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Found 138 results
  1. Content Article
    What needs to happen Above all we need to be honest with ourselves about the extent of the problems and the implications of the solutions. That requires an open and honest national conversation among politicians, patients and the public, healthcare professionals and policy makers, one which leads to action and meaningful change. What does a reformed system look like? A system fit for the twenty-first century must centre the needs of the whole person and of the whole population. This requires: Expanding workforce numbers Improving patient access to care across all settings. Reforming social care. Embracing new ways of working. Grasping the digital agenda. Valuing our staff. Modernising the NHS estate. Revitalising primary care. Greater focus on prevention and tackling health disparities. Making better use of resources and ensuring there is adequate investment.
  2. Content Article
    The six patient safety priorities outlined by Jeremy Hunt are: Develop a credible and comprehensive NHS and social care workforce plan Reform primary care by bringing back individual GP lists Provide a timetable by which the recommendations from the Ockenden Review will be implemented Scrap national NHS targets Join forces with the Treasury and radically reform our litigation and compensation systems Revamp the Learning from Deaths programme so that all Trusts are publishing data on the avoidable deaths that happen in their services
  3. Content Article
    The final guideline mirrors the draft guidance in advising that self-harming patients, when treated in primary care, must receive: regular follow-up appointments regular reviews of self-harm behaviour a regular medicines review. The guidance also said: After an episode of self-harm, the format and frequency of initial aftercare and which services will be involved must be discussed with the patient. If the psychosocial assessment after a self-harm episode was made by a GP, initial aftercare must be provided by the GP within 48 hours of the assessment. GPs should use consultations and medicines reviews as ‘an opportunity to assess self-harm if appropriate, for example, asking about thoughts of self-harm or suicide, actual self-harm, and access to substances that might be taken in overdose (including prescribed, over-the-counter medicines, herbal remedies and recreational drugs)’. Reiterating existing guidance, the guideline added: ‘Do not offer drug treatment as a specific intervention to reduce self-harm.’
  4. News Article
    An LMC has created template letters to help practices reject secondary care workload dumping, including rejected referrals and requests to complete work on behalf of hospital trusts. Cambridge LMC said it developed the tools amid a growing ‘tsunami’ of secondary care workload transfer into general practices. One template letter tackles the rejection of a referral ‘on the basis that a proforma was not enclosed or completed in full’. It points out that the GMC requires GPs to refer when they ‘believe it is necessary to do so’ and that their ‘contractual obligations make no mention of a requirement to complete a proforma’. Cambridgeshire LMC chief executive Dr Katie Bramall-Stainer told Pulse that ‘we need the temperature to rise on the understanding around pressures across general practice’. Read full story For more information on the issues raised, read a blog by Patient Safety Learning about the patient safety risks of rejected outpatient referrals. Source: Pulse (19 August 2022)
  5. Event
    Join this Royal Society of Medicine conference to learn some of the key medico-legal issues that impact upon GPs/primary care. The overarching aim is to improve patient safety in both primary and secondary care via learning from incidents and better understanding the indemnity provisions in place for GPs/primary care and how that feeds back into learning. The aim of this meeting is to review and promote an understanding of recent legal and regulatory developments, with a specific emphasis on inquests, clinical negligence and incidents in the primary care sector, and their impact upon patient safety. Additionally, we will also discuss issues that those in secondary care should also be aware of. Register
  6. Event
    This conference focuses on investigating and learning from deaths in the community/primary care. The conference focuses on the extension of the Medical Examiner role to cover deaths occurring in the community and the role of the GP in working with the Medical Examiner to learn from deaths and to identify constructive learning to improve care for patients. The conference will also focus on implementation of the new Patient Safety Incident Response Framework and learning from a primary care early adopter. For further information and to book your place visit https://www.healthcareconferencesuk.co.uk/conferences-masterclasses/investigation-of-deaths-community or email nicki@hc-uk.org.uk hub members receive a 20% discount. Email info@pslhub.org for discount code. Follow on Twitter @HCUK_Clare #LearningfromdeathsPC
  7. Content Article
    The 'Workforce: recruitment, training and retention' report outlines the scale of the workforce crisis: new research suggests the NHS in England is short of 12,000 hospital doctors and more than 50,000 nurses and midwives; evidence on workforce projections say an extra 475,000 jobs will be needed in health and an extra 490,000 jobs in social care by the early part of the next decade; hospital waiting lists reached a record high of nearly 6.5 million in April. The report finds the Government to have shown a marked reluctance to act decisively. The refusal to do proper workforce planning risked plans to tackle the Covid backlog - a key target for the NHS. The number of full-time equivalent GPs fell by more than 700 over three years to March 2022, despite a pledge to deliver 6,000 more. Appearing before the inquiry, the then Secretary of State Sajid Javid admitted he was not on track to deliver them. The report describes a situation where NHS pension arrangements force senior doctors to reduce working hours as a “national scandal” and calls for swift action to remedy. Maternity services are flagged as being under serious pressure with more than 500 midwives leaving in a single year. A year ago the Committee’s maternity safety inquiry concluded almost 2,000 more midwives were needed and almost 500 more obstetricians. The Secretary of State failed to give a deadline by when a shortfall in midwife numbers would be addressed. Pay is a crucial factor in recruitment and retention in social care. Government analysis estimated more than 17,000 jobs in care paid below the minimum wage.
  8. Content Article
    Key points The National Health Service (NHS) is in serious decline – struggling to recover from the devastating impact of the pandemic and Brexit. The issues are deep-seated and more extensive than the pandemic’s treatment backlog. The future sustainability of a tax-funded comprehensive NHS is now open to doubt. Throughout its history, the NHS has focused on treating ill-health, even as the disease profile of the UK has vastly changed. Rising demand will mean the NHS is unable to provide services to all, ushering in a two-tier health system that no longer provides free universal care. Politicians must be much braver in making major changes to the way the country structures and delivers health and care services. Recommendations Reform public health and prevention – by creating an independent public body, the Office of Public Health, which will make decisions on policy and resource distribution. Expand community health services and social care – rather than expanding hospitals, much more of the NHS capital should be allocated to community health facilities, including GPs. Consolidating specialist health services – create a new system for determining the consolidation of specialist health services on fewer sites. Creating elective surgery and diagnostic hubs – NHS England should be directed to establish either surgical hubs or standalone surgical centres to undertake elective surgery. Reforming workforce planning and delivery – DHSC should be given new powers and a long-term budget to meet future NHS labour demands.
  9. Content Article
    This book offers practical guidance and evidence for a broad range of related improvement methods, concepts and interventions developed and implemented by the NES primary care team, or as a direct result of fruitful partnerships between academic, professional, public or regulatory institutions across the UK and internationally. It is organised into five interlinked parts, each with a number of related chapters. Part I provides an overview from an organisational systems perspective Part II focuses on the role of patients, clinicians and staff Part III is concerned with the role of learning, education and training Part IV outlines human error theory and the types and causes of some common patient safety incidents in primary care, while considering how they may be prevented or related risks mitigated or reduced Part V focuses on outlining the evidence for, and providing good practice guidance on, a wide selection of improvement methods that can be applied by primary care teams.
  10. Content Article
    Working with clinicians and patients, the PRSB have published this standard along with implementation guidance for digital referrals from GPs to hospitals. Once implemented, it will ensure that clinicians have the right information they need to provide the best care for patients. The standard was produced in collaboration with the Royal College of Physicians Health Informatics Unit and input from the Royal College of General Practitioners. By using the standard professionals will have access to all relevant information in a timely manner results in safer and more consistent care for people using health and care services. The information will include data about medication, previous history, allergies and current symptoms, as well as a patient’s concerns and expectations. This standard has now been updated to version 1.1. Detailed release notes are available outlining the changes. These can be found in the supporting documents link above. The standard has been updated in-line with new PRSB digital medications information assurance. The PRSB has worked in partnership with the Health Informatics Unit at the Royal College of Physicians to produce these standards.
  11. Content Article
    'Scenario: Management of adults and children with post-traumatic stress disorder' covers the management of adults and children presenting with post-traumatic stress disorder. It includes guidance on how to manage the person whilst they are waiting to be seen by the specialist and outlines the treatments that may be offered.
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