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Content ArticleThe rapid spread of COVID-19, and the fact that healthcare facilities could be sources of contagion, has focused attention on new models of care that avoid face-to-face contact between clinician and patient. There has been particular interest in video consultations, which are already being rolled out in many countries as part of national digital health strategies. In this Editorial in the BMJ, Trisha Greenhalgh and colleagues discuss how appropriate video consultations are for dealing with the coronavirus crisis and what are the challenges of scaling up this model at speed.
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Content ArticleThis guidance for the public was developed by 'Doctors of the World'. It has been written in 16 different languages: English Vietnamese Turkish Spanish Portuguese Pashto Mandarin Kurdish Hindi French farsi Dari Bengali Arabic Albanian.
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Content ArticleKidney Care UK has been working with medical colleagues and partners on information and advice about COVID-19 specifically for people with kidney disease. Their web page contains guidance for kidney patients and also information on the action that NHS renal services are taking during this outbreak. Further guidance is being developed for those on dialysis; those with a transplant; those with renal diseases who depend on immunosuppressant medication; those with declining kidney function; and those with chronic kidney disease. At the moment your current treatment plans will not change. However, advice is being updated on a daily basis so please do refer back to Kidney Care UK's page as it will be updated in response to any developments.
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Content ArticleJames Munro, Chief Executive of Care Opinion, argues that there is extraordinary, yet untapped value in patient feedback which is not being recognised in current policy and practice. His blog follows the launch of the National Institute of Healthcare Research's (NIHR) themed review on using patient feedback to improve care. Gathering feedback from people who use health services sounds like a simple and straightforward matter. Doesn’t everyone love feedback? The NIHR themed review Improving Care by Using Patient Feedback highlights that this is a topic beset by complexity, uncertainty and disagreement. It’s also an area which can provoke strong emotions both from those offering feedback, such as: “why isn’t anyone listening?” and those receiving it: “why am I being attacked when I work so hard?”.
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Content Article
WHO: What is patient safety?
Claire Cox posted an article in WHO
The World Health Organization has produced a factsheet about patient safety, what it is and the burden of harm. -
Content ArticleThis website gives up to date, rolling information about the ongoing viral crisis.
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Content ArticleMedical errors are the third leading cause of death in the United States. Putting patients first — listening to their own and their families’ concerns — can help eliminate medical errors altogether. A patient-centric approach encourages patients to communicate their ‘gut feelings’ when something seems wrong, thereby working to end the pervasive and dangerous culture of silence and fear in hospitals.
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News Article
NHS 'failing' patients living with HIV
Patient Safety Learning posted a news article in News
The failure to address the mental-health needs of people with HIV could lead to an increase in infections, a cross-party group of MPs suggests. People with HIV are twice as likely to experience mental-health difficulties. However, in those with depression, support raises adherence to medication by 83%. But most HIV clinics have no mental-health professionals on staff, which, the MPs say, could be reversing progress made over the past decade toward ending the epidemic in the UK. The All-Party Parliamentary Group (APPG) on HIV and AIDS met with patients living with HIV at a range of hospital trusts throughout England, as well as numerous healthcare professionals. Unless serious mental-health treatment shortfalls are addressed, the government will fail to achieve its target of zero transmissions by 2030, its report says. Read full story Source: BBC News, 5 March 2020 -
Content ArticleThese controversial implants are used by medical professionals to treat stress incontinence and pelvic organ prolapse, both of which can occur after childbirth. But there’s a darker side to the mesh story, with many women left in excruciating pain, suffering long-term health problems as a result of being fitted with them. This article in Woman & Home explores the issues around vaginal mesh implants and speaks to women and campaigners.
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Community PostI have been looking into health campaigns recently. There seems to be many that are affecting womens health that are not being heard or taken seriously. Are there health inequalities at play here?
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Content ArticleThis guidance is aimed at all professionals carers supporting patients with COVID-19, and their families, in the hospital setting – whether this is in critical care or elsewhere in the hospital. All hospitals have access to specialist palliative care teams, whether as in-house hospital palliative care teams or as in-reach teams from the local palliative care services. These teams will be able to provide additional advice and guidance but it will not be possible for them to provide direct care to everybody who needs it, especially as the pandemic progresses. This guidance includes flow charts to help aid treatment and symptom control. Nb: The most current version of the guidance document will be available on the public-facing pages of the Association for Palliative Medicine website (https://apmonline.org/). It is advised that you always check that you are referring to the most current version.
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News Article
Woman died after being given the wrong medication
Patient Safety Learning posted a news article in News
An 87-year-old woman died after her carers gave her the wrong medication, a coroner was told. Heather Planner, from Butler's Cross in Buckinghamshire, died at Wycombe Hospital on 1 April from a stroke. Senior coroner Crispin Butler heard three staff from Carewatch Mid Bucks had failed to spot tablets handed over by the pharmacy were for a male patient. Mr Butler said action should be taken to prevent similar deaths. A hearing in Beaconsfield on Thursday, where he issued a Prevention of Future Deaths report, followed an inquest in November. In the report he said he was told at the inquest that the carers from Carewatch Mid Bucks gave widow Mrs Planner the wrong medication four times a day for two and a half days. She suffered a fatal stroke because she did not receive her proper apixaban anticoagulation medication. Mr Butler said he would send his concerns to the chief coroner and the Care Quality Commission. He said there was no procedure in place to ensure individual carers read and specifically acknowledged any medication changes. Read full story Source: BBC News, 27 February 2020 -
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Emotional Intelligence (and forgiveness after harm)
Claire Cox posted an article in By patients and public
Susannah is a healthcare professional and patient who had surgery which led to multiple complications. Emotional Intelligence is part of a series of blogs from Susannah, that illustrates her journey of self discovery, acceptance and provides an insight into the complex world of healthcare induced harm. -
News Article
New pharmacy referral service to help patients avoid hospital readmission
Patient Safety Learning posted a news article in News
From July, hospitals will be able to refer patients who would benefit from extra guidance around new prescribed medicines to their community pharmacy. Patients will be digitally referred to their pharmacy after discharge from hospital. The NHS Discharge Medicines Service will help patients get the maximum benefits from new medicines they’ve been prescribed by giving them the opportunity to ask questions to pharmacists and ensuring any concerns are identified as early as possible. This is part of the Health Secretary’s ‘Pharmacy First’ approach to ease wider pressures on A&Es and general practice. Read full story Source: Department of Health and Social Care, 23 February 2020 -
Content ArticleThe World Health Organization (WHO) are publishing regular situation reports for the spread of the coronavirus disease. The reports includes numbers of new cases, numbers of total cases and death from cronavirus per country.
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Content Article
Mesh implantation: Inside Out (East)
Claire Cox posted an article in Patient stories
BBC reporter, Julie Reinger, talks to women who have had mesh implants after childbirth ahead of an independent report into the procedure. -
Content Article
Coroner's case of Maureen Brown
Claire Cox posted an article in Coroner reports
This coroner's case, by coroner Emma Serrano, describes the events that led up to Maureen Brown's death at University Hospital of Derby and Burton NHS Trust. Maureen had an inpatient fall and died from her injuries. Could this death been prevented? How can we ensure the voice of the carer/family is heard, documented and acted upon in clinical practice? -
Content ArticlePatient Engagement for the Life Sciences is a practical handbook for anyone striving to incorporate patient value in the delivery of medicines from research and development into a practical healthcare setting. This book provides a tangible framework of how this can be achieved with and for patients. Any profits generated from book sales will be donated to International Health Partners UK, Europe's largest coordinator of donated medicines, to support patients around the world.
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Content ArticleMaybe your blood pressure has been creeping up over time, or you’re starting treatment for hypertension. So your doctor suggests you buy a home blood pressure monitor to help keep track between office visits. Simple enough, right? But a quick check online reveals hundreds of different models — and even a bunch of apps for your smartphone. How do you even start to sort through all that without, well, spiking your blood pressure? This article highlights six things you need to know.
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Content Article
James Titcombe: The complexity of failure (2 October 2018)
PatientSafetyLearning Team posted an article in Culture
When James Titcombe is hit by the biggest tragedy imaginable to any parent, he and his wife need to confront a tragedy on a bigger scale still: the structural learning disabilities of the organisation that robbed them of their child. The ‘complexity of failure’ video documents the struggle to get the largest employer of the land to account for what was lost. Behind the bureaucracy and posturing, the lies and denials, it discovers a humanity and a richly facetted suffering by many others. It drives a determined James Titcombe to change how we learn from failure forever. -
Content ArticlePatients with respiratory disease deserve a correct diagnosis and guideline driven care that is standardised, patient focussed and delivered by a healthcare professional with suitable training and experience in a site and timeframe to meet their needs. Sadly, patient groups such as the BLF and Asthma UK have recognised that this is often not the case. The Respiratory Service Framework (RSF) attempts to demonstrate what that excellence is – and how it may be delivered at a population level. Developed by the Primary Care Respiratory Society (PCRS) Service Development Committee, the Respiratory Service Framework helps those looking to design a patient focussed respiratory service working across all sectors of out of hospital care to see the ideal components for a given population of patients. It has been designed to be applicable and helpful to those delivery care at a PCN or ICS level.
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Content ArticleOrganisations should make sure people know the Parliamentary and Health Service Ombudsman (PHSO) is the final stage for complaints that haven’t been resolved through the organisation’s own complaints process. This applies to small NHS organisations like GP and dental practices as well as larger ones like hospitals or government departments. It’s important that people complain to the provider organisation first and give them a chance to respond to their concerns, before they come to the PHSO. But if someone isn’t happy with how the provider organisation has answered their complaint, they need to know they have a right to come to the PHSO with it. Here are some tips to help providers make sure people know when and how to use the PHSO service.
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News Article
Woman with anorexia 'faced delays' before death
Patient Safety Learning posted a news article in News
A woman described as a "high risk" anorexia patient faced delays in treatment after moving to university, an inquest has heard. Madeline Wallace, 18, from Cambridgeshire, was told there could be a six-week delay in her seeing a specialist after moving to Edinburgh. The student "struggled" while at university and a coroner said there appeared to be a "gap" in her care. Ms Wallace died on 9 January 2018 due to complications from sepsis. A parliamentary health service ombudsman report into her death was being written at the time of Ms Wallace's treatment in 2017 and issues raised included moving from one provider to another and higher education. Coroner Sean Horstead said Ms Wallace only had one dietician meeting in three months, despite meal preparation and planning being an area of anxiety she had raised. Dr Hazel said she had tried to make arrangements with the Cullen Centre in Edinburgh in April 2017 but had been told to call back in August. The Cullen Centre said it could only accept her as a patient after she registered with a GP and that an appointment could take up to six weeks from that point. Read full story Source: BBC News, 10 February 2020 -
Content Article
NHS Mid and South Essex's 'We're Listening' leaflet
Danielle Haupt posted an article in Keeping patients safe
Danielle, Critical Care Outreach Nurse at Southend University Hospital, share's her 'We're Listening' leaflet as part of the trust's Call for Concern service. This leaflet will be displayed in all hospital areas. This service has been developed so that patients, friends and family can alert the Critical Care Outreach team if they have concerns that need listening to and gives a telephone number to call and outlines the next steps. -
Content ArticlePatient leaders have a valuable role to play in tackling the problems facing health and social care at a national and local level. Amidst the chaos of reform and unprecedented challenges to improving health, the biggest asset we have - people who live with health problems and use services - remains untapped. Instead, patients are a problem to be solved, not the solution. But we need to improve the development of and access to learning opportunities in order to grow this pool of talent properly, says David Gilbert.
