plans, as set out in guidance issued by NHS England. Read full story (paywalled) Source: HSJ, 10 September 2025
  11. Content Article
    The work of health leaders is broadening in scope, scale and urgency to respond to massive global changes and challenges – including risks to safe, accessible and high-quality healthcare, threats to planetary health, crises in workforce resiliency and erosion of public trust and confidence. To address these issues and deliver on other imperatives around equity and inclusive service co-production, health leaders must again fashion a new quality improvement (QI) agenda fit for the times and the future, aligned with the move from digitisation to personalisation. The new era, Health Quality 5.0, must enable and be embedded in an integrated, coordinated and people-centred health system, supported by a learning health system and new QI approaches. This series addresses five big challenges of creating a resilient healthcare system. It Is Time for Health Quality 5.0: Are You Ready? Health Quality 5.0: The Global Health Workforce Crisis – First Things First Health Quality 5.0: What Does Co-Creation Have to Do With It? Health Quality 5.0: The Counterforce in Advancing Integrated Care Health Quality 5.0: Putting Patient Safety Back on the Front Burner
  12. Content Article
    Funding uncertainty and delays risk undermining ICB reforms essential to delivering the NHS 10-Year Plan, writes Kathy McLean in this HSJ article.
  13. News Article
    The expiration of a 2015 federal cybersecurity law could put hospitals and health systems at risk for more cyberattacks, a former FBI leader wrote in Fortune. The Cybersecurity Information Sharing Act of 2015, which lapses 30 September has enabled quick threat-intelligence sharing between government and businesses, including thousands this year alone, preventing “countless” hacks over the past decade, according to the 17 August article by Cynthia Kaiser, former deputy director of the FBI’s cyber department. “If information sharing degrades after CISA 2015’s sunset, hospitals — and all other critical infrastructure — very likely will lose crucial early warnings about ransomware variants and other attack methods,” she wrote. “When a hospital’s systems are threatened, rapid information sharing matters. Minutes count in medical emergencies, and delays can be fatal.” Ms. Kaiser pointed to research from Minneapolis and St. Paul, Minn.-based University of Minnesota that estimated ransomware attacks killed between 42 and 67 Medicare patients from 2016 to 2021. Read full story Source: Becker's Hospital Review, 18 August 2025
  14. Event
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    We know the challenges you face daily on the front line: time-pressured consultations, unreliable technology and the constant drive to give patients better care. The BMJ Future Health conference (6 - 7 November 2025) will provide the practical solutions to overcome these issues. Together with healthcare professionals from across health and social care, we’ll be collaboratively interrogating real problems to help pinpoint solutions that can make the impact that you want to, in your clinical practice and for patients. Register
  15. News Article
    Surgeons at Great Ormond Street Hospital (GOSH) for children were forced to use mobile phone torches during an operation due to a power outage, the NHS’s safety watchdog has found. The leading children’s hospital has faced ongoing concerns over the maintenance of its estate and operating theatres, which have led to water leaks and power outages, according to a report by the Care Quality Commission. The CQC warned of “recurrent” problems, including a power outage during spinal surgery and ventilation failures. Read full story Source: The Guardian, 4 August 2025
  16. News Article
    Charlotte Creevy's son Seth was two weeks old when he stopped breathing and was rushed to intensive care at a London hospital. "What kept going through my mind was, 'Is he going to live or die?'" Charlotte said Seth had contracted three viruses and needed respiratory support. Thankfully Seth recovered and returned home after being treated at the paediatric intensive care unit (PICU) at St Mary's Hospital in Paddington for three weeks in October 2022. Now a "first of its kind" support service by the charity Cosmic is being rolled out at the hospital to help parents like Charlotte cope with the trauma of experiencing their child going into intensive care. "It was awful. I would cry because it was hard not knowing what would happen to Seth," Charlotte added. "I was only two weeks postpartum after an emergency C-section, so I was physically not in a good way anyway." Chief executive of Cosmic, Susannah Forland said "things like the beeping of a fridge can trigger trauma or flashbacks". She added: "The impact can be long-lasting and far-reaching after the families return home. "Our service will bridge the gap between hospital and home, providing a vital safety net during one of the most emotionally vulnerable times in a parent's life." Research at St Mary's Hospital found that early intervention helped reduce symptoms of PTSD and other long-term mental health issues among parents, following their child's discharge from intensive care. After a successful pilot, Cosmic is funding and delivering the post-PICU service on a permanent basis. It involves providing parents with a booklet containing information and coping mechanisms, a follow-up telephone call by trained staff, and ongoing referral for counselling where needed. Read full story Source: BBC News, 5 August 2025 Further reading on hub: How a charity in France is supporting intensive care units: An interview with Anne-Sophie Debue
  17. News Article
    NHS patients from Wales who need knee and hip operations in England face lengthy delays after a health board asked English hospitals to copy Wales' longer waiting times. Powys health board announced the change as it could not afford the cost of how quickly operations over the border were being carried out, but patients have said they were not informed. Mel Wallace, 59, from Howey, Powys, was initially told she would have a 12-month wait for her hip replacement, but now faces another 45-week wait after already waiting 59 weeks. Health board chief executive Hayley Thomas said people in the area "should be treated in the same timeframe as residents of anywhere else in Wales". Read full story Source: BBC News, 4 August 2025
  18. Event
    The The flyer with QR code can also be downloaded from attachment below: QIST 2025 QR.pdf
  19. News Article
    A mum who blames a controversial plastic implant for her crippling pain has blasted the Scottish Government for continuing to use the products. Roseanna Clarkin is one of a number of women who blame mesh products for life-changing complications. In her case, it was used to treat an umbilical hernia in 2015. Three years later, while the Scottish Government banned the use of trans vaginal mesh products, surgical mesh is still used for other procedures. Studies suggest 5 to 20% of hernia operations result in mesh failure. A study in the British Medical Journal, said the rate could be 12 to 30%. Campaigners have been calling for an independent review and patients including Roseanna want a ban on all surgical mesh and fixation devices. Roseanna, 41, of Clydebank, said: “Vaginal mesh is banned but mesh is still used for other procedures. Ultimately, it’s the same mesh that can cause the same problems.” In 2023, then First Minister Humza Yousaf said to suspend the use of hernia mesh would leave some people with limited or no treatment options. Last year, Roseanna was diagnosed with a rectocele – a prolapse of the wall between the rectum and vagina – but was shocked doctors wanted to use mesh. She said: “I was outraged. Mesh has caused ­devastating effects to my life and body. There was no way I was having any more.” Read full story Source: The Sun, 23 July 2025
  20. Content Article
    Operational failures (OFs) in hospital environments pose significant challenges for nurses, affecting patient care, workflow efficiency, and clinical processes. Common OFs include supply chain disruptions, communication breakdowns, and equipment failures. Although OFs are pervasive and frequent, current research primarily focuses on process improvement and employee well-being, neglecting the patient-centric perspective in this discourse. The objective of this study is to explore the impact of OFs on patient well-being through semi-structured interviews conducted with hospital nursing staff. A qualitative and exploratory approach, in accordance with the SRQR guidelines, was employed to ensure methodological rigor and transparency by providing a comprehensive understanding of the phenomenon. This multicenter study was conducted in 23 wards across 5 general hospitals in Belgium. It included in-depth, semi-structured face-to-face interviews with 26 nurses, and 2 group discussions: one with nurse managers (n=6), and another with patients (n=14). Thematic analysis was guided by the Systems Engineering Initiative for Patient Safety (SEIPS) framework to examine how OFs emerge within work systems and affect patients. The results indicate that minor OFs, including short delays in care or small communication lapses, can disrupt the continuity of care, leading to heightened patient stress and dissatisfaction. Conversely, major OFs, such as critical equipment breakdowns or medication errors, pose substantial and widespread risks, negatively impacting both patient experience and safety. Patients’ reactions to such failures depend on the preventability of the error and the severity of its consequences, ranging from understanding to outright anger. The numerous day-to-day problems that nurses encounter due to poorly performing work systems can significantly compromise patient well-being and safety, ultimately affecting patient satisfaction and trust in health care.
  21. Content Article
    ISO 7101:2023 is the inaugural global standard for healthcare quality management. It guides organizations, irrespective of size or structure, in establishing sustainable, high-quality health systems. Emphasising a people centred approach and risk identification, it ensures patient and workforce safety, controlled service delivery, and continuous improvement. Implementation leads to refined healthcare quality, improved patient safety, cost-efficiency, operational effectiveness, and enhanced reputation with expanded market reach. This course is designed to provide participants with a comprehensive understanding of the requirements for healthcare quality management systems. The course covers the key principles of ISO 7101:2023, including the creation of a culture of quality, people centred care, risk identification and management, patient and workforce safety, and continual improvement. Participants will learn how to apply these principles in their healthcare organizations to improve the quality of healthcare delivery and care outcomes. The course is suitable for healthcare professionals, quality managers, and anyone interested in healthcare quality management.
  22. Event
    The WHO Unit of Patient Safety and Quality of Care is pleased to invite you to the upcoming WHO Global Patient Safety webinar on Patient Safety Incident Reporting and Learning Systems. Patient safety incidents occur across all health care settings, yet many remain underreported or insufficiently analysed, limiting opportunities for learning and improvement. Establishing robust Patient Safety Incident Reporting and Learning Systems (PSIRLS) is critical for identifying risks, preventing harm, and fostering a culture of continuous improvement. This webinar will explore key dimensions of PSIRLS, starting with setting up required systems, creating an enabling environment for their operation, and effectively investigating incidents to drive meaningful learning. Through expert insights, country experiences, and interactive discussions, we aim to better understand how to transform incident reporting from a procedural task into a systemic driver of learning and improvement for patient safety and quality of care. Register
  23. News Article
    The hospital which treated a young woman who died unexpectedly four years ago has said her care fell below their usual “high standards” – but the admission is “a complete cop out”, her mother said. Gaia Young, 25, was admitted to University College London Hospital (UCLH) in July 2021 when she was taken ill following a bike ride, and died 17 hours later. Doctors know that Gaia died from a cerebral oedema – a brain swelling – but even after an inquest the underlying cause of her sudden illness remained unexplained. Her mother, Lady Dorit Young, has continued to fight and campaign for the hospital to take accountability for what she says are failings in its care. She described the hospital’s latest statement, a partial apology via a short comment in a news article, as “pathetic”, adding: “It came completely out of the blue. I didn’t even notice it at first, then I was extremely furious. Why, four years after Gaia died, why now? Why did they let us do all this work and fight and push? I think it’s cruel. “They could have done it at court, in the inquest. They could have said it to me in person, but the fact that they put it into a rather unknown publication, it’s very sneaky, it’s pretty shameful. It’s a complete cop out.” The UCLH comment was made in response to an article called “Failing the dead: How medical ignorance is killing Britain’s coroner service”, by journalist Angela Walker in online political magazine The Lead. Read full story Source: Islington Tribune, 14 July 2024 Further reading on the hub: Treated with callous disrespect: A bereaved mother’s tale of institutional apathy from the Coroner Service The hospital told me to GO HOME, but my daughter was critically sick. A bereaved mother’s 11 patient safety lessons
  24. News Article
    The parents of a woman who died after her blood clot was misdiagnosed by someone who she thought was a doctor have called a government-ordered review "a missed opportunity". Marion and Brendan Chesterton have welcomed many of the recommendations in Professor Gillian Leng's review of the role that physician associates (PAs) perform in the NHS, but say "they don't go far enough". Emily, 30, died in November 2022 after suffering a pulmonary embolism. She went to see her GP at a north London surgery twice in the weeks before her death - and on both occasions was seen by a physician associate who missed the blood clot and instead prescribed propranolol for anxiety. The actress from Salford had told her worried parents that she had been seen by a doctor, but she had not. Her father Brendan told Sky News: "If she come out and said I've seen someone called the physician's associate I'm sure we would have insisted that, you know, let's go back and insist that you see a doctor. She never knew." Read full story Source: Sky News, 14 July 2025
  25. News Article
    Nearly a third of U.S. teens are prediabetic, according to new data from the Centers for Disease Control and Prevention. In 2023, a count found that an estimated 8.4 million adolescents between the ages of 12 and 17 – or 32.7 percent – fell into that category. The alarming results are a “wake-up call,” Dr. Christopher Holliday, the agency’s top official in charge of diabetes prevention, said in a statement to ABC News. He said that the risk of type 2 diabetes poses a "significant threat" to young people's health. With prediabetes, a person’s blood sugar levels are higher than normal but not high enough for a type 2 diabetes diagnosis. Having prediabetes increases your risk of developing type 2 diabetes, as well as heart disease and stroke. Diabetes is the seventh leading cause of death in the U.S. Read full story Source: The Independent, 8 July 2025

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