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Content ArticleIn this blog, Patient Safety Learning considers the impact of the COVID-19 on the social care sector in the UK. This blog highlights the emerging patient safety issues the pandemic is creating in the sector and recommends some essential steps that need to be taken now to tackle some of the most urgent patient safety concerns.
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Content ArticleThis is the written transcript and the video recording of the Health and Social Care Committee meeting that took place on Friday 17 April on the topic of: Management of the Coronavirus Outbreak. Witness(es): Dr Alison Pittard, Dean, Faculty of Intensive Care Medicine; Dame Donna Kinnair, Chief Executive and General Secretary, Royal College of Nursing; Professor Anthony Costello, Professor, UCL Institute for Global Health Witness(es): Matt Hancock, Secretary of State, Department for Health and Social Care; Jonathan Van-Tam, Deputy Chief Medical Officer for England, Department for Health and Social Care
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Content Article
ICU Remote Learning Course
PatientSafetyLearning Team posted an article in Good practice and useful resources
This course, endorsed by the Intensive Care Society, provides non-ICU clinicians with rapid, targeted and effective training to support critical care delivery for COVID-19 patients. Topics include: ICU monitoring and interpretation Physiotherapy assessment and management of ICU patients Basic good ICU care Ventilation COVID and ARDS Management Vasoactive and sedative drugs. To register, contact CIRLCrehab@brunel.ac.uk -
Content ArticleThis letter template was created by Maternity Action. It can be used by pregnant women to request a risk assessment in relation to their job and the risk of infection from COVID-19.
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Content ArticleIn this anonymous blog, published by the Guardian, the author describes their experience of working in an inpatient psychaitry unit during the current cornovirus outbreak. They raise concerns over the impossibility of physical distancing, lack of personal protective equipment (PPE), patients not being allowed to go out and a rise in violence and anxiety.
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Content ArticleThis article, published by the British Journal of Oral and Maxillofacial Surgery, concludes that in order for healthcare professionals to deliver safe care they need adequate protection and training in its use. Where employers are failing to provide adequate PPE safe healthcare cannot be delivered. This poses both moral and ethical dilemmas to healthcare professionals who are patient focused, thereby creating a sense of inadequacy and undervaluation resulting in workforce stress.
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Content ArticleSharps injuries are a well-known risk to workers in healthcare and for those who receive them they can cause anxiety and distress and may result in exposure to bloodborne viruses (BBVs) such as HIV or hepatitis B or C. This guide from NHS Employers has been developed to help individuals understand and manage the risks from sharps injuries
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Content ArticleThis NHS Employers guide has been produced knowing the increasing number of staff in the health sector who work alone in community settings such as patients’ homes or on outreach work. Lone workers can be vulnerable and at increased risk of physical or verbal abuse and harassment from patients, clients, their relatives or members of the public, simply because they don’t have the immediate support of colleagues or security staff. Understand the importance of protecting lone workers as well as your legal duties as a manager for lone workers.The guide includes a list of key things to consider, which acts as a helpful checklist for those who manage staff who work alone.
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Content ArticleThis guidance from NHS Employers explores: how shift work can impact on health, safety and wellbeing what can employers and employees do the importance of partnership working on shift working patterns.
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Content ArticleThis video, produced by the Tissue Viability Team at Bradford Teaching Hospital Foundation Trust, helps staff understand how to prevent pressure ulcers from wearing PPE.
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Content ArticleTracey Vernon introduces a short film about how to effectively don a mask and minimise skin damage. She is the Lead Nurse for the Skin Integrity Team (SIT) at Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust
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Content ArticleThe Resuscitation Council UK issued guidance on how to manage a cardiac arrest in the COVID positive patient. Imperial College Hospital in conjunction with the Imperial College School for Medicine have produced this video to accompany the guidance and shows practically what the process is.
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News ArticleNHS staff still do not have the protective equipment they need to treat coronavirus patients, medics have said. The British Medical Association (BMA) said doctors were putting their lives at risk by working without adequate protection. It comes as the health secretary said 19 NHS workers had died with coronavirus since the outbreak began. Read full story Source: BBC News, 11 April 2020
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News Article
Trusts to ‘run out of gowns this weekend’
Patient Safety Learning posted a news article in News
London trusts have been warned not to expect deliveries of gowns from the national supply chain for at least the next few days, HSJ understands. Without central deliveries, providers risk running out of gowns ahead of the Easter weekend. Trusts will have to rely on existing supplies and any new stock they procure independently. Staff performing or assisting aerosol-generating procedures on confirmed or suspected covid-19 patients should wear gowns, according to the latest guidance from Public Health England. But supplies have been an issue for weeks, with trust procurement leads raising concerns about dwindling gown stocks last month. It recently emerged that gowns were not included in national pandemic stockpiles, unlike other forms of personal protective equipment like masks and gloves. Read full story Source: HSJ, 9 April 2020 -
News Article
Mental health hotline for NHS staff
Patient Safety Learning posted a news article in News
The NHS is launching a hotline to support and advise healthcare staff during the coronavirus pandemic. Volunteers from charities including Hospice UK, the Samaritans and Shout, will listen to concerns and offer psychological support. The phone line will be open between 07:00 and 23:00 every day, while the text service will be available around the clock. The phone number is 0300 131 7000 or staff can text FRONTLINE to 85258. It comes as staff face increasing pressure to care for rising numbers of patients who are seriously ill with the virus. Read full story Source: BBC News, 8 April 2020 -
News Article
Doctors lacking PPE 'bullied' into treating COVID-19 patients
Patient Safety Learning posted a news article in News
Doctors in Britain are being “bullied and shamed” into treating patients with COVID-19 despite not having the masks, gowns and eyewear they need to protect themselves from the virus, frontline medics have said. Others are being told to hold their breath to avoid getting infected because of persistent shortages of personal protective equipment (PPE) . The findings raise questions about how far a huge effort by NHS bosses, ministers and the military has succeeded in banishing previously widespread supply problems with PPE. “Lack of personal protective equipment continues to be a critical issue. It is heartbreaking to hear that some staff have been told to simply ‘hold their breath’ due to lack of masks,” said Dr Samantha Batt-Rawden, the president of the Doctors’ Association UK (DAUK). “Doctors are dying. Nurses are dying. We are devastated, and can no longer stand by and watch as more dedicated colleagues lose their life,” she said. Read full story Source: The Guardian, 7 April 2020 -
News Article
Residential homes 'desperate' for PPE, as two care workers die
Patient Safety Learning posted a news article in News
The first two coronavirus deaths among care workers in England were announced, as industry leaders hit out at chronic shortages of protective equipment and urged the government to start treating social care as “a second front line”. Carol Jamabo, 56, a community carer for Cherish Elderly Care in Bury in Greater Manchester, died last Wednesday. Another carer died in a home run by MHA, the UK’s largest charitable social care provider, which said it was unclear where she contracted the virus. The death of a West Dumbartonshire care worker that emerged on Sunday was also confirmed by the Scottish first minister, Nicola Sturgeon. The fatalities came amid rising concern that those working in social care still do not have the protection they need amid the Covid-19 pandemic and that, without testing for the virus, staff risk contaminating care homes where elderly people are supposed to be “shielded”. Read full story Source: The Guardian, 6 April 2020 -
News ArticleDoctors and nurses will need treatment for post-traumatic stress disorder after working in harrowing conditions on wards during the coronavirus crisis, health leaders warn. The strain on their mental and physical health is already unprecedented and the virus has not yet reached its expected peak, they say. NHS staffing is at levels that were previously unthinkable as workers – forced to spend hours in hot conditions while wearing full protective gear – try to keep up with demand amid a lack of equipment. It comes as the head of intensive care at London’s Royal Free Hospital described in a memo how most units had already shifted from the usual one nurse to one patient ratio to one to six and were running out of key machines and equipment. Dr Alison Pittard, dean of the Faculty of Intensive Care Medicine, told The Independent: “I am really concerned about the toll this is taking and will continue to take on staff." “We are used to dealing with emergencies, but we have never been exposed to this sort of demand. We know staff are already struggling physically and mentally and that this will only continue." Read full story Source: The Independent, 6 April 2020
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News Article
NHS worker quit when she was stopped from wearing face mask
Patient Safety Learning posted a news article in News
A healthcare worker in north-west London quit her job after she was refused permission to wear a protective face mask, the Guardian has learned. In her resignation letter, Tracy Brennan chastised her superiors at Hillingdon Hospitals NHS foundation trust for forbidding her from wearing a surgical mask she had bought to protect herself – and the patients she was caring for – from contracting the deadly virus. Brennan, a healthcare assistant, said she had returned to work after self-isolating for 14 days because her daughter had shown symptoms of Covid-19. She said that patients in the ward where she was working, which was not a coronavirus treatment ward, felt comfortable with her wearing the surgical mask and some positively encouraged her to do so. Brennan wrote: “With a heavy heart and sadness, I feel I have no alternative but to hand this letter in as my formal resignation and will be unable to work my notice due to not being allowed to wear sufficient personal protective equipment (PPE) for the duties I perform.” Read full story Source: Guardian, 4 April 2020 -
Content ArticleBlog published in the Guardian from an NHS respiratory consultant.
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News Article
Major acute tells staff to work despite isolation guidance
Patient Safety Learning posted a news article in News
A major hospital trust has told staff they should attend work even if a household member is showing covid-19 symptoms, contrary to national guidance. Newcastle Upon Tyne Hospitals Foundation Trust’s occupational health department has told staff who had reported having family members with covid-19 symptoms they were still expected to attend work. In the email exchanges seen by HSJ, some as recently as a couple of days ago, the trust’s occupational health department was clear there was an NUTH policy agreement with Public Health England. Read full story Source: HSJ, 1 April 2020 -
News Article
At-risk NHS workers told to put their health first as volunteer doctor dies
Patient Safety Learning posted a news article in News
Healthcare professionals have been told to consider not treating patients with the COVID-19 coronavirus if they themselves would be put at risk, part of new ethical guidance that calls on doctors to prioritise some ailments over the pandemic. The new recommendations for healthcare professionals over 70 years, or with pre-existing conditions, to put themselves first when tackling the pandemic comes following the death of a doctor who returned to the frontlines as a volunteer following a call to arms from the government. The guidance from the Royal College of Physicians (RCP) makes up part of a sweeping list of ethical considerations faced by healthcare workers in the face of the global pandemic. Read full story Source: The Independent, 2 April 2020 -
Content ArticleThis report, published by the Association of Anaesthetists, gives recommendations based on clinical experiences of managing patients throughout Italy. In particular, the authors describe key elements of clinical management, including: safe oxygen therapy; airway management; personal protective equipment; and non‐technical aspects of caring for patients diagnosed with coronavirus disease 2019.
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Community Post
Covid-19 safety of GP practices
Katharine Tylko posted a topic in Coronavirus (COVID-19)
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HOW SAFE ARE OUR GP PRACTICES during covid-19? For the health care professionals, their patients, and families of patients? I'm a 65-yr old diabetic needing routine B12 injections. My GP tells me to turn up as normal so I don't develop neurological problems. I don't think anyone in the practice has been tested for covid-19. I'm refusing to turn up since I suspect the GP practice to be a covid-19 hot-spot. I don't want to transmit this virus to my frail, elderly asthmatic husband who's undergone cancer treatment and a lot of surgery. I've persuaded the GP to give me a precription for oral B12. Have I done the right thing? How can I help GPs and patients in far worse dilemmas than mine?- Posted
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News Article
Coronavirus: NHS doctors ‘gagged’ over protective equipment shortages
Patient Safety Learning posted a news article in News
Frontline doctors have told the Independent they have been gagged from speaking out about shortages of protective equipment as they treat coronavirus patients – with some claiming managers have threatened their careers. Staff have been warned not to make any comments about shortages on social media, as well as avoiding talking to journalists, while NHS England has taken over the media operations for many NHS hospitals and staff. The Independent has seen a series of emails and messages warning staff not to speak to the media during the coronavirus outbreak. One GP has been barred from working in a community hospital in Ludlow after making comments about the lack of equipment, while another in London said they were told to remove protective equipment they had purchased themselves. NHS England confirmed it was controlling media communications, which it said was part of its national emergency incident planning to ensure the public received “clear and consistent information”. Read full story Source: The Independent, 1 April 2020
