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Found 812 results
  1. Content Article
    In this blog, Laura Green, Consultant Haematologist at NHS Blood and Transplant and Barts Health NHS Trust, describes how a new electronic process to improve the safety of blood transfusions was implemented across all four Barts Health sites. She explains why the new system was needed, outlines the benefits for staff and patients and highlights the role of project governance and staff training in successful implementation.
  2. Content Article
    When healthcare students witness, engage in, or are involved in an adverse event, it often leads to a second victim experience, impacting their mental well-being and influencing their future professional practice. This study aimed to describe the efforts, methods, and outcomes of interventions to help students in healthcare disciplines cope with the emotional experience of being involved in or witnessing a mistake causing harm to a patient during their clerkships or training.
  3. Content Article
    This is part of our series of Patient Safety Spotlight interviews, where we talk to people working for patient safety about their role and what motivates them. Making Families Count is an organisation that offers practical training based on lived experience to healthcare professionals.  Rosi talks to us about how MFC training benefits patient safety and improves the way in which patients and families are involved in incident investigations. She explains how she came to be involved in MFC after the death of her son Nico and outlines the vital importance of seeing patient and family voices as equal to those of people working for healthcare organisations.
  4. Event
    This training will support the development of expert understanding and oversight of systems based patient safety incident response throughout the healthcare system - in line with NHS guidance, based upon national and internationally recognised good practice. This course covers the end-to-end systems-based patient safety incident response based upon the new NHS PSIRF and includes: PSIRF and associated documents (PSIRP, PSII standards) oversight framework effective oversight and supporting processes related to incident response maintaining an open, transparent, and improvement focused culture importance of communication and involvement of those affected (preventing further harm) commissioning and planning of patient safety incident investigations complex investigations spanning different organisational, care setting, and stakeholder boundaries. WHO SHOULD ATTEND Executives, commissioning, & service managers supporting service lead investigator roles. The following only after attending the 2-day systems approach to patient safety incident response: All Executive, Commissioner and Service Leads for investigation; All Lead investigators conducting patient safety incident investigations investigators conducting. Register hub members receive a 20% discount. Email info@pslhub.org for discount code.
  5. Event
    Training to support the development of expertise involving patients, families, carers and staff when things go wrong, in line with NHS guidance, based upon national and internationally recognised good practice. To include the duty of candour and ‘being open’ principles. This course covers the end-to-end systems-based patient safety incident response based upon the new NHS PSIRF and includes: Duty of candour regulations. Being open and apologising when things go wrong. Challenges/complexities associated with cases where there is more than one investigation. Effective communication, including dealing with conflict and difficult conversations. Effective involvement of those affected by a patient safety incident throughout the incident response process to ensure a thorough and richer investigation. Sharing findings. Signposting and support: including loss, trauma and stress. WHO SHOULD ATTEND Lead investigators conducting patient safety incident investigations. Executive and service lead for duty of candour. Executive and service lead for patient safety. Executive and service lead for the supporting response to patient safety incidents. Investigators supporting patient safety incident investigations. Register hub members receive a 20% discount. Email info@pslhub.org for discount code.
  6. Event
    This course will explain and discuss the statutory duty of candour in principle, in practice, and in context, using real examples of good and poor practice. Openness, trust and good communication are at the core of the relationship between health and care professionals and their patients / families. But the duty of candour is widely misunderstood, and often misapplied, which can leave practitioners feeling exposed and patients / families feeling frustrated and, perhaps, push them towards other legal processes to get answers. This course will help attendees to understand the relationship between the statutory and professional duties of candour, in the wider context of the importance of good communication and the reasons why complaints and claims are made. We will look at each element of the legal test for a notifiable safety incident to trigger the duty of candour, and the next steps that are necessary, reflecting in particular on the importance of distinguishing fault and blame as irrelevant to the duty of candour. Examples will be given of regulatory consequences where the duty of candour has not been implemented appropriately and we will discuss the part of the duty of candour that requires an apology to be given, and consider the legal implications of this as well as good practice and examples to avoid where a poor apology has made things worse. WHO SHOULD ATTEND Health and social care professionals, front line practitioners and managers, including those dealing with complaints and claims. KEY LEARNING OBJECTIVES Understanding the importance of communication in a clinical context and the role of the duties of candour. Appreciating the difference between the statutory and professional duties of candour. The key elements of the statutory duty of candour for a notifiable safety incident, and the overarching duty to be open and transparent. Understanding the process when the duty of candour is triggered. Understanding the relationship between the duty of candour and fault / blame / liability. The legal implications of an apology and what makes a good apology. Register hub members receive a 20% discount. Email info@pslhub.org for discount code.
  7. Event
    An all-day immersive learning experience dedicated to enhancing your understanding and practical skills in conducting Mock CQC Inspections. Designed for healthcare professionals, inspectors, and facility managers, this masterclass is your ticket to understanding and navigating the complexities of the CQC inspection process. Navigating the intricate realm of CQC inspections is a vital skill in maintaining and elevating the standards of healthcare. Our all-day masterclass is meticulously crafted to equip participants with both the theoretical knowledge and practical skills needed to conduct insightful and effective Mock CQC Inspections. Invest a day in our masterclass and take a significant step towards excellence in healthcare regulation and quality improvement. It’s more than learning; it’s about crafting excellence in the care you deliver. Who should attend? This masterclass is ideal for healthcare professionals, inspectors, facility managers, and anyone involved in the regulation, management, and continuous improvement of healthcare services. Key learning objectives: The Importance of Inspections: Understand why CQC inspections are vital in ensuring quality and compliance within healthcare settings. The Inspection Process: Gain a comprehensive insight into how CQC inspections are planned, conducted, and followed up. Five Key Questions: Delve into the critical areas of safety, effectiveness, care, responsiveness, and leadership. Types of Inspections: Learn the distinctions between comprehensive and targeted inspections and how to apply them in different scenarios. Identifying & Rectifying Issues: Acquire the skill to detect potential problems and implement corrective actions efficiently. Post-Inspection Protocols: Understand the art of crafting detailed inspection reports and how to set forth clear and actionable improvement recommendations. Register hub members receive a 20% discount. Email info@pslhub.org for discount code.
  8. Event
    This masterclass will focus on developing your role as a SIRO (Senior Information Risk Owner) in health and social care. Key learning objectives: Understanding the role of the Senior Information Risk Owner Identifying Information Risks across the organisation Working with others to mitigate the risk to patients, staff and organization. Confidence that all reasonable technical and organisation measure are in place Giving assurance to the Board that risks have been considered, mitigated or owned Understand the requirements of external confidence that policies, procedures are in place to deal with Data Breaches. Register hub members receive a 20% discount. Email info@pslhub.org for discount code.
  9. Event
    This one day masterclass, facilitated by Glenys Hurt-Robson, Associate Facilitator, The Athena Programme will support you to develop your role and responsibility as a Designated Safeguarding Officer / Designated Safeguarding Lead / Named Professional for safeguarding in your organisation. It will enable you to understand one or both of the Child and Adult abuse investigation processes under Working Together to Safeguard Children (2018) and / or the Care Act 2014. This course will connect emotionally with your safeguarding core. It will stimulate and support you as you reflect on the key responsibilities of the role and how these relate to your organisational context. Against a backdrop of current safeguarding legislation (Children Act 2004, Care Act 2014) it will help you examine your own role and the roles of others in the multi-agency world of protecting and supporting children and adults at risk. The skills and knowledge gained will raise your awareness of current risks and allow you to proactively develop your safeguarding role. The course will assist in building your resilience in dealing with allegations against staff and in-depth understanding of how to protect and support those involved. The content is based on current NHS Intercollegiate Documents - Roles and Competencies for Safeguarding and pitched at NHS level 4 for named professionals. Key learning objectives: To understand the purpose, importance and role of the Designated Safeguarding Officer / Lead for safeguarding children and adults at risk. Explore the emotional impact from the disclosure of abuse. Explore the roles and responsibilities of other Safeguarding partners. Understand how to respond to those who are the subject of concerns or allegations of abuse and identify ways in which the Designated Safeguarding Officer can support staff and work with partners e.g.HR, LADO, DBS. How to manage and support staff through the process of allegations and/or disclosures/whistleblowing. Understand and explore in-depth your organisations safeguarding policies and procedures. Understand how your own values and beliefs can affect your role and responsibilities as a DSO exploring the emotional dimensions of safeguarding work for you and your workforce. Identify and understand the barriers to reporting and effective information sharing. To explore the difficult decisions to be made and the people they need to be made with. Understand how other Safeguarding Arrangements impact on Safeguarding, i.e. MARAC, MAPPA, Prevent Duty, FGM Duty, contextual safeguarding etc. To act as a source of support, advice and expertise within the organisation and liaising with relevant agencies and reviews e.g. SCR’s and SAR’s. Action planning section for development of Designated Safeguarding Officer teams. Register hub members receive a 20% discount. Email info@pslhub.org for discount code.
  10. News Article
    Dental graduates in England could be forced to work in the NHS to help tackle the crisis in access that has left millions struggling to get their teeth repaired. Under the government’s plan they would have to undertake NHS work for “several years” after leaving university or face paying back some of the £200,000 cost of training them. A fall in the number of dentists doing NHS work has helped create “dental deserts”, where patients cannot get treatment, and prompt some people to turn to “DIY dentistry”, including pulling their own teeth out. However, the British Dental Association (BDA), which represents dentists, claimed ministers were seeking to “shackle graduates to a service facing collapse” and said the plan would do little to improve access to NHS care. Victoria Atkins, the health secretary, said: “Taxpayers make a significant investment in training dentists, so it is only right to expect dental graduates to work in the NHS once they’ve completed their training.” Read full story Source: The Guardian, 23 May 2024
  11. Content Article
    The Safe Learning Environment Charter supports the development of positive safety cultures and continuous learning across all learning environments in the NHS. It is underpinned by principles of equality, diversity and inclusion. It has been developed by over 2482 learners, educators and key stakeholders in health education. The Charter was created by NHS England in response to healthcare learners’ feedback on their clinical experiences in maternity services, set out in the Kirkup (2015 and 2022) and Ockenden (2020 and 2022) reports. The Charter is designed for learners and those responsible for supporting placement learning across all learning environments and all professions within them. It is aligned to the NHS People Promise in recognition that learners are vital to the workforce and are included in the promises NHS staff and leaders must all make to each other, to improve everyone’s experience of working in the NHS. The Charter sets out the supportive learning environment required to allow learners to become well-rounded professionals with the right skills and knowledge to provide safe and compassionate care of the highest quality.
  12. Content Article
    Carolyn Cleveland has delivered training on empathy and compassion to healthcare organisations for many years. In this interview, she describes how she came to develop her training approach and outlines how creating a psychologically space environment for individuals to engage with the practice of empathy contributes to safer organisational cultures.
  13. Content Article
    The Royal College of Nursing (RCN) is developing a professional framework for nursing which will encompass the whole nursing workforce, from the nursing support worker through to the consultant nurse. Beyond the point of registration, the work of the registered nurse increases in its complexity, and as part of this framework, the RCN has developed definitions of the levels of nursing practice beyond registration. This webpage provides definitions and standards for enhanced, advanced and consultant levels of nursing. These definitions will help those who aspire to practice at these levels, as well as giving greater clarity to employers and higher education institutions. They can be applied across all fields of nursing and in all settings.
  14. News Article
    NHS England has found that one in five GP surgeries – and more than two-fifths in some regions – were built more than 75 years ago, and is concerned a lack of space will stop it meeting targets to train more GPs, HSJ has learned. An internal NHSE document seen by HSJ reveals a major audit it commissioned in 2019 – but has not made public – found 20 per cent of 8,900 buildings examined were built before 1948. The figure rises to more than 40 per cent of practices in London, HSJ understands. These practices are likely to be in converted houses, normally owned by GP partners, with very limited space and little scope for expansion. The NHSE slides which include the figure warn the “limited [GP] estate” means there is “strain on existing capacity and meeting current training needs is challenging”. HSJ understands officials are concerned poor estates and lack of space will restrict the big expansion of GP training planned under the NHS long-term workforce plan. Other fears relate to poor tech and the shortage of experienced staff to supervise trainees. NHSE said in a statement: “NHS England has asked every ICS to review their infrastructure to assess which buildings they need to expand and reconfigure to manage additional workforce over the next 10 years.” Read full story (paywalled) Source: HSJ, 9 May 2024
  15. Content Article
    This fellowship program from the Patient Safety Movement Foundation offers a unique educational opportunity for healthcare professionals around the world to expand their knowledge in the theory and practice of patient safety. Building on the World Health Organization (WHO) Global Patient Safety Action Plan, the fellowship aims to develop future leaders particularly from lower middle- and middle-income countries. We aim to have learners from all WHO regions as learners on the program and from any profession within or allied to healthcare. The program combines a year-long curriculum developed by patient safety experts in a variety of areas, taught via monthly live virtual classroom sessions. Fellows complete monthly readings on specific topics, actively participate in discussions on the interpretation of theory and methods, and its implication to practice. Fellows submit monthly reflections on their learning as well as a longer reflection at the end of the fellowship. Applied learning is achieved by completing a hands-on improvement project that explores and advances issues of patient safety in each fellow’s respective professional environment. Fellows are encouraged to publish the outcome of their project and present at conferences. Our fellows are driven by a deep passion for patient safety, often sparked by first-hand encounters with patient harm events, and a desire to improve care outcomes in their home communities and workplace settings. They become part of a global social movement for patient and healthcare worker safety. The program consists of 12 sessions that run from will run from January to December 2025. Fellowship applications are accepted from 1 May to 1 August 2024.
  16. Content Article
    The theme of this year's World Hand Hygiene Day—which takes place on 5 May—is 'sharing knowledge'. In this blog, hub topic leader Julie Storr looks at the question of why it's still so important to share knowledge about hand hygiene. She highlights the power of sharing knowledge to save lives, the need to address research gaps and that hand hygiene should be integrated into all aspects of frontline care.  She also shares tools and resources that can be used to help train and equip frontline healthcare professionals.
  17. Content Article
    This framework establishes a standardised approach to the annual appraisal of chairs, including ICB, NHS trust and foundation trust chairs. The appraisal should be a valuable and valued undertaking that provides an honest and objective assessment of a chair’s impact and effectiveness, while enabling potential support and development needs to be recognised and fully considered. The framework is aligned with the NHS Leadership Competency Framework and informed by multi-source feedback. It establishes a standard process, consisting of four key stages, to be applied to the annual appraisal of chairs.
  18. Content Article
    Sheffield Health and Social Care NHS Foundation Trust's (SHSCFT's) Patient and Carer Race Equality Framework (PCREF) aims to help the Trust's staff and communities understand how to have sensitive conversations with patients and carers and to get better information from them. This will mean the Trust is more culturally aware and able to offer culturally appropriate care by understanding the barriers ethnic minority communities face in getting healthcare services for diagnosis and treatment. This video was produced by SHSCFT to help staff, service users and their families understand the importance of sharing information around their ethnicity and protected characteristics.
  19. Content Article
    Sheffield Health and Social Care NHS Foundation Trust's (SHSCFT's) Patient and Carer Race Equality Framework (PCREF) aims to help the Trust's staff and communities understand how to have sensitive conversations with patients and carers and to get better information from them. This will mean the Trust is more culturally aware and able to offer culturally appropriate care by understanding the barriers ethnic minority communities face in getting healthcare services for diagnosis and treatment. This video was produced by SHSCFT to guide staff in having conversations about collecting information on ethnicity from patients and carers.
  20. Content Article
    This blog by Pastest, a provider of medical exam preparation resources, explores how different organisations are developing transformative initiatives to diversify clinical practice. It highlights the results of a global survey that reveals a critical gap in dermatological diagnosis across skin tones and explores the need for a multifaceted approach to anti-racist medicine.
  21. Content Article
    The Patient and Carer Race Equality Framework (PCREF) was a recommendation following the national Mental Health Act Review in 2018. This video by South London and Maudsley NHS Foundation Trust (SLAM) explains PCREF and how it is being applied at the Trust.
  22. Content Article
    This podcast looks at preventing respiratory syncytial virus (RSV) outbreaks within healthcare facilities and strategies to minimise transmission of RSV among healthcare workers and patients during an outbreak. 
  23. News Article
    The amount of time doctors have to spend doing compulsory training will be cut as part of an NHS drive to improve medics’ working lives, the Guardian can reveal. Concern that doctors have too heavy a burden of mandatory training has prompted NHS England to commission a review, which it is expected to announce imminently. It is aimed at reducing the need for doctors to undertake what for some can be up to as many as 33 sessions of training every year, depending on what stage of their career they are at. Each lasts between 30 minutes and several hours and together take about a day to complete. NHS bosses have briefed medical groups and health service care providers on the plan, which they hope will address one of the many frustrations that some doctors – especially recently qualified doctors – have about working in the service, alongside pay, constant pressure and poor working environments. Prof Sir Stephen Powis, NHS England’s national medical director, confirmed the review. “While statutory and mandatory training provides NHS staff with core knowledge and skills that support safe and effective working, we know that needing to repeat the same training courses every year isn’t the best use of a clinician’s time. So it’s right that we look to find ways to cut back on this, while still considering our legal obligations,” he said. “Cutting red tape and ensuring this type of training is only carried out when necessary – for example, when junior doctors move between hospitals – will not only be better for our staff, who will spend less time worrying about training to adhere to legal requirements, but will also benefit patients by freeing up clinicians’ time for care and treatment." Read full story Source: The Guardian, 22 April 2024
  24. News Article
    Trusts and NHS England are failing to prioritise training for senior leaders on listening to whistleblowers — despite repeated findings of serious concerns going unheard — the National Guardian’s Office has said. The Guardian’s Office — set up by the government to ensure whistleblowers and other staff raising concerns are properly listened to — made the claim in its written evidence to an inquiry into NHS leadership, performance, and patient safety. The Commons health and social care committee is considering regulation of NHS leaders and managers, among other issues, including progress made on the 2022 report for ministers by General Sir Gordon Messenger. The NGO’s evidence, published on Wednesday, said: “In our opinion, there has been little progress on recommendations from the Messenger Review to date… “The NGO has developed, in collaboration with [NHSE], three e-learning modules (Speak Up, Listen Up, Follow Up) which are freely available for anyone who works in healthcare. We have recommended to the sector that these modules should be a minimum standard for all staff and be made mandatory. “Although accessible to all, many organisations have not adopted them, and NHS England has not prioritised these across the system.” Read full story Source: HSJ, 18 April 2024
  25. Content Article
    Parkinson’s is the fastest growing neurological condition in the world. It can affect young or old, and in the UK, around 145,000 people are living with the condition. With population growth and ageing, this figure is estimated to increase by 20%, within the next ten years. At the moment, there is no cure for Parkinson’s, but medication plays a vital role in managing symptoms and preventing deterioration. People with Parkinson’s face a number of specific patient safety issues when accessing healthcare including communication difficulties and risks associated with medication delays. In this blog, Patient Safety Learning has pulled together 11 useful resources about Parkinson’s shared on the hub. They include guidance for patients and their families about hospital stays and medication, and awareness-raising resources for healthcare professionals about the patient safety issues people with Parkinson’s face.
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