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News Article
A&E overcrowding in UK ‘killing thousands a year’, say doctors
Patient Safety Learning posted a news article in News
Thousands of patients a year are dying because of overcrowding in A&E units in Britain, and more fatalities will follow this winter, emergency care doctors claim. An estimated 4,519 people in England died in 2020-21 as a direct result of people receiving less than ideal care while delayed in A&E waiting to start treatment in the hospital. “To say this figure is shocking is an understatement. Quite simply, crowding kills,” said Dr Adrian Boyle, a vice-president of the Royal College of Emergency Medicine (RCEM). There have also been 709 deaths in Wales and 303 in Scotland so far this year for the same reason, according to a report by the college. Another 566 excess deaths caused by overcrowding occurred in Northern Ireland in 2020-21. The 4,519 in England “may be an underestimate”, it adds. The four figures taken together mean the college has identified at least 6,097 deaths across the four home nations that it believes occurred because overcrowding hampered the person’s treatment. “There’s a lot of human misery behind these figures. It’s uncomfortable and unbearable that people are being put through this. It’s impossible not to feel upset and angry about this,” Boyle said. Read full story Source: The Guardian, 18 November 2021 -
Content ArticleThis report, the eighth MBRRACE-UK annual report of the Confidential Enquiry into Maternal Deaths and Morbidity, includes surveillance data on women who died during or up to one year after pregnancy between 2017 and 2019 in the UK. In addition, it also includes Confidential Enquiries into the care of women who died between 2017 and 2019 in the UK and Ireland from mental health-related causes, venous thromboembolism, homicide and malignancy. The report also includes a Morbidity Confidential Enquiry into the care of women who gave birth aged over 45 years. This report can be read as a single document; each chapter is also designed to be read as a standalone report as, although the whole report is relevant to maternity staff, service providers and policy-makers, there are specific clinicians and service providers for whom only single chapters are pertinent. There are seven different chapters which may be read independently, the topics covered are: 1. Surveillance of maternal deaths 2. Older maternal age (morbidity enquiry) 3. Mental health and multiple adversity 4. Malignancy 5. Venous thromboembolism.
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Content ArticleThe Ipsos Global Health Service Monitor is an annual study that explores the biggest health challenges facing people today and how well-equipped people think their country’s healthcare services are to tackle them. It ran the survey in 30 countries between 30 August and 3 September 2021. The survey found that public perceptions of healthcare services have not been adversely affected by the pandemic, according to our 30-country survey. Britons are generally happy with the quality of healthcare but are acutely aware of the challenges facing healthcare services.
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Content ArticleThis is the recording of a presentation given to the Bristol Patient Safety Conference 2021 by Annie Laverty, Director of Patient Experience and Anna Burhouse, Director of Quality Development at Northumbria Healthcare NHS Foundation Trust. It outlines the Trust's approach to assessing staff satisfaction and wellbeing and developing improvement plans based on feedback from staff. It focuses on the impact of the Covid-19 pandemic and highlights key measures that helped maintain staff wellbeing during the first wave in Spring 2020.
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Content ArticleThis report by the Primary Care Foundation considers the question: 'Is the drive to improve outcomes and the quality of integrated urgent care being compromised by poor data quality?' The report highlights that monitoring the performance of NHS contracts is vital to allow commissioners to understand and compare the effectiveness of services, and that this monitoring cannot occur without accurate data. The authors conducted a detailed study of current data before exploring how issues in the system might be overcome. The report aims to build consensus for change within the urgent care sector.
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Content ArticleIn this blog for The BMJ, several doctors who are experiencing long term impacts of Covid-19 share their report of a meeting with the World Health Organization's Covid-19 response team in August 2020. They highlighted the importance of patient-led research and and engaging with patients with Long Covid.
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Content ArticleNursing is a predominantly female profession, yet sex and gender bias is rife. In a remarkably candid conversation, feminist writer Caroline Criado Perez, author of ‘Invisible Women: Exposing Data Bias in a World Designed for Men’, talks about how health care and health care research fails women, how changes are needed for women experiencing miscarriage – and what it means when medicine treats the female body as atypical and niche. Nursing Matters is presented by PNC Chair Rachel Hollis and PNC member Alison Leary. For this episode they are also joined by RCN member Leanne Patrick, who works in services for women experiencing gender-based violence and tweets on behalf of the RCN Feminist Network.
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News ArticlePolice forces will be able to “strong-arm” NHS bodies into handing over confidential patient data under planned laws that have sparked fury from doctors’ groups and the UK’s medical watchdog. Ministers are planning new powers for police forces that would “set aside” the existing duty of confidentiality that applies to patient data held by the NHS and will instead require NHS organisations to hand over data police say they need to prevent serious violence. Last week, England’s national data guardian, Dr Nicola Byrne, told The Independent she had serious concerns about the impact of the legislation going through parliament, and warned that the case for introducing the sweeping powers had not been made. Now the UK’s medical watchdog, the General Medical Council (GMC), has also criticised the new law, proposals for which are contained in the Police, Crime and Sentencing Bill, warning it fails to protect patients’ sensitive information and could disproportionately hit some groups and worsen inequalities. Read full story Source: The Independent, 18 October 2021
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Content ArticleToo often in healthcare, when effective solutions to prevent avoidable harm are found, there is a lack of means to share these more widely. This gap between learning and implementation means that while we may we know what improves patient safety, this information can often remain siloed in specific organisations and health care systems. This results in patients continuing to experience harm from problems that have already been addressed by others. This article published in the Journal of Patient Safety and Risk Management describes how the charity Patient Safety Learning created the hub, a platform to encourage and support shared learning for patient safety. Designed by and for patient safety professionals, clinicians and patients, the hub offers a powerful combination of tools, resources, stories, ideas, case studies and good practice to anyone who wants to make care safer for patients.
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Content ArticleMBRRACE-UK is commissioned by the Healthcare Quality Improvement Partnership (HQIP) to undertake the Maternal, Newborn and Infant Clinical Outcome Review Programme (MNI-CORP). The aims of the MNI-CORP are to collect, analyse and report national surveillance data and conduct national confidential enquiries in order to stimulate and evaluate improvements in health care for mothers and babies. This report focuses on the surveillance of perinatal deaths from 22+0 weeks gestational age (including late fetal losses, stillbirths, and neonatal deaths) of babies born between 1st January and 31st December 2019.
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Content ArticleLegal expert David Reissner runs through new guidance recommending the appointment of Caldicott Guardians, who are responsible for advising organisations on the ways they hold and process confidential patient information.
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News Article
Plans to hand over NHS data to police sparks warning from government adviser
Patient Safety Learning posted a news article in News
Plans to force the NHS to share confidential data with police across England are “very problematic” and could see patients giving false information to GPs, the government’s data watchdog has warned. In her first interview, Dr Nicola Byrne, the national data guardian for England told The Independent she has serious concerns over Home Office plans to impose a responsibility on the NHS to share patient data with police which she said “sets aside” the duty of confidentiality for clinicians. She also warned that emergency powers brought in to allow the sharing of data to help tackle the spread of Covid-19 could not run on indefinitely after they were extended to March 2022. She also told The Independent she had raised concerns with the government over clauses in the Police, Crime, Sentencing and Courts Bill which is going through the House of Lords later this month. The legislation could impose NHS bodies to disclose private patient data to police to prevent serious violence and crucially sets aside a duty of confidentiality on clinicians collecting information when providing care. Dr Byrne said doing so could “erode trust and confidence, and deter people from sharing information and even from presenting for clinical care”. She added that it was not clear what exact information would be covered by the bill: “The case isn’t made why as to why that is necessary. These things need to be debated openly and in public.” Read full story Source: The Independent, 10 October 2021 -
Content ArticleNuffield Trust analysis of data to look at how the cost of the maintenance backlog in the English NHS has changed over the years, with the latest rise in the costs of necessary repairs and maintenance in the health service making it an even more pressing factor in calculations ahead of the Spending Review.
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Content ArticleThis report by Charles River Laboratories looks at the results of a survey of more than 1,500 Americans conducted in May 2021 by The Harris Poll. The survey showed that 64% respondents believed that closer collaboration between industry organisations would lead to higher quality healthcare. The report contains data on: patient views about the state of the US healthcare system how much patients know about drug and vaccine development processes patient attitudes towards the US Food & Drugs Administration (FDA) how the COVID-19 pandemic has increased collaboration in healthcare.
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News Article
New NRLS national patient safety incident reports commentary released
Clive Flashman posted a news article in News
New commentary interprets the data published in the national patient safety incident reports (NaPSIR) for England in September 2021. Access the commentary here (PDF, 20 pages) -
News Article
NHS needs to ‘radically simplify’ data sharing rules, says tech chief
Patient Safety Learning posted a news article in News
A national tech chief has called for a ‘radical simplification’ of the way in which NHS patients can opt out of having their data shared. NHSX chief executive Matthew Gould today said the current system was “overly complicated” with “too many different opt out mechanisms” and it needs to be made “super simple” for the public. His comments come as NHSX, NHS Digital and the Department of Health and Social Care are working on the much-delayed and controversial GP data-sharing programme. The scheme was paused indefinitely this summer after backlash from GPs and campaigners. Speaking at the Healthcare Excellence Through Technology conference, Mr Gould said the NHS had a “rich history of misfiring” on getting the public’s trust for data-sharing projects, which included the recent furore around the paused General Practice Data for Planning and Research. He said: “Where we are at the moment is an overcomplicated overlap of too many different opt out mechanisms and we’re trying to work out how to radically simplify this." Read full story (paywalled) Source: HSJ, 28 September 2021 -
Content Article
Patient safety is fundamental to the delivery and outcomes of effective health care. But what happens when things go wrong? What can we learn from the data and how does nursing ensure effective incident reporting takes place to protect patients and staff? Chair of Patient Safety Learning and Datix expert Jonathan Hazan joins us to discuss how data is key to patient safety and the importance of a just culture in health care. Nursing Matters is presented by PNC Chair Rachel Hollis and PNC member Alison Leary. -
Content ArticleThe Children and young people with Long COVID (CLoCk) study is the largest study to date of children and young people in the world. It aims to describe how children and young people are affected by post-COVID physical symptoms and mental health problems and to identify those most at risk. The CLoCk study is led by UCL and Public Health England and involves collaboration with researchers at the universities of Edinburgh, Bristol, Oxford, Cambridge, Liverpool, Leicester, Manchester as well as King’s College London, Imperial College London, Public Health England, Great Ormond Street Hospital and University College London Hospitals (UCLH).
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News ArticleLife expectancy in England has fallen to its lowest level since 2011, a Public Health England (PHE) report has said. Deaths were 1.4 times higher than expected between 21 March 2020 and 2 July 2021, according to the report’s findings. The increase, largely driven by the pandemic the report said, resulted in a life expectancy decrease of 1.3 years in males, to 78.7, and a 0.9 year decrease in females, to 82.7 years - the lowest life expectancy since 2011. Life expectancy inequality is also widening between people in the most and least deprived areas. The gap in male life expectancy between the most and least deprived areas in England is 10.3 years in 2020, which is a year higher than the 2019 level. Similarly for females, this same gap was 8.3 years in 2020, 0.6 years greater than in 2019. The PHE report said the inequality gap reached its highest since it began recording data on deprivation linked life expectancy over two decades ago. Its report stated: “This demonstrates that the pandemic has exacerbated existing inequalities in life expectancy by deprivation. Read full story Source: The Independent, 16 September 2021
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Content ArticleIn this study, published in the Journal of Patient Safety and Risk Management, the authors explore and compare types and longitudinal trends of hospital adverse events in Norway and Sweden in the years 2013-2018 with special reference to the adverse events that contributed to death. They found that 13.2% of hospital admissions in Norway and 13.1% in Sweden were associated with an adverse event, with 0.23% of admissions in Norway and 0.26% in Sweden associated with an adverse event that contributed to death. In addition to the similar rates in adverse events between the two countries, the authors also found that there was no significant change in the level adverse events or fatal adverse events in either country over the six-year time period.
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News Article
NHS Digital receive approval for the pathology information standards
Patient-Safety-Learning posted a news article in News
In a positive step towards the future of pathology, NHS Digital has received approval from the Data Alliance Partnership Board (DAPB) for a new set of pathology information standards, and as part of NHS England CCIO7 workstreams, NHS Digital are delivering the ability to share pathology results across health and care. This move will enable clinicians to share and access critical information about pathology tests and results and receive the right information when they need it, which will help support improved clinical decision making and patient safety. Read full story. Source: Wired Gov, 19 August 2021 -
Content Article
NHS England Clinical Audit webpage
Patient-Safety-Learning posted an article in Clinical governance and audits
This webpage contains information about local and national clinical audits including: The National Clinical Audit and Patient Outcomes Programme (NCAPOP) National Quality Improvement and Clinical Audit Network (NQICAN). -
Content ArticleThis research focused on the Clinical pharmacist (CP) interventions from the PROTECTED-UK cohort. Data was collected from 21 adult critical care units over 14 days and interventions were catergorised as an error, optimisation or consults, with pharmacy service demographics also being collected by investigator survey.
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Content Article
Health equity resource series
PatientSafetyLearning Team posted an article in Health inequalities
To support hospitals and health systems starting from different points on their journey to strengthen health equity, the American Health Association's Institute for Diversity and Health Equity (IFDHE) is preparing four new guidance and resource toolkits to share evidence-based practices to inform organisational next steps. -
Content ArticleThis research focuses on patient advocacy from a nursing perspective. In this qualitative study,15 clinical nurses working in intensive care units (ICUs), coronary care units (CCUs), and emergency units were interviewed regarding patient advocacy with data analysed using content analysis. After data analysis was performed, results showed that patient advocacy consisted of the two themes of empathy with the patient and protecting the patients.
