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Found 441 results
  1. Content Article
    When Julie Bailey took her mother, Bella, into Mid Staffs Hospital in September 2007 she had no idea that her life was about to change forever. Over the next eight weeks she would witness such shocking neglect and abuse of elderly, vulnerable patients that the memories would haunt her for the rest of her life. And over the next five years she would uncover a culture of deceit and denial going right to the top of the NHS. From Ward to Whitehall is the story of Julie s fight for the truth to be uncovered about the deadly failings at Mid Staffs Hospital and her struggle to ensure that the tragedy would never be repeated.
  2. Content Article
    The Montgomery case in 2015 was a landmark for informed consent in the UK. Nadine Montgomery, a diabetic woman and of small stature, delivered her son vaginally; her son experienced complications owing to shoulder dystocia, resulting in hypoxic insult with consequent cerebral palsy. Her obstetrician had not disclosed the increased risk of this complication in vaginal delivery, despite Montgomery asking if the baby's size was a potential problem. Montgomery sued for negligence, arguing that, if she had known of the increased risk, she would have requested a caesarean section The Supreme Court of the UK announced judgement in her favour in March 2015. It established that, rather than being a matter for clinical judgment to be assessed by professional medical opinion, a patient should be told whatever they want to know, not what the doctor thinks they should be told. This ruling means that patients can expect a more active and informed role in treatment decisions, with a corresponding shift in emphasis on various values, including autonomy, in medical ethics
  3. Content Article
    When someone you love is hospitalised, it can be scary-even terrifying-for the patient and for family and friends. A hospital may seem like a foreign land. Sounds, smells, and the culture are unfamiliar; even the medical terminology sounds like a different language. Understanding the hospital environment and knowing how to navigate its complicated pathways can make you a strong champion for your loved one. You are as critical to your loved one's recovery as the doctors and nurses. Your role is different, but vital. In some cases, you can make the difference between life and death. Hospital Warrior de-mystifies the process and provides the tools, understanding and insight you need to get the best care for your loved one.
  4. Content Article
    Going to an appointment with your doctor can be a daunting experience. You may have a million questions to ask, but as soon as you get into the room they are forgotten or you feel you are unable to ask them. This blog, written by Bonnie Friedman and published by Fit for Joy, describes techniques you could use to enable your voice to be heard at consultations.
  5. Content Article
    The Commission was established in February 2013 by the charity Public Concern at Work (PCaW) to examine the effectiveness of existing arrangements for workplace whistleblowing in the UK and to make recommendations for change. Whistleblowing is the raising of a concern, either within the workplace or externally, about a danger, risk, malpractice or wrongdoing which affects others. In March 2013 the Commission issued a consultation document. It received 142 responses. Those responding included a broad mix of employers, lawyers, academics, trade unions, politicians and whistleblowers. This report represents the unanimous view of the Commissioners taking into account this material and reports on the effectiveness of existing arrangements for workplace whistleblowing in the UK.
  6. Content Article
    Due to COVID-19 and the safety issues the pandemic is highlighting, I have decided to write a sequel to my previous blog 'Dropped instrument, washed and immediately reused'. I am writing this because it recently came to my notice from colleagues that safety is once again being compromised in the same private hospital where my shifts were blocked after I reported a patient safety incident.
  7. Content Article
    Richard Smith is a trained paramedic who now works as Head of Quality and Safety at Addenbrooks Hospital. In this interview with East England Ambulance Service General Broadcast, Richard talks about his recent paper on incident reporting in the ambulance service. He asks if we have a blame and fear-free culture when concerns are raised, the value of feedback and highlights the importance of reporting the positive incidents too.
  8. Content Article
    This article, published in Drug Safety, Robust, argues that active cooperation and effective, open communication between all stakeholders is essential for ensuring regulatory compliance and healthcare product safety; avoiding the necessity for whistle-blowing; and, most essentially, meeting the transparency requirements of public trust.
  9. Content Article
    Revised expectations of boards and board members in relation to Freedom to Speak Up plus supplementary resources and a self-review tool.
  10. Content Article
    This report is the outcome of a six-month study into workplace culture at Whittington Health NHS Trust. Central to the study is an exploration of perceived bullying and harassment and their relationship, if any, to ideas of a common workplace culture.   It is important to emphasise that this is a study and not an enquiry. The researchers have no jurisdiction to suggest sanctions or actions, instead to report and advise on what they have found and to make any recommendations where appropriate. The study deployed a mixed-methods approach of staff survey and over 120 hours of one-to-one interviews mainly resulting in contacts generated by the survey. This is a cross-sectional study – a snapshot in a moment in time from a sample of staff at Whittington Health NHS Trust.
  11. Content Article
    The National Guardian's Office (NGO) published a summary of speaking up learning and actions in response to its review into the handling of speaking up cases at Whittington Health NHS Trust. The review, carried out at the end of last year, revealed encouraging areas of good practice. There were also areas of improvement recommended by the review that highlighted issues with the wording and application of the trust policy relating to speaking up, support and feedback to those who speak up, and the way in which the trust manages grievances. The review summary details the NGO’s findings and actions of the trust.
  12. Content Article
    While healthcare workers fight on behalf of us all against COVID-19, they can still risk their jobs for blowing the whistle on dangerous practices and wrongdoing. In fact whistleblowing and the global crisis caused by COVID-19 are closely intertwined. We know from staff at whistleblower helplines that healthcare is the sector from which they get most calls. But it can be extremely difficult for healthcare staff to effectively report problems.  In this blog, Professor Kate Kenny and Professor Marianna Fotaki discuss how drawing attention to wrongdoing and risks has long been a problem, forcing staff to become whistleblowers, often at high personal cost to themselves. However, healthcare whistleblowers need help to speak out, now more than ever now, when timely disclosures can help prevent major disasters. Building transparent and fit-for-purpose channels for disclosing and preventing wrongdoing is key for achieving this. Senior healthcare managers, politicians, and unions must also fight hard to be the voices of frontline healthcare staff who struggle to draw attention to serious issues they encounter at work.
  13. Content Article
    This Review was set up in response to continuing disquiet about the way NHS organisations deal with concerns raised by NHS staff and the treatment of some of those who have spoken up.  The aim of the Review was to provide advice and recommendations to ensure that NHS staff in England feel it is safe to raise concerns, confident that they will be listened to and the concerns will be acted upon. 
  14. Content Article
    A Whistleblower is defined as "a person who exposes any kind of information or activity that is deemed illegal, unethical, or not correct within an organization that is either private or public". These individuals are vulnerable to retaliation for their actions and whilst there are laws in place purposed to protect them, sometimes the laws are not adequate or effective in their practical application.  The All Party Parliamentary Group (APPG) on Whistleblowers was set up with the aim to provide stronger protection for whistleblowers. This website provides further information on the APPG,  
  15. Content Article
    This infographic by the College of Emergency Nursing Australasia gives practical advice on how to speak up if patient safety is compromised.
  16. Content Article
    A blog from hub topic lead Hugh Wilkins on the recent messages from NHS England and NHS Improvement leaders reminding everyone, including those at board level, of the duty and right of staff to speak up about anything which gets in the way of patient care and their own wellbeing. Hugh highlights the real risk of reprisals against some staff who have raised concerns in the public interest, and points out that much needs to change before NHS staff can be sure that it is safe for them to speak up.
  17. Content Article
    Effective speaking up arrangements protect patients and improve the experience of NHS workers. The guidance set out by Sir Robert Francis in his Freedom to Speak Up review, was to develop a more open and supportive culture that encourages staff to speak up about any issues of patient care, quality or safety.  In this blog I want to explore why this hasn’t been happening in Trusts up and down the country, despite everyone wanting a safe culture to speak up, no more so than myself, a clinician who has a keen interest in patient and staff safety. Sir Robert Francis laid out six principles for Trusts to follow in his review of speaking up in NHS Trusts in 2015. I would like to reflect on the times when I have spoken up about patient safety issues and the responses I have had when I have raised them.  I will use Francis’ six principles to frame the blog. 
  18. Content Article
    Freedom to Speak Up Guardians are changing the conversation about what it means to speak up in health. With a network of over 1,100 guardians and champions in England, workers are being supported and positive actions are being taken as a result. Speaking up and listening up should be a natural part of our conversations with colleagues, managers and each other. In health, as in all sectors, the best leaders understand the importance of listening to workers who are the eyes and ears of an organisation. But in health it is even more crucial as speaking up can be a matter of life or death. A positive environment and a supportive culture are key elements of the NHS People Plan. The Freedom To Speak Up Index, a new metric taken from the NHS Annual staff survey, shows that a positive speaking up culture may be correlated with higher performing organisations.  The National Guardian Freedom to Speak UP launched the 100 Voices campaign: to share the stories that describe the current reality of speaking up in health. This document highlights and shares best practice in speaking up. Some have been provided by Freedom to Speak Up Guardians, others by workers themselves. Within these pages you will hear a selection of voices. They describe their experiences of speaking up, the impact this has had and how it has led to positive change.
  19. Content Article
    Our NHS staff are doing fantastic work to tackle the COVID-19 pandemic and keep essential services going – their hard work and dedication during this difficult time is remarkable. As the NHS Chief Executive Sir Simon Stevens made clear in his letter of 29 April 2020 to NHS chief executives, it is important to remind everyone of the duty – and right – of those who work in the NHS to speak up about anything which gets in the way of patient care and worker wellbeing. Hear what Prerana Issar, the first NHS Chief People Officer, has to say in her blog. See also our hub resources on Whistleblowing and Speak Up Guardians.
  20. Content Article
    The coronavirus pandemic has sparked reports of NHS workers being warned, threatened or disciplined for speaking up about the lack of personal protective equipment (PPE) and testing for coronavirus and similar worries raised in the care sector. It underlines the need for a shift in attitudes in UK workplaces to whistleblowers, underpinned by an overhaul of the law to afford them greater protection, according to Elizabeth Gardiner, the new chief executive of the whistleblowing charity, Protect, in this blog in the Guardian. "We’ve heard direct from some care sector workers who have been threatened with disciplinary aciton if they persist in raising concerns," says Elizabeth. "Whistleblowers are a safety valve – it’s everyone’s business to reveal dangerous working practices." “What we would like to see is a proactive duty on employers to protect whistleblowers from being victimised,” she says. “That would be the sort of cultural shift that we’re looking for.”
  21. Content Article
    Roger Kline, Consultant on Workforce Culture, describes the “lifecycle” of a whisltleblower and the stages and steps they will go through. It's one many whistleblowers will recognise in part or in full.
  22. Content Article
    Ten Thousand Feet UK is a Consultancy led by Rob Tomlinson in collaboration with the Association for Perioperative Practice. Rob is a clinical nurse in the NHS and is leading the way to improving patient safety through clinician-led culture change in the UK. Rob has already delivered workshops on a national scale with success for teams who have embraced the new procedure.  'Never Events' within the NHS are still on the rise with distraction and a loss of situational awareness still being cited as one of the main causes. Ten Thousand Feet aim to embed new patient safety culture into operating theatre teams nationwide, so at any time, anyone working in the theatre who needs to focus their attention at the task in hand can can use the language tool “Ten Thousand Feet” to improve team efficiency and most importantly patient safety. At the end of the workshop theatre staff will be educated and empowered to use this concept in a safe and effective manner.
  23. Content Article
    The NHS Staff Survey is one of the largest workforce surveys in the world and has been conducted every year since 2003. It asks NHS staff in England about their experiences of working for their respective NHS organisations. The survey provides essential information to employers and national stakeholders about staff experience across the NHS in England. Participation is mandatory for trusts and voluntary for non-trust organisations (CCGs, CSUs, social enterprises). The survey does not cover primary care staff. The report below provides a concise summary of key national results. Detailed local (organisation-level) results are also available here.
  24. Content Article
    In her blog, drawing on the Paterson Inquiry, Judy Walker discusses After Action Review (AAR) and the fear that exists around speaking up.
  25. Content Article
    Workplace bullying (WPB) is a physical or emotional harm that may negatively affect healthcare services. The aim of this study, published in Human Resources for Health, was to determine to what extent healthcare practitioners in Saudi Arabia worry about WPB and whether it affects the quality of care and patient safety from their perception.
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