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Found 999 results
  1. Content Article
    This article in The Joint Commission Journal on Quality and Patient Safety reports on the findings of a pilot programme to improve healthcare staff wellbeing. Between November 2018 and May 2020, researchers engaged five healthcare sites to take part in a pilot intervention. The pilot used evidence-based approaches to wellbeing including a comprehensive culture assessment, redesigning daily workflow and leadership and team development. The researchers found that healthcare worker wellbeing improved when: an integrated, skills-based approach was taken there was a focus on team culture, interactions and leadership workflows were redesigned to promote positive emotions. This study suggests that combining a number of these approaches at the same time can improve healthcare working environments and reduce levels of staff burnout.
  2. News Article
    NHS Highland says it expects to pay £3.4m in settlements to current and former staff who have complained of bullying. Whistleblowers exposed a "culture of bullying" at NHS Highland in 2018. A Scottish government-commissioned review suggested hundreds of health workers may have experienced inappropriate behaviour. So far 150 cases have been settled since the start of a "healing process", costing the health board more than £2m. Whistleblower Brian Devlin told BBC Scotland the scale of settlements made so far was "heartening", but he added that he continued to have concerns about bullying at the health board. A group of Highlands GPs first complained of a culture of bullying at NHS Highland in September 2018. Staff said they had not felt valued, respected or supported in carrying out "very stressful work". Others told of not being listened to when raising matters regarding patient safety concerns and decisions being made "behind closed doors". The review also said that "many described a culture of fear and of protecting the organisation when issues are raised". Read full story Source: BBC News, 28 September 2021
  3. News Article
    Leaked results from a national survey of NHS staff has revealed a sharp drop in those who believe their health and wellbeing is being supported by their employer. The People Pulse is a national, monthly survey launched in 2020. It enables provider and commissioner organisations to monitor the NHS workforce’s health and wellbeing. According to a snapshot of the results recorded between May and August seen by HSJ, there was a drop of 9.6 percentage points in “perceptions of wellbeing support”, with “positivity” sitting at 57.3%. Almost a quarter of the survey respondents reported a “negative” experience of health and wellbeing support. The survey results also revealed almost a third of respondents said they wanted to speak up about a specific issue during the pandemic, especially on issues of staff safety, health and wellbeing, but they did not because they feared repercussions or believed nothing would happen. Read full story (paywalled) Source: HSJ, 21 September 2021
  4. Content Article
    Healthcare settings are inherently hazardous places, with very unpredictable and complex working environments. These hazards and risks not only result in a range of injuries and ill-health among workers but also jeopardise the safety of patients. The COVID-19 crisis has amplified the importance of ensuring that the healthcare that is provided is safe—for patients and health workers alike. A sufficient, and capable, workforce, is the foundation of resilient systems. Policy makers need to focus now on how to build and support an appropriate workforce to respond to future shocks. This includes health workers beyond the hospital—including those in community, long-term, and primary care. The safety of both patients and health workers should be protected through appropriate mechanisms to ensure the safety of protective equipment and sufficient supplies, appropriate staffing levels, training and support at the workplace. These governance mechanisms are even more relevant when policy makers face trade-offs between health, safety and economic concerns. This is part of series of health working papers from the OECD on the economics of patient safety. The preceding paper, focusing on Long-term care, can be found here.
  5. News Article
    A trust’s maternity services were rated ‘good’ despite an independent report finding ‘weaknesses in the culture’ and ‘defensive and fractious’ behaviours, HSJ has learned. As previously reported, former staff at Sandwell and West Birmingham Hospital Trust had raised concerns with the Care Quality Commission (CQC) over what they described as a “toxic management culture” and “unsafe” staffing levels in the trusts maternity service. Particular concerns were raised around community midwifery services. This prompted an unannounced inspection by the CQC in May, which found “low morale and negative culture” in the services. However, the CQC ultimately concluded the trust was taking positive steps to address the problems and rated its maternity services “good” overall, as well as for leadership and safety. Some frontline staff in the service have questioned those findings, however, and pointed to an independent review which was conducted in the early months of 2021. This review, carried out by independent consultant Debbie Graham and seen by HSJ, concluded there was “evidence of weaknesses in the culture; evidenced in the behaviours of some staff which appears to go unaddressed; a lack of strong, visible leadership; a lack of a shared vision; the finding that some staff have a fear of ‘speaking up’; and poor communication systems.” Read full story (paywalled) Source: HSJ, 20 September 2021
  6. Content Article
    The purpose of wearing a type II fluid resistant surgical mask (FRSM) during surgical and invasive procedures is to minimise the transmission of pathogens in the nose, mouth and throat of staff to patients. They also protect staff from splash or spray of blood/body fluids onto their respiratory mucosa (nose and mouth). A wide range of FFP3 respirators have been used as protection by staff across healthcare settings during the COVID-19 pandemic, including FFP3 respirators with and without exhalation valves. The exhalation valves do not filter exhaled breath, even when of a ‘shrouded’ type. Current infection control guidance states that: “Valved respirators should not be worn by a healthcare worker/operator when sterility directly over the surgical field is required, eg in theatres/surgical settings or when undertaking a sterile procedure”. Powered hoods (also known as powered air purifying respirators or PAPRs) have been provided as respiratory protective equipment (RPE) for staff unable to achieve a tight fit with an FFP3 respirator(s). The air exiting PAPR hoods is not filtered. Incident reports received since March 2020 identified five incidents describing dripping of condensation from the exhalation valve of an FFP3 respirator, potentially compromising the sterile field; one cerebral abscess involving an oral bacterium linked to the use of a valved FFP3 respirator during brain surgery; and three cases of endocarditis linked to PAPR use during cardiac surgery. These incident reports and feedback from services suggest that the risks of valved respirators and PAPRs for surgical and invasive procedures is not well recognised, and that their use may have become routine in some theatre environments.
  7. Event
    until
    The Nightingale Frontline Leadership Support Service aims to support the additional and extraordinary leadership responsibilities of staff at all levels of the organisation and enable them to continue to guide their patients, staff and the service during and after this crisis. The objectives are to: 1) Provide an online platform to deliver group leadership support in real time 2) Provide a psychologically safe space for healthcare professionals to explore leadership challenges, issues and concerns raised 3) Enable the identification of strategies for self-development and self-care in response to the immediate and future challenges 4) Enable healthcare professionals to articulate a narrative which demonstrates their leadership development and contribution to the COVID-19 response. The service will be delivered by the Florence Nightingale Foundation (FNF) and will take the form of remote group leadership support sessions underpinned by the principles of creating psychologically safe spaces. The leadership support will be facilitated by our expert FNF Associate Facilitator and our senior nurse and midwife scholar and alumni network who are highly experienced and skilled in a method of Action Learning known as Co-consulting. This approach combines the benefits of coaching with peer learning in an environment underpinned by psychological safety. Register
  8. News Article
    NHS leaders are being urged to tackle racist abuse of staff as new figures reveal that a third of black, Asian or minority ethnic workers in mental health trusts in England have experienced harassment, bullying or attacks by patients, relatives or members of the public. One in three (32.7%) BAME staff in mental health settings have experienced abuse, according to analysis by the Royal College of Psychiatrists. For BAME workers across the NHS, the rate is more than one in four (28.9%). One medical director told the Guardian that hot tea had been thrown at them “because of the colour of my skin”. A psychiatrist told how they were left traumatised after they were racially abused – then threatened with a knife. The college is calling on health leaders to take a stand against discrimination by setting up better processes in NHS trusts to record and understand data about bullying and harassment. Dr Adrian James, president of the Royal College of Psychiatrists, said the findings were deeply concerning. He said: “NHS leaders and local health bosses must tackle this head-on.” Read full story Source: The Guardian, 9 September 2021
  9. Content Article
    In this webinar discussion, an expert panel discusses the airborne nature of Covid-19, the lack of adequate personal protective equipment (PPE) during the pandemic and continued concerns around unsafe PPE guidance and the impact on both staff and patient safety. The panel includes: Helen Hughes: Chief Executive of Patient Safety Learning Dr David Tomlinson: Consultant Cardiologist, NHS Rachael Moses OBE: Consultant Physiotherapist, NHS Hosted by Dr Asad Khan and produced by Gez Medinger.
  10. Content Article
    Scientists around the world have warned of the airborne nature of Covid-19 since the start of the pandemic, but how does this impact on patient safety and what can be done to reduce risk? In this long read blog, GP trainee Lindsay Fraser-Moodie, describes how she witnessed the impact of poor ventilation and inadequate PPE on staff and patient safety while working on a hospital ward during the second UK Covid-19 wave. Lindsay describes how her CEO welcomed her concerns, and the changes that were put in place to reduce the risk of hospital acquired transmission. This article includes a comment from her CEO David Carter, who highlights the challenges of the situation and praises Lindsay for her approach to patient safety. 
  11. News Article
    The RCN has today launched a new independent and confidential help and support line for any members or staff who have been affected by the issues relating to the reports received. Pat Cullen, General Secretary and Chief Executive, said: "Anyone can be affected by sexual harassment. It’s not restricted to any gender, age, ethnicity, sexuality or role. If you have been affected, it is important that you are listened to, supported, and helped to work through any actions you wish to take. This 0800 number will allow members or staff to discuss any concerns about sexual harassment related to RCN activity. “All staff and members have a right to feel safe and we are taking all necessary steps to provide that security. We must tackle the issues and behaviours that have no place in our College. We must demand better, for members and for the profession.” Read full story. Source: RCN, 02 September 2021
  12. News Article
    The Modality Partnership, one of England's biggest general practice groups told HSJ that its GPs are regularly seeing more patients each day than is safe, after the number of people going to see their GP surged in the wake of Covid-19. Data has shown the provider’s GPs had an average of 20 patient contacts per day during April 2020, which has now risen to to an average of nearly 50 patient contacts per day. Modality, which had drawn up a report on the situation were quoted as saying, "There is just so much to cover – I am worried about missing something.” One partner at Modality who is also quoted in the report said: “An increasing number of patients I see are broken, often in tears, and seeking help to cope with the new stresses of life.” Read full story (paywalled). Source: HSJ, 31 August 2021
  13. News Article
    A new study has found stress in the workplace could be leading women suffering from warning signs of heart disease. These signs included work-related stress, sleep disorders, and tiredness - which are important but non-traditional risk factors for having a heart attack or a stroke. Dr Wagner, a neurology professor at the University of Zurich, said "Traditionally men have been perceived to be more affected by heart attacks and strokes than women, but in some countries, women have overtaken men. There is a gender gap and further research is needed to find out why”. Read full story. Source: The Independent, 31 August 2021
  14. Content Article
    This report presents the findings from a survey conducted by the British Medical Association showing that women are disproportionately affected by sexism and gender bias. The report also acknowledges how institutional factors that accompany a medical career are still disadvantaging women.
  15. News Article
    A new report from the British Medical Association has published results showing 9 in 10 female doctors have experienced sexism at work in the UK, including unwanted physical contact, denial of opportunities and being asked to massage male colleagues in meetings. The findings showed 91% of female doctors have experienced sexism at work, almost one-third (31%) of female doctors had experienced unwanted physical conduct in their workplace, and two in five (42%) of female and male doctors who had witnessed or experienced sexism felt that they could not report it. A female GP has said "I was asked at an interview if I was planning on having children. I’ve had patients refusing to see me as they want to see a proper – i.e. male – doctor … Advised I was not pretty enough to cause a distraction in meetings so they could treat me like a bloke.” Danny Mortimer, the deputy chief executive of the NHS Confederation, which represents hospital trusts, said "NHS organisations are working hard to make sure their staff do not experience sexism, or indeed, any form of discrimination, and Amanda Pritchard’s recent appointment [as NHS England’s new chief executive] signals a more representative leadership. But as this report makes clear, there is far more work to be done.” Read full story. Source: The Guardian, 26 August 2021
  16. News Article
    NHS leaders and experts have warned healthcare staff will leave their roles in a "mass exodus" unless exhausted doctors and nurses are given better support. This comes as reports earlier this year showed many healthcare staff are suffering from burnout. “From April onwards we’ve seen a significant rise in mental health cases, and it shows no sign of stopping,” Steve Carter, director of consulting services at FirstCare, told a panel of MPs and peers on Tuesday. “We need to address the mental health issue quickly if we are to get through the winter.” Read full story. Source: The Independent, 25 August 2021
  17. Content Article
    This article discusses how advising and supporting managers/employers in risk management and control is and should have been one of the main preventive roles of occupational health experts, particularly in regards to legal duties on health and safety. In the article, the authors recommend that, as employees have the right to a safe working environment, all appropriate health and safety risk assessments should be carried out, along with published documented input from occupational health experts in addition to gaining employee agreement on Respiratory Protective Equipment (RPE) for aerosol inhalation risk.
  18. News Article
    According to reports, GPs and healthcare staff are receiving a torrent of abuse and threats of violence from patients, with some surgeries being sent hate mail, bomb threats and graffiti. This rise in abusive behaviour comes as GP's become overwhelmed with demand, often working many hours overtime with delays being able to get to appointments due to staff shortages. Professor Martin Marshall, chair of the Royal College of General Practitioners, said: “It’s entirely unacceptable for anyone working in general practice to be at the receiving end of abuse of any kind, let alone the threat of physical violence. General practice has been open throughout the pandemic, and face-to-face appointments have been offered wherever safe and appropriate. Read full story. Source: The Independent, 23 August 2021
  19. News Article
    Midwives at Suffolk Hospital have spoken out in a whistleblowing letter describing problems in their department as ‘demoralising and heartbreaking’. In the letter, written by midwives who declined to give their names "for fear of retribution", describe constant staff shortages, a culture of blame and fear, a high pressure environment and substandard care, saying " We entered midwifery to be able to give women centred, holistic care. Instead it feels like we are being overwhelmed by the unmanageable and relentless workload, and as a result are giving substandard care which is demoralising and heartbreaking. We are all feeling like we are now desperate for change. This change is beyond what we can achieve ourselves so we urge you to please help us to generate it. It should not be accepted or tolerated for us to be forced into giving unsafe care entirely due to unsafe staffing". In response, Karen Newbury, head of midwifery at the trust, said: “We are working exceptionally hard to recruit additional midwives and we are very grateful for the flexibility and dedication of our staff in ensuring that we provide a safe and caring service – this was recognised by our Care Quality Commission inspection in April which found we managed safety well. We have recently completed recruitment so there will be at least two senior midwives on every shift to provide flexible and experienced support to our maternity teams, and we are working with colleagues regionally to recruit staff both locally and internationally as well as running a full student training programme.” Read full story. Source: Suffolk News, 20 August 2021
  20. Content Article
    NHS Health at Work is the network of occupational health teams dedicated to ensuring that the NHS has a healthy, motivated workforce that is able to provide the best possible patient care. The NHS is the largest employer in the UK and aims to provide an exemplary occupational health service that is improving the health and well being of over 1.3 million NHS staff. NHS Health at Work influences and advises Government and other bodies about occupational health in the NHS. It also provides a gateway for businesses in the broader community who are seeking occupational health advice and support.
  21. News Article
    Fifty senior consultants from a minority ethnic background at University Hospitals North Midlands have written to Tracy Bullock and trust chair David Wakefield asking for action to ‘protect’ staff from bullying behaviours following an internal survey in which 348 medics claimed to have experienced bullying and harassment. In a subsequent letter on 5 August, seen by HSJ, 50 doctors have now said: “We are forced to express our concerns over the prevailing poor culture within our organisation with most senior medical staff presently reporting they have suffered or witnessed first-hand discrimination, bullying, harassment, or victimisation. We… ask for urgent action by the executive and non-executive boards to immediately implement measures to protect senior medical staff from unacceptable ill-treatment.” A separate external review is now understood to have been commissioned amid concerns over bullying within ophthalmology services. Read full story (paywalled). Source: HSJ, 19 August 2021
  22. Content Article
    This article, published in Medical Economics, looks at the Ethical Principles in Health Care (EPiHC), established June 2020. EPiHC serves as a global network of private health care providers, payors and investors committed to ethical conduct. It provides health care organisations with ten clear principles to navigate complex ethical decisions – principles that have never been more critical than in the midst of the COVID-19 pandemic.
  23. Content Article
    This article, published in the BMJ, looks at the declining mental health of staff in ICU during the height of the Covid-19 pandemic, based on research by King's College London in 2020.
  24. Content Article
    This issue of the National Health Executive magazine features a wide range of timely health topics, including; improving employee mental health and ambulance services, prioritising staff wellbeing, equitable access to Covid-19 vaccines, military style mental health support and more.
  25. Content Article
    This article by Tanya Albert Henry discusses poor “cognitive ergonomics” and how the American Medical Association has studied burnout among doctors and is currently addressing issues causing and fuelling physician burnout—including time constraints, technology and regulations—to better understand and reduce the challenges physicians face. 
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