Jump to content

Search the hub

Showing results for tags 'Doctor'.

More search options

  • Search By Tags

    Start to type the tag you want to use, then select from the list.

  • Search By Author

Content Type


Forums

  • All
    • Commissioning, service provision and innovation in health and care
    • Coronavirus (COVID-19)
    • Culture
    • Improving patient safety
    • Investigations, risk management and legal issues
    • Leadership for patient safety
    • Organisations linked to patient safety (UK and beyond)
    • Patient engagement
    • Patient safety in health and care
    • Patient Safety Learning
    • Professionalising patient safety
    • Research, data and insight
    • Miscellaneous

Categories

  • Commissioning, service provision and innovation in health and care
    • Commissioning and funding patient safety
    • Digital health and care service provision
    • Health records and plans
    • Innovation programmes in health and care
    • Climate change/sustainability
  • Coronavirus (COVID-19)
    • Blogs
    • Data, research and statistics
    • Frontline insights during the pandemic
    • Good practice and useful resources
    • Guidance
    • Mental health
    • Exit strategies
    • Patient recovery
    • Questions around Government governance
  • Culture
    • Bullying and fear
    • Good practice
    • Occupational health and safety
    • Safety culture programmes
    • Second victim
    • Speak Up Guardians
    • Staff safety
    • Whistle blowing
  • Improving patient safety
    • Clinical governance and audits
    • Design for safety
    • Disasters averted/near misses
    • Equipment and facilities
    • Error traps
    • Health inequalities
    • Human factors (improving human performance in care delivery)
    • Improving systems of care
    • Implementation of improvements
    • International development and humanitarian
    • Safety stories
    • Stories from the front line
    • Workforce and resources
  • Investigations, risk management and legal issues
    • Investigations and complaints
    • Risk management and legal issues
  • Leadership for patient safety
    • Business case for patient safety
    • Boards
    • Clinical leadership
    • Exec teams
    • Inquiries
    • International reports
    • National/Governmental
    • Patient Safety Commissioner
    • Quality and safety reports
    • Techniques
    • Other
  • Organisations linked to patient safety (UK and beyond)
    • Government and ALB direction and guidance
    • International patient safety
    • Regulators and their regulations
  • Patient engagement
    • Consent and privacy
    • Harmed care patient pathways/post-incident pathways
    • How to engage for patient safety
    • Keeping patients safe
    • Patient-centred care
    • Patient stories
  • Patient safety in health and care
    • Care settings
    • Conditions
    • Diagnosis
    • High risk areas
    • Learning disabilities
    • Medication
    • Mental health
    • Men's health
    • Patient management
    • Social care
    • Transitions of care
    • Women's health
  • Patient Safety Learning
    • Patient Safety Learning campaigns
    • Patient Safety Learning documents
    • Patient Safety Learning news archive
    • 2-minute Tuesdays
    • Patient Safety Learning Annual Conference 2019
    • Patient Safety Learning Annual Conference 2018
    • Patient Safety Learning Awards 2019
    • Patient Safety Learning Interviews
    • Patient Safety Learning webinars
  • Professionalising patient safety
    • Accreditation for patient safety
    • Competency framework
    • Medical students
    • Patient safety standards
    • Training
  • Research, data and insight
    • Data and insight
    • Research
  • Miscellaneous

News

  • News

Find results in...

Find results that contain...


Date Created

  • Start
    End

Last updated

  • Start
    End

Filter by number of...

Joined

  • Start

    End

Group

First name

Last name

Country

Join a private group (if appropriate)

About me

Organisation

Role

Found 395 results
  1. Content Article
    "Many years ago I argued that there is a bogus contract between doctors and patients.1 Patients have an exaggerated idea of how much doctors can heal them, while doctors are painfully conscious of their limited powers. Doctors are reluctant to be fully honest about their limitations, partly worrying that their therapeutic potential might be reduced, but also perhaps worrying about loss of status, salary, and even power. For patients it's satisfying to think that doctors can fix whatever is wrong with you, meaning the bogus contract continues. But I see signs of it cracking. It's time for patients to 'take back control,' recognising that those with the power—doctors in this case, although they may not choose to acknowledge it—rarely give it up without a struggle."
  2. Content Article
  3. Content Article
  4. Content Article
  5. Content Article
    Key recommendations Democratising access Governments should: Fund annual medicine reviews to help people with chronic conditions with decision making and any identified gaps in care, and report on the number of medicine reviews conducted every year across different demographic groups. Prevent co-payments from causing a barrier to adherence, as evidence shows they can hinder people from taking prescribed medication. Invest in HCP training programmes on behaviour change to supply workers with the requisite skills and knowledge to support adherence to medication regimes and lifestyle behaviour programmes. Universities should: Ensure that undergraduate curricula for all HCPs include an adherence topic that communicates the importance of adherence for the health outcomes of individuals, and helps HCPs to implement effective behaviour change methods. Inspiring and engaging Governments should: Promote and prioritise adherence as an effective disease management tool, by including it in national chronic disease strategies; for example, those for CVD, osteoporosis and diabetes. Set metrics for acceptable adherence rates, and measure and report on adherence rates for chronic conditions, including CVD, diabetes and osteoporosis, at a national (or subnational) level. Establish behavioural insight teams with a focus on health, and research the effect of using different incentives to encourage people with chronic conditions to adhere to medications and lifestyle changes. Expand the role of pharmacists, with concomitant resources and funding, to allow these professionals to support adherence, monitor for signs of non-adherence and conduct medicine reviews. WHO should: Publish annual adherence rate results, with comparisons between countries. Providers should: Use learnings from the research on the different adherence trajectories for different groups with chronic conditions to develop tailored interventions for people at greater risk of non-adherence. Explore using the COM-B model to develop interventions that support individuals to adhere to their medical directions. Better use of technology Governments should: Invest in research to test how technology, including wearables, can improve adherence. Invest in the collection and management of electronic health records, including supporting deidentified assessments of patterns of use and care. Ensure that people with chronic conditions can view their health records easily and that records incorporate information and advice to be used as a tool to help with medication adherence and management. Healthcare providers should: Build on the increased use of online consulting during the pandemic to deliver more regular virtual follow-up reviews to check medication adherence and management.
  6. Content Article
  7. Content Article
  8. Content Article
  9. Content Article
    "Patients are my top priority. Purposefully, this plan is ‘Our plan for patients’. The NHS has rightly been recognised with the award of the George Cross and the admiration of the British people, particularly for getting us through COVID-19. Most of the time, patients have a great experience, but we will not paper over the problems that we face. Some of our challenges have been exacerbated by the pandemic, and we expect backlogs to rise before they fall as more patients come forward for diagnosis and treatment. As we face these immense challenges, I am determined to be the champion of the patient and focus the NHS and social care on how best to deliver for them. My approach is to trust and empower to deliver. I will be proactive, not prescriptive, with a relentless focus on measures that affect most people’s experiences of the NHS and social care. This could be putting more information at the fingertips of patients or freeing up the time of clinicians. We have listened and we are responding by removing various reasons that healthcare professionals say are holding them back from what they do best: caring for patients. This plan sets out a range of measures to help the NHS and social care perform at their best for patients. To succeed, we need a national endeavour. That could involve clinicians who have retired to return to work or opening up opportunities for the million people who volunteered to help during the pandemic, like becoming community first responders or Good Neighbour Scheme leaders. Our plan will sit alongside the NHS Long Term Plan, the forthcoming workforce plan, and our plans to reform adult social care. It shows the concrete steps we are taking across several areas that matter to patients and people who draw on care and support, like creating more appointments in general practice, and getting more staff on the frontline. This plan is a first step on an important journey. It clearly shows our commitment to putting patients first; using insights from data to deliver better services across the country. While we are not being prescriptive, we will share best practice in order to improve outcomes for patients. The data shows that sadly there is too much variation in the care people receive – dental deserts; discharge delays; ambulance delays. I will endeavour, through a powerful partnership with the NHS and local authorities, to level-up and match the expectations that the public rightly have. Whether you live in a city or a town, in the country or on the coast, this government will be on your side when you need care the most." Rt Hon Thérèse Coffey MP Secretary of State for Health and Social Care
  10. Content Article
  11. Content Article
  12. Content Article
  13. Content Article
  14. Content Article
    The study found that among doctors in private practice in Victoria, 20.5% experienced at least one complaint over the decade. Among doctors who were the subject of a complaint, 4.5% had four or more complaints, and this group accounted for 17.6% of all complaints to the Victorian Health Services Commissioner. Multivariate analyses showed that surgeons and psychiatrists had higher odds of being in the complaint-prone group than general practitioners. Doctors trained overseas had lower odds of being complaint-prone than those trained in Australia. Interventions to improve patient satisfaction and public confidence in health services should target complaint-prone subgroups of practitioners.
  15. Content Article
  16. Content Article
  17. News Article
    Guidance from NHS England that doctors may lawfully use video assessments during the pandemic to decide whether patients should be detained in hospital under the Mental Health Act was wrong, two High Court judges have ruled. The act makes it a legal requirement that doctors must “personally examine” a patient before recommending detention. A code of practice requires “direct personal examination of the patient and their mental state.” But guidance from NHS England just after the start of the first lockdown last March said that “temporary departures from the code of practice may be justified in the interests of minimising risk to patients, staff, and the public.” Revised guidance in May 2020 included a section drafted jointly by NHS England and the Department of Health and Social Care for England (DHSC) “for use in the pandemic only.” This stated, “It is the opinion of NHS England and NHS Improvement and the DHSC that developments in digital technology are now such that staff may be satisfied, on the basis of video assessments, that they have personally seen or examined a person ‘in a suitable manner.’ ” The guidance added, “While NHS England and NHS Improvement and the DHSC are satisfied that the provisions of the Mental Health Act do allow for video assessments to occur, providers should be aware that only courts can provide a definitive interpretation of the law.” It went on, “Even during the COVID-19 pandemic it is always preferable to carry out a Mental Health Act assessment in person. Decisions should be made on a case-by-case basis and processes must ensure that a high quality assessment occurs.” Read full story Source: BMJ, 25 January 2021
  18. News Article
    Emergency legislation is needed to protect doctors and nurses from “inappropriate” legal action over critical Covid treatment decisions made amid the pressures of the pandemic, health organisations have argued. A coalition of health bodies has written to Matt Hancock, the health secretary, calling for the law to be updated so medical workers do not feel “vulnerable to the risk of prosecution for unlawful killing” when treating coronavirus patients “in circumstances beyond their control”. The letter, coordinated by the Medical Protection Society (MPS), states there are no legal safeguards for coronavirus-related issues such as when there are “surges in demand for resources that temporarily exceed supply”. The coalition, which includes the British Medical Association and Doctors’ Association UK, wrote: “With the chief medical officers now determining that there is a material risk of the NHS being overwhelmed within weeks, our members are worried that not only do they face being put in this position but also that they could subsequently be vulnerable to a criminal investigation by the police. “There is no national guidance, backed up by a clear statement of law, on when life-sustaining treatment can be lawfully withheld or withdrawn from a patient in order for it to benefit a different patient, and if so under what conditions. The first concern of a doctor is their patients and providing the highest standard of care at all times.” Read full story Source: The Guardian, 16 January 2021
  19. News Article
    Guy’s and St Thomas’ NHS Foundation Trust will work with Omnicell to develop a European technology-enabled inventory optimisation and intelligence service which will be initially implemented across South East London Integrated Care System (ICS). This partnership will encompass all six acute hospital sites within the South East London ICS, including Guy’s & St Thomas’, Kings College Hospital NHS Foundation Trust and Lewisham & Greenwich NHS Trust. The project will have the following goals: Develop analytics and reporting tools with a goal of improving patient safety, achieving increased operational efficiency and cost efficiencies Utilize the analytics and reporting tools with a goal of achieving agreed efficiencies and cost reductions Demonstrate the impact of managing clinical supplies and medicine spend together at scale Build a service model for the ICS which can be scaled up and adopted by other hospital groups in the UK Read the full article here
  20. News Article
    Doctors and nurses on the front line of the fight against coronavirus at the Royal London Hospital – which has the largest number of Covid patients in the capital – have been denied the Pfizer vaccine, The Independent has learnt. Hospital bosses at Barts Health Trust have written to staff today expressing their frustration over the decisions by NHS England, which meant the northeast of London – where the rate of infections and hospitalisations are worst – has not been given access to any vaccines. The Independent has learned that staff from the Royal London booked appointments to be vaccinated at University College London, but they were turned away because the vaccinations had been earmarked for NHS staff from University College London Hospital Trust. The trust’s chief medical officer wrote to senior doctors on Monday warning them the crisis facing the hospital would get worse before it gets better. Professor Alistair Chesser told staff: “It has been frustrating to see the vaccine delivered to other trusts and to GP surgeries but not to us in the last few days given the pressure we are under. Please be assured we are lobbying for our staff and our patients at the very highest levels and will not let this rest.” Read full story Source: The Independent, 22 December 2020
  21. News Article
    Research by a group of doctors has found ‘major deficiencies’ around infection control within hospitals in the North West region. The study looked at trusts’ adherence to Public Health England guidance around limiting the spread of COVID-19 within orthopaedic services. The study found patients were routinely being allocated to hospital beds before they had been confirmed as covid-negative, “thus allowing spread of COVID-19 not only between patients but also between nursing and medical staff”. Fewer than half of patients were nursed with the appropriate screens in place, while it was uncommon for doctors to be tested regularly. Separate statistics published by NHS England suggest almost 20 per cent of new covid cases in North West hospitals from August to December were likely to be nosocomial, meaning they were acquired on the wards. This was a higher proportion than any other region. Read full story Source: HSJ (paywalled), 16 December 2020
  22. News Article
    A trust is investigating after two junior doctors developed covid following an offsite event attended by 22 juniors where social distancing rules were allegedly ignored. The cases, involving doctors from the Royal Surrey Foundation Trust in Guildford, have been declared an outbreak by Public Health England and police have investigated the incident. But HSJ understands that contact tracing has concluded no patients needed to be tested because staff had worn appropriate PPE at all times and those involved had swiftly self-isolated once they realised they might have covid or had been at risk of exposure to it. It is not known whether any of the doctors had returned to work after the event before realising they might have been exposed to covid. Dr Mark Evans, deputy medical director, said: “Protecting our patients is our priority and we are committed to ensuring that all of our staff follow government guidance. This incident took place outside of work and has been reported appropriately, and there was no disruption to our services for patients.” Read full story Source: HSJ, 22 October 2020
  23. News Article
    Doctors from black, Asian and minority ethnic backgrounds have been hindered in their search for senior roles because of widespread “racial discrimination” in the NHS, according to a report from the Royal College of Physicians. The RCP, which represents 30,000 of the UK’s hospital doctors, found that ingrained “bias” in the NHS made it much harder for BAME doctors to become a consultant compared with their white counterparts. “It is clear from the results of this survey that racial discrimination is still a major issue within the NHS,” said Dr Andrew Goddard, the RCP’s president. “It’s a travesty that any healthcare appointment would be based on anything other than ability.” Read full story Source: The Guardian, 21 October 2020
  24. News Article
    A key player in the junior doctor disputes with Jeremy Hunt has now joined the former health secretary’s patient safety charity. Jeeves Wijesuriya, former chair of the British Medical Association’s junior doctors committee, is among the nine people who will serve on the advisory board of the Patient Safety Watch charity. Mr Hunt has also announced that Sir Robert Francis, who led the Mid Staffs inquiry; England’s former chief medical officer Dame Sally Davies; former medical director of the NHS, Sir Bruce Keogh; and Dame Marianne Griffiths, chief executive of Western Sussex Hospitals Foundation Trust, will also serve on the advisory board. Mr Hunt announced Patient Safety Watch last year to establish data to report on levels of patient safety and avoidable harm in healthcare, and commission research from leading universities. He has previously said he will invest hundreds of thousands of pounds in the charity over several years. He told HSJ: “Patient safety has moved massively up the agenda because of the issue of nosocomial infections that have affected both staff and patients during covid." “This high powered advisory board will help Patient Safety Watch make measured but decisive interventions so that we get better at learning from what inevitably goes wrong - not just in a pandemic but in normal times as well.” Read full story Source: HSJ, 8 October 2020
  25. News Article
    Senior doctors specialising in infectious diseases have written an open letter expressing "concern" about the rapid increase in COVID-19 cases in Northern Ireland. The letter is signed by 13 medics from hospitals across Northern Ireland. It calls for the public to stick to government guidance on reducing social interactions and also warns against "stigmatising people and areas with high levels of infection." The letter reads: "We need to support people who test positive. This pandemic requires us to work together to bring it under control urgently. We need to reduce the potential for transmission to protect our health service, and we need to fix our test and trace system to try and gain better control of this virus in our community." On Monday, 616 new cases of COVID-19 were identified in Northern Ireland, bringing the total during the pandemic to 14,690. The number of deaths recorded by the Department of Health remains at 584. Among those who have signed the letter are Dr Claire Donnelly, a consultant physician who specialises in infectious diseases; consultant virologist Dr Conall McCaughey and consultant paediatrician Dr Sharon Christie. Entitled an "appeal to people to adhere to Covid public health guidance", the letter lays bare the stark reality of the infections rates. The letter adds: "Worryingly the number of cases is increasing rapidly in many areas over the last week, indicating that we have widespread community transmission in many parts of Northern Ireland." Read full story Source: BBC News, 6 October 2020
×
×
  • Create New...