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Content ArticleTeal is the latest colour to enter the business world, and it is shaking things up in a big way. So what are teal organisations, and why should you care? This article will lay out everything you need to know about teal organisations. We will discuss the teal paradigm and how it impacts daily organisational practices. It will also take a look at teal culture and examples of teal organisations.
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Content ArticleThis report from the BME Leadership Network spotlights the findings from a recent survey and engagement on the experience of senior black and minority ethnic leaders in the NHS.
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Content ArticleThis report by NHS Confederation looks at the lived experience of senior black and minority ethnic leaders in the NHS. It is based on the findings of a survey and series of roundtables conducted by the BME Leadership Network in spring 2022, which focused on the challenges BME leaders face in relation to racism and discrimination as they move through their careers. The report highlights that: More than half of surveyed BME NHS leaders considered leaving the health service in the last three years because of their experience of racist treatment while performing their role as an NHS leader. Colleagues, leaders and managers seemed to be a particular source of racist treatment, more so than members of the public. This is concerning, given that the NHS has been prioritising equality, diversity and inclusion activities in recent years. This suggests that more focused efforts are required at every level to reduce the incidence of racist behaviour and to improve awareness among all staff of the impact of this type of discrimination. Only 10 per cent of leaders surveyed were confident that the NHS is delivering its commitment to combat institutional racism and reduce health inequalities. Senior BME staff reported low levels of confidence in their own organisations’ abilities to manage and support a pipeline of diverse talent and in the ability of the system to achieve this at a national level. Only a minority were confident they could rely on the support of colleagues to challenge racial discrimination, and a smaller minority believed they would be supported by NHS England and NHS Improvement if challenging prejudice or discrimination locally. Leaders described how structural and cultural issues within the NHS led to a situation where BME leaders were not present in sufficient numbers to generate a climate of inclusivity and were sometimes siloed in particular types of role. This helped to create a situation where career progression was felt to be unduly challenging and where neither succession planning nor talent development were occurring at sufficient scale to support the next generation of diverse leaders. Some leaders reported policing their own behaviour in the workplace and compromising their values in order to fit in. Being able to represent their own cultures and be themselves at work was a critically important goal for many. The report outlines that it is essential that BME leaders are able to see effective development programmes to support diverse talent, and that they are provided with the right support to feel secure in calling out unacceptable behaviour. It highlights that the NHS needs to do more to tackle cultures of discriminatory behaviour, provide personal support to current and aspiring leaders, and develop succession planning and talent development schemes.
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Content Article
BMA: Racism in medicine (15 June 2022)
Patient Safety Learning posted an article in Culture
This report presents the findings of the British Medical Association (BMA) racism in medicine survey, which ran from October to December 2021. The survey sought to gather evidence of the racism experienced by doctors and medical students working in the NHS, and the impact of these experiences on their working lives and their career opportunities. All doctors and medical students in the UK, from all ethnic backgrounds, were invited to participate. The survey received 2030 responses in total, making it one of the largest of its kind. It found a concerning level of racism in the medical profession, stemming from fellow doctors, other NHS staff, and patients. These experiences of racism present in a variety of forms in the institutions and structures of the medical profession- Posted
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Content Article
Human factors - Safer surgery checklist (June 2022)
Patient-Safety-Learning posted an article in Surgery
This literature review in The Operating Theatre Journal looks at 'How industry has helped healthcare better understand human factors'. The author, Nigel Roberts, Theatre Lead at the University Hospitals of Derby and Burton, looks at this question in relation to teamwork, leadership, situational awareness, communication and culture. -
Content ArticleStep Change in Safety is a member-led organisation which is working to make the UKCS the safest oil and gas province in the world in which to work. The safety of the workforce always comes first. Through collaboration, sharing knowledge and adopting best practices, workforce safety in the UKCS can be continually improved and Step Change in Safety are at the forefront in delivering that. Take a look at Step Change in Safety's resources and see how they could apply to healthcare.
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Content Article
FrontlineBuddy
Patient Safety Learning posted an article in Suggest a useful website
The frontline continues to be long and hard. There will be a moment when we all need a 'Buddy'. There will be a moment when you will be a 'Buddy' for somebody else. FrontlineBuddy is underpinned by 4 fundamental principles. The aim is to create a Buddy MindSet that places “WE” at the very core. It impacts on how we ‘look out for each other’ and how we ‘relate to each other’ in our teams. It nurtures a shared language and framework that everyone understands and commits to. Take a look at the FrontlineBuddy website for training materials and advice on how you can apply FrontlineBuddy across your organisation and support your staff and colleagues. -
Content ArticleThis letter from NHS England and NHS Improvement sent to clinical commissioning groups and trusts set out the changes to infection prevention and control measures following updates from the UK Health Security Agency.
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Content ArticleRoyal Philips, a global leader in health technology, has published their Future Health Index (FHI) 2022 report: ‘Healthcare hits reset: Priorities shift as healthcare leaders navigate a changed world’. Now in its seventh year, the Future Health Index 2022 report, based on proprietary research from almost 3,000 respondents conducted across 15 countries, explores how healthcare leaders are harnessing the power of data and digital technology as they look to address their key challenges coming out of the pandemic. The 2022 report paints a picture of a sector that is radically re-evaluating priorities as it strives to deliver improved patient care. “As we emerge from the pandemic, healthcare leaders worldwide are embarking on a reboot,” said Jan Kimpen, Chief Medical Officer, Philips. “Many are refocusing on both new and existing priorities, from addressing staff shortages and extending care delivery, to leveraging big data and predictive analytics.”
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Content Article
The Messenger review is a con (HSJ, 9 June 20220
Patient Safety Learning posted an article in National/Governmental
The Messenger review may be full of well-meaning and often well-judged sentiments – but the recommendations were either peripheral (a five-day course for middle managers) or so vague as to be virtually worthless (proposals to make equality, diversity and inclusion everyone’s business). Lord Rose, Sir Ron Kerr, Tom Kark and indeed Sir Robert Francis all made similar recommendations about ensuring the quality of NHS leadership, but the Messenger review has a slightly different thrust. It aimed to review health and social care leadership. By this measure, the review has failed to do what it set out to achieve. Social care and indeed primary care are an afterthought, with the focus on the acute sector, writes Alastair McLellan and Annabelle Collins for the HSJ. -
Content ArticleThis long read by The King's Fund aims to explain the reforms brought about by The Health and Care Act 2022, and what these changes will mean in practice. it gives short and long answers to the following questions: What are the main changes brought about by the Act? Is this an unnecessary top-down reorganisation? Will the Act lead to greater involvement of the private sector? Does the Act give ministers more power over the day-to-day running of the NHS? Will the Act make any difference to patients? Does the Act tackle the big challenges the health and care system currently faces?
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Content ArticleIn October 2021 the government announced a review into leadership across health and social care, led by former Vice Chief of the Defence Staff General Sir Gordon Messenger and supported by Dame Linda Pollard, Chair of Leeds Teaching Hospital Trust. The results of the review have now been published and recommendations made.
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Content ArticleMore must be done to avoid harm to patients while waiting for treatment. The backlog for planned care is one of the biggest challenges for the NHS in Wales. Waiting times targets have not been met for many years. This backlog has been made much worse due to the pandemic. In February 2022, there were nearly 700,000 patients waiting for planned care, a 50% increase since February 2020. Over half of the people currently waiting have yet to receive their first outpatient appointment which means that they may not know what they’re suffering from and their care cannot be effectively prioritised. Modelling shows it could take up to seven years or more to return waiting lists to pre-pandemic levels. This report makes five recommendations based on what the Welsh Government needs to do as it implements its national plan.
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Content Article
Safety Chats: Part 3 - Starting the conversation
Gina Winter-Bates posted an article in Good practice
In a series of blogs, Gina Winter-Bates, Associate Nurse Director Quality and Safety at Solent NHS Trust, shares her experience of implementing Safety Chats. In Part 3, Gina shares with us how the Safety Chats were conducted and the key themes that came out of them, and what empowers and blocks staff in improving safety. -
Content ArticleA podcast from The QI Guy, Jonathan O’Reilly. Each month Jonathan speaks to a leader, implementer or educator in the field of quality improvement in the UK’s public services and beyond. In this episode Jonathan speaks to Patient Safety Learning's Helen Hughes and Claire Cox, Patient Safety Lead at Kings College NHS Foundation Trust, about patient safety,
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Content ArticleFollowing the publication of the Independent Medicines and Medical Devices and Safety (IMMDS) Review in July 2022, the UK Government accepted a recommendation to appoint a Patient Safety Commissioner responsible for promoting safety in the context of the use of medicines and medical devices. At the Health Plus Care conference on the 19 May 2022, Patient Safety Learning's Chief Executive Helen Hughes and Marie Lyon, Chair of the Association for Children Damaged by Hormone Pregnancy Tests, considered the key challenges that will faced by the new Patient Safety Commissioner and the importance of implementing in full the recommendations of the IMMDS Review. See attached their presentation slides.
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Content ArticleEstablished in June 2021, the Patient Safety Management Network (PSMN) is an innovative voluntary network for patient safety managers and professionals. It holds drop-in sessions to talk through issues of importance to patient safety managers, providing information, peer support and safe space for discussion. This network is a vibrant community of interest that is continually growing and developing in support of its members. At the Health Plus Care conference on the 19 May 2022, Patient Safety Learning's Chief Executive Helen Hughes, PSMN Co-Founder Claire Cox and PSMN member Jordan Nichols discussed why the this is needed, what it has achieved so far, its aims for the future and how you can get involved. See attached their presentation slides.
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Content ArticleIn May 2022, the National Steering Committee for Patient Safety (NSC) issued the Declaration to Advance Patient Safety to urge health care leaders across the continuum of care to recommit to advancing patient and workforce safety. The NSC called for immediate action to address safety from a total systems approach, as presented in the National Action Plan to Advance Patient Safety, and implored leaders to adopt safety as a core value and foster collective action to uphold this value.
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Content ArticleForty-two Integrated Care Systems (ICSs) in England are set to become new statutory bodies from July 2022, marking a significant shift in how health and care services are planned and delivered towards a model of joined-up partnership working and coordination. At the Health Plus Care conference on the 18 May 2022, Patient Safety Learning's Chief Executive Helen Hughes, Maggie Boyd, Associate Consultant at NHS Arden & GEM Commissioning Support Unit, Sue Braysher, Managing Director at Bluebellwoods Consulting and Graham Hewett, Associate Director of Quality at NHS South East London Clinical Commissioning Group, discussed the development of ICSs in the context of patient safety. They considered the opportunities and challenges that this presents and the need to embed patient safety in the culture, leadership and new governance structures. See attached their presentation slides.
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Content ArticleHow can healthcare organisations work towards becoming true learning organisations in a reliable safety system? At the Health Plus Care conference on the 18 May 2022, Patient Safety Learning's Chief Executive Helen Hughes and Dr Sanjiv Sharma, Medical Director at Great Ormond Street Hospital for Children (GOSH), discussed the activity being undertaken at Great Ormond Street, one the world’s leading children’s hospitals, to transform their approach to patient safety, in collaboration with Patient Safety Learning. See attached their presentation slides.
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Content ArticleJeremy Hunt', former health secretary, has written a new book: 'Zero: Eliminating Preventable Harm and Tragedy in the NHS'. You can’t fault the former health secretary proposals for improving patient care, but his slick prose fails to acknowledge the damage inflicted on the NHS by his party during his tenure as health secretary writes Rachel Clarke, a palliative care doctor.
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Content ArticleDue to the large numbers of employees who aren’t office based and are offsite for most of their working hours, Yorkshire Ambulance Service (YAS) wanted to improve the ways they could communicate and engage with all staff, including those more dispersed. Through different approaches, YAS developed three schemes: appointed a number of employees as cultural ambassadors; procured and implemented an app called ‘Simply Do Ideas’; and established a range of staff equality networks with the aim of making sure staff from under-represented groups also had their voices heard.
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Content Article“Freedom to Speak Up requires leadership commitment throughout the health and care system,” writes Dr Jayne Chidgey-Clark in a blog for the Health Service Journal. “In this way, we can foster the speak up, listen up, follow up culture, which will give workers, and ultimately those who use our services, the health and care sector they deserve.” She encourages all senior leaders to under take training to understand their role in forster a good speaking up culture that promotes organisational learning and improvement.
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Content Article
Can the NHS live with Covid? (Independent, 3 May 2022)
Patient Safety Learning posted an article in Exit strategies
Across the NHS, from routine care to emergency treatment, health leaders tell Rebecca Thomas in this special Independent report that pressure brought on by the pandemic has become unsustainable – with patients’ lives on the line as a result -
Content ArticleAndrew Morgan joined United Lincolnshire Hospitals in 2019, when the organisation was in double special measures and dealing with the fallout of another critical Care Quality Commission report. His route to the role was slightly unconventional. Already chief executive of Lincolnshire Community Health Services Trust, he was asked to come in to help stabilise the acute trust by Elaine Baylis, who chaired both organisations. He tells HSJ about joining an organisation “where the culture and leadership needed to be looked at”, about what has changed, and about what more remains to be done.
