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Content ArticleNHS England has set out 10 priorities for the 2022-23 financial year in its annual planning guidance. NHSE chief executive Amanda Pritchard makes clear in the introduction that many of its goals remain contingent on covid, stating: ”The objectives set out in this document are based on a scenario where covid-19 returns to a low level and we are able to make significant progress in the first part of next year.”
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Content ArticleThe UK government and devolved administrations, along with the emergency services and other local responders, have clear responsibilities for identifying, assessing, preparing for and responding to emergencies, as well as supporting affected communities to recover. The government has risk management processes in place that aim to identify risks, to ensure that plans are drawn up to mitigate risks and prepare for shocks, and to prevent risks from being overlooked despite short-term pressures. Cabinet Office guidance states that preparedness is the preparation of plans that are flexible enough both to address known risks and to provide a starting point for handling unforeseen events. This report sets out the facts on: the government’s approach to risk management and emergency planning the actions the government took to identify the risk of a pandemic like COVID-19 the actions the government took to prepare for a pandemic like COVID-19 recent developments. The report sets out central government’s risk analysis, planning, and mitigation strategies prior to the arrival of the COVID-19 pandemic, with the aim of drawing out wider learning for the government’s overall risk management approach.
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Content Article‘Health systems recovery’ is a term used to describe the process of restoring and improving the functions of a health system that have been exposed to a shock or public health emergency, such as natural disaster, conflict, or a disease outbreak. This paper from Matthew Neilson and Sheila Leatherman discusses what quality in recovery look like.
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Content ArticleThe People’s Covid Inquiry, chaired by the human rights lawyer Michael Mansfield QC, began in January 2021 to learn lessons quickly after the government rejected calls for a public inquiry. The Government was informed of the inquiry on 23 February 2021 and invited to take part. No response was received. The first session of the People’s Covid Inquiry began on 24 February and convened in live sessions fortnightly until 16 June 2021. The Inquiry took evidence over nine sessions from over 40 witnesses including international and UK experts, frontline workers, bereaved families, trade union leaders, and representatives of disabled people’s and pensioners’ organisations.
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Content Article
In this blog, Patient Safety Learning’s Chief Executive, Helen Hughes, reflects on participating in a recent Health Service Journal (HSJ) Patient Safety Congress webinar, held in association with BD, which considered some of the key emerging patient safety issues for 2022.- Posted
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Content ArticleThis integration white paper sets out a vision for an integrated NHS and adult social care sector which will better serve patients and staff.
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Content ArticleRichard Murray, Chief Executive of The King’s Fund, comments on the NHS elective recovery plan.
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Content ArticleThis is the fifth annual report on children’s mental health services in England from the Children's Commissioner. The report aims to assess children’s ability to access Children and Young People’s Mental Health Services (CYPMHS) in England in 2020/21, and how this has changed over the past two years. Using new figures sourced from NHS Digital and NHS England, this report examines the following at both a national and local Clinical Commissioning Group (CCG) level: Spending on children’s mental health. Numbers of children referred to and accessing CYPMHS. Numbers of children referred that were not accepted into treatment during the 2019/20 financial year, as proxied by the numbers not receiving two contacts with CYPMHS. Average waiting times.
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Content ArticleThe Covid-19 vaccination programme has been one of the few almost unqualified successes of the UK’s response to the pandemic. System-working, joining up the NHS, local government and the voluntary sector was a hallmark of the vaccine roll-out. Local knowledge and delivery were crucial. Volunteers also played a vital role, not just in acting as stewards at vaccination sites, but also in terms of community outreach, for example with faith communities and others offering sites for vaccination which in turn built trust in the vaccine and in the NHS. The NHS has never used so much data so quickly and so powerfully, supporting the delivery of vaccine doses, recording any adverse reactions and, most importantly, allowing NHS staff to map who had the vaccine. This data in turn supported outreach work to support gaps in service provision and overcome vaccine hesitancy. These factors which helped make the roll out a success should be ‘bottled and re-used’ for other NHS services, from childhood immunisations to screening for cancer, diabetes, high blood pressure and other conditions, improving the service’s ability to reach the harder to reach Based on interviews with a wide range of people involved in the programme, this King's Fund report sets out what the roll-out in England has achieved as well as its trials and tribulations.
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Content ArticleRecording of Ted Baker's presentation at The Royal Society of Medicine's Improving Patient Safety & Care Conference.
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Content ArticlePeople and communities using heath and care services are best placed to understand what they need, what is working and what could be improved. The health and care system can listen and learn from the people and communities it serves in a variety of different ways. From local Healthwatch teams to large scale national patient surveys, to citizen assemblies run by local government and service user stories, there is a wealth of insight and data already being collected across both the NHS and local government. This explainer from the King's Fund is intended as an introduction for those working in the health and care system who want to understand more about this area of work. It looks at some of the terminology used in this area and outlines the different ways and methods that the NHS and local government can hear from people and communities at both a national and local level. It asks what the introduction of integrated care systems (ICSs) means for this work and how partners in these new systems can listen together to people and communities.
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EventuntilAt this event, policy and leadership experts will explain and explore the health and care system in England. They will discuss the current opportunities and challenges the system faces in 2023 and how these could affect the health and care workforce, people, patients and populations. During the event, which takes place virtually over two days, you will be able to interact with policy and leadership experts at The King’s Fund and those working in health and care to make sense of the system. Delve further into the core components of the system, such as integrated care systems, primary care and social care, and understand the specifics of how these areas work, who is responsible for making decisions, and how the system is changing. Register
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CQC's new regulatory approach webinar
Patient Safety Learning posted an event in Community Calendar
untilThis one-hour webinar will be an opportunity for providers and professionals who work in health and social care services, organisations who represent them and other stakeholders to hear the latest updates about CQC's new regulatory approach. The webinar will be led by Kate Terroni, CQC's Deputy Chief Executive and Chris Day, director of engagement. There will be a presentation and time to answer your questions from the live chat. Register -
EventuntilWhat we are witnessing across the NHS is the Mid Staffs scandal playing out at national level, if not worse. At the beginning of 2023, Sir Robert Francis and Rachel Power, Chief Executive of the Patients Association, set out their concerns about the ‘disaster unfolding in the NHS’ in a letter to the Secretary of State for Heath and Social Care. With the NHS currently focusing on productivity, despite staff burnout and workforce shortages; operational performance, despite the growing backlog; and financial control, despite significant financial restraints, how can the NHS ensure quality across its services? 10 years on from Sir Robert Francis’ inquiry into the failings in care at Mid Staffordshire NHS Foundation Trust and in the context of the Covid-19 pandemic, workforce shortages and significant financial restraints, this event will explore what quality looks like to service users, and how staff and organisations can deliver quality care during periods of extreme pressure and demand. Register
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EventuntilThe 2023 Mental Health Network Annual Conference and Exhibition will bring together over 130 senior leaders from the mental health, learning disability and autism sector for lively discussions on the future of services, to share good practice, horizon scan, and network with their peers. The next year brings a range of opportunities and challenges for mental health providers. Organisations are continuing to deliver services whilst facing unprecedented community need, workforce shortages and with the cost of living risking eroding the mental wellbeing of the wider population. Even with these challenges, 2023 presents a year of opportunities. This includes funding secured to continue to deliver the NHS Long Term Plan, a new landscape of integrated care, significant community transformation work underway, and key bills passing through parliament aimed at improving the policy environment mental health providers operate in. The Network’s members will once again come together to focus on the challenges and opportunities the mental health sector faces within the changing context. Register
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EventuntilThis Westminster conference will discuss next steps for improving health outcomes for children and young people in England. Delegates will assess the future of the new network of Family Hubs, with discussion on improving the coordination and accessibility of children’s care, as well as shifting focus towards early intervention and prevention, and improving the provision of support to families. It will be an opportunity to review progress on and next steps for The best start for life: a vision for the 1,001 critical days, which looks at providing support for local authorities in addressing the needs of children and their families, and consider the future of children’s health data. Further sessions will examine measures that were included in the Plan for Patients, which sets out to improve access to children’s mental health services, and enhance funding and regulation to reduce care backlogs. Overall, areas for discussion include: Family Hubs: progress made so far in implementation - addressing challenges in the transition to the family hub service model the role of community support - delivering long-term improvements to the lives of families - improving engagement and communication with families utilising the Family Hubs to improve coordination across support services - developing and sharing best practice across local authorities. Impact of poverty and cost of living pressures: latest thinking on approaches to mitigating the impact of poverty on child development understanding the economic pressures on families - addressing their impact children’s health implementing early intervention and prevention programmes - applying lessons learnt from the Surestart programme. Developing child health services: addressing waiting times and care backlogs - returning service provision to pre-pandemic levels. next steps for regulation and funding - the role of integrated care systems in supporting local needs. Mental health support: developing the community-based offer for mental health support - enabling service coordination meeting the increased demand for services - evaluating resource allocation early years development: progress made following publication of the final Leadsom Review - acting on the recommendations - the future for health visiting and child development checks. Digital health and data sharing: opportunities and issues arising from the use and sharing of child health data - increasing the quality of NHS records to improve outcomes - faster identification of health and social concerns latest thinking on data sharing practices - evaluating digital security provisions, Register
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EventuntilThe landscape of the health and care system is ever-changing and complex. At this free online event, the expert panel will provide insight and context into the wider health and care landscape and the big issues they want to see progress in 2023. The panel will explore how recent trends and future developments could affect people working in the sector, as well as people, patients and communities. Register
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EventuntilNHS England (NHSE) and Picker are pleased to announce a National Insight Webinar designed to unpick the results of the 2021 Under 16 Cancer Patient Experience Survey (U16 CPES). The webinar is dedicated to helping NHS teams, providers, charities, commissioners, and the wider public to better understand their results, identify areas for action, and place person centred care at the heart of operations. Register
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Priorities for improving care and support for pregnant women
Sam posted an event in Community Calendar
This Westminster Health Policy forum conference will discuss the next steps for improving care and support for pregnant women. Delegates will assess priorities for the safety and quality of maternity services moving forward following the release of the Final Ockenden review: Independent Review of Maternity Services, and for the Maternity and Newborn Safety Investigation Special Health Authority (MNSI) division of the Healthcare Safety Investigation Branch being established for April 2023. It will be an opportunity to assess priorities for the Secretary of State, and to examine the future outlook for supporting pregnant women following the publication of the Women’s Health Strategy for England, which highlighted a need for pregnant women to be listened to - and included the ambition for 4m people to receive personalised care by March 2024. Areas for discussion include: personalised care: assessment of individual needs - improving the access to mental health services - promoting healthy lifestyle choices during pre-conception, pregnancy, and early years workforce support: encouraging professional development, including funding and education - maternal workforce recruitment and retention - improving senior leadership improving patient safety ensuring strong communication in maternity teams providing appropriate pregnancy risk assessment recommendations and guidance for clinical decision making encouraging and delivering continuity of care progress and next steps for the Maternity Transformation Programme following the Better Births report investigation: priorities for the MNSI and ensuring safety concerns are investigated and addressed - learning from mistakes - listening to families quality of care: developing best practice guidelines - delivering high quality services - improving pregnancy outcomes - improving communication with pregnant women inequalities: addressing variation in service provision - tackling disparities in pregnancy outcomes, particularly for ethnic minorities. Register -
EventuntilFrom July 2022, all NHS trusts providing acute and mental health services will need to join a provider collaborative, with these collaboratives forming a universal part of the provider landscape. Working within a challenging NHS environment – struggling with record high waiting lists and a limited workforce – provider collaboratives offer an opportunity to make efficiencies whilst improving service delivery. As providers move from a mindset of competition to one of collaboration, they must come together to deliver better services and improve care pathways. However, the purpose and form of these collaboratives can vary considerably across England and important decisions remain over the governance and accountability arrangements of these new collaboratives. Join the King's Fund for this digital virtual conference bringing together leaders from across collaboratives to explore this new approach to service delivery. The event will explore what collaboration models have been successful before and the barriers they overcame. What can we learn from these as new collaboratives are set to take shape? Register
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EventuntilThe health and care sector is undergoing fundamental change and facing profound challenges. As it continues to deal with the impact of Covid-19, which has exacerbated the workforce crisis and health inequalities, the Health and Care Act introduces changes to how health and care services are organised and delivered with the aim of integrating care for people in England. The King’s Fund annual conference 2022 will bring together leaders from across the health and care system. Through keynote speeches, panel debates and interactive workshops, you can join peers to explore the impact of current reforms on service delivery and share experiences of the reality of working on the ground in this complex and challenging system. The agenda provides a key opportunity to hear from influential speakers about an inclusive approach to recovery and the impact of integrated care systems (ICSs) in the six months since they have become statutory bodies. Amanda Pritchard, Chief Executive Officer at NHS England recently setting out her reflections on the wider challenges and opportunities for the NHS around the theme of the four Rs: recovery, reform, resilience and respect. The agenda provides a key opportunity to hear from influential speakers about what this approach means in reality, what capacity and resource a system which has been under severe strain has to meet these challenges, how we can practically work to ensure an inclusive approach. Register
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Community Post
Can the NHS learn from healthcare systems overseas?
Steve Turner posted a topic in Organisational
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Is it time to change the way England's healthcare system is funded? Is the English system in need of radical structural change at the top? I've been prompted to think about this by the article about the German public health system on the BBC website: https://www.bbc.co.uk/news/health-62986347.amp There are no quick fixes, however we all need to look at this closely. I believe that really 'modernising' / 'transforming' our health & #socialcare systems could 'save the #NHS'. Both for #patients through improved safety, efficiency & accountability, and by making the #NHS an attractive place to work again, providing the NHS Constitution for England is at the heart of changes and is kept up to date. In my experience, having worked in healthcare for the private sector and the NHS, and lived and worked in other countries, we need to open our eyes. At present it could be argued that we have the worst of both worlds in England. A partially privatised health system and a fully privatised social care system. All strung together by poor commissioning and artificial and toxic barriers, such as the need for continuing care assessments. In my view a change, for example to a German-style system, could improve patient safety through empowering the great managers and leaders we have in the NHS. These key people are held back by the current hierarchical crony-ridden system, and we are at risk of losing them. In England we have a system which all too often punishes those who speak out for patients and hides failings behind a web of denial, obfuscation and secrecy, and in doing this fails to learn. Vast swathes of unnecessary bureaucracy and duplication could be eliminated, gaps more easily identified, and greater focus given to deeply involving patients in the delivery of their own care. This is a contentious subject as people have such reverence for the NHS. I respect the values of the NHS and want to keep them; to do this effectively we need much more open discussion on how it is organised and funded. What are people's views? -
Community Post
Should patients be actively involved in following up their referrals?
Steve Turner posted a topic in Improving patient safety
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I've been posting advice to patients advising them to personally follow up on referrals. Good advice I believe, which could save lives. I'm interested in people's views on this. This is the message I'm sharing: **Important message for patients relating to clinical referrals in England** We need a specific effort to ensure ALL referrals are followed up. Some are getting 'lost'. I urge all patients to check your referral has been received, ensure your GP and the clinical team you have been referred to have the referral. Make sure you have a copy yourself too. Things are difficult and we accept there are waits. Having information on the progress of your referral, and an assurance that is is being clinically prioritised is vital. If patients are fully informed and assured of the progress of their referrals in real-time it could save time and effort in fielding enquiries and prevent them going missing or 'falling into a black hole', which is a reality for some people. It would also prevent clinical priorities being missed. Maybe this is happening, and patients are being kept fully informed in real-time of the progress of their referrals. It would be good to hear examples of best practice. -
Content ArticleOn 3 August 2022 an investigation was carried out into the death of Allison Vivian Jacome Aules. Allison was 12 years old when she passed away on the 19 July 2022. The investigation concluded at the end of the inquest on the 17 August 2023. The conclusion was that Allison died as a result of suicide, contributed to by neglect.
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Content ArticleThe Association of Ambulance Chief Executives (AACE) has published a new report charting the major increase in the frequency and length of hospital handover delays over the past ten years, calling for an even greater focus on improvements that will reduce and eradicate delays, prevent more patients from coming to significant harm and stop the drain on vital ambulance resources.
