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Content ArticleThe COVID-19 pandemic is an unprecedented challenge for society. Supporting the mental health of medical staff and affiliated healthcare workers (staff) is a critical part of the public health response. This paper from Walton et al., published in the European Heart Journal, details the effects on staff and addresses some of the organisational, team and individual considerations for supporting staff (pragmatically) during this pandemic. Leaders at all levels of healthcare organisations may find this a valuable resource.
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Moral Injury: Podcast
Claire Cox posted an article in Motivating staff
Dr Esther Murray is a Health Psychologist working at Barts and the London School of Medicine and Dentistry. She has a keen interest in moral injury, the term used when people are witness to shocking or traumatic events that change their outlook on the world. In this podcast, from General Broadcast, the East England Ambulance Service Patient Safety Integration Lead talks to Esther about moral injury and how it can impact ambulance crews, as well as what we can all do to help each other. -
Content ArticleLeadership is all about people. During times of crisis, urgency, uncertainty and change the need for leadership is very real. Leadership that is exceptional and active. Colleagues can feel uninformed, anxious, not valued, not heard, confused and fearful. We know that these dimensions can hinder communication and performance but can be eased by regular contact with leadership, moments of clarity (even if short lived), transparency, openness, honesty and a sense that their concerns matter and are not simply dismissed. The time required for away days, large gatherings, huge debriefs may be difficult to secure but the concepts remain valid and checking in with your people is time well spent. These 5 questions, developed by (East and North Herts NHS Trust, can be used quickly and on a regular basis. If each of us was asked these 5 questions each day or shift they allow us to share how we are experiencing things, reflect on our team mates and colleagues, take away actions for ourselves to help others and have the support from our leadership in helping and supporting us. Good leadership in tough times can be action focused and people centred.
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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- Posted
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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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Words of courage for medical students and residents
Patient Safety Learning posted an article in Blogs
Deborah Edberg, a family physician, reflects on her experiences working with the dying and offers advice and reassurance to the medical students fast-tracking graduation and the young residents moving into high need areas to fight the pandemic of COVID-19. -
Content ArticleFree online mental health and emotional wellbeing services have been set up to support frontline workers. Frontline19 was set up by a small team of experienced pyschotherapists as a crisis response to the COVID-19 epidemic. They are working in partnership with Helpforce and are guided by a steering committee of industry professionals. If you are a frontline worker directly affected by COVID-19 and you need support to help you through this difficult time, please register for more info. Its quick, easy and absolutely free of charge.
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Swimming with the tide, a blog by Sally Howard
Sally Howard posted an article in Leadership for patient safety
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Content ArticleFounded by psychotherapist Rebecca Howard, ShinyMind's story has been a journey of creating an evidence-based mental health and wellbeing resource that people can trust to help them think well, feel well and be well.Rebecca believes everyone has the right to good mental health and access to support whenever they need it – and so ShinyMind’s journey began, to empower people, eradicate stigma and help as many people as we can shine their brightest.
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Psychological Professions Network (PPN)
Patient Safety Learning posted an article in Mental health
The Psychological Professions Network is a membership network commissioned by Health Education England for all psychological professionals and other stakeholders in NHS commissioned psychological healthcare, whether you work with children, adults or another population, whether you are in training or qualified, a manager, commissioner, educator, or an expert by experience.- Posted
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Content ArticleThis study from Stevenson and Farmer concludes that underneath the stigma that surrounds mental health and prevents open discussion on the subject, the UK faces a significant mental health challenge at work. They start from the position that the correct way to view mental health is that we all have it and we fluctuate between thriving, struggling and being ill and possibly off work. People with poor mental health, including common mental health problems and severe mental illness, can be in any of these groups. An individual can have a serious mental health problem but – with the right support – can still be thriving at work.
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Protecting the mental health of UK paramedics (January 2019)
Claire Cox posted an article in Mental health
It is estimated that the average member of the public within the UK will experience one or maybe two traumatic situations in a lifetime – whether that be through witnessing or being involved in an accident, natural disaster, collision, medical episode or traumatic event. Those working in frontline emergency ambulance services however are exposed to distressing and traumatic events on a much more frequent basis. This paper, Published in the Journal of Paramedic Practice, discusses Post Traumatic Stress Disorder (PTSD) among emergency workers, the effects it has on them and what can be done to support them.- Posted
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Content ArticleThis Clinical Knowledge Summary (CKS) topic is based on the National Institute of Health and Care Excellence (NICE) post-traumatic stress disorder guideline. This CKS topic covers the management of children and adults with post-traumatic stress disorder in primary care. It does not cover the management of post-traumatic stress disorder in secondary care; or the management of anxiety, depression, drug or alcohol misuse, dissociative disorders, or adjustment disorders.
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Content ArticleAnxiety is a feeling of unease, like a worry or fear, that can be mild or severe. Everyone feels anxious from time to time and it usually passes once the situation is over. It can make our heart race, we might feel sweaty, shaky or short of breath. Anxiety can also cause changes in our behaviour, such as becoming overly careful or avoiding things that trigger anxiety. When anxiety becomes a problem, our worries can be out of proportion with relatively harmless situations. It can feel more intense or overwhelming, and interfere with our everyday lives and relationships. This self help guide, produced by Southern Health and Social Care Trust, explains what anxiety is, why it occurs and how to manage anxiety.
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Time To Talk Mental Health UK: Facebook support group
Claire Cox posted an article in Mental health
Time to Talk Mental Health UK is a fully private and confidential Facebook Community. The community is highly interactive and fully moderated. They provide a safe place for people to talk about their mental health in confidence with others who understand. In addition, they provide events, regular clubs and a library of resources. The community enables consistent support, which may otherwise be lacking in the mental health care package.- Posted
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Content ArticleHealth Education England (HEE) commissioned the Royal College of Physicians (RCP) to undertake the development of a training programme to meet the medical needs of adults with a learning disability. The training programme consists of two modules and applicants are expected to complete both modules which will result in a post graduate certificate. The second module is under development but will be available in the autumn of 2023. Funded places for both modules are available.
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Content ArticleIn 2016, 18 year-old Oliver McGowan died after being inappropriately prescribed antipsychotic medications. Oliver had high functioning autism, mild hemiplegia and epilepsy, and had experienced previous well-documented adverse reactions to these medications. On admission to hospital, both Oliver and his parents had been clear about the fact that he should not be given any form of antipsychotic. In this interview for Woman's Hour, Oliver's mum Paula talks about Oliver and the events that led to his death, as well as discussing new mandatory training for all health and social care staff that was passed into law as part of the Health and Care Act 2022 - The Oliver McGowan Mandatory Training in Learning Disability and Autism. This will ensure that all staff working health and social care receive learning disability and autism training appropriate for their role, which will in turn improve outcomes for people with learning disabilities. The interview can be found at 34 minutes 10 seconds into the programme.
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Content ArticleIn July the Health and Care Act 2022 introduced a requirement that regulated service providers ensure their staff receive training on learning disability and autism which is appropriate to the person’s role. The Oliver McGowan Mandatory Training on Learning Disability and Autism is the standardised training that was developed for this purpose and is the government's preferred and recommended training for health and social care staff to undertake. It is named after Oliver McGowan, whose death shone a light on the need for health and social care staff to have better training. It is the only training with permission to include Paula McGowan OBE, telling Oliver's story and explaining why the training is taking place. An elearning package is the first part of both Tier 1 and Tier 2 of the Oliver McGowan Mandatory Training and is now live. Everyone will need to do the elearning no matter where they work and what tier they need to complete. The next part is either a live one hour online interactive session for those needing Tier 1,or, a 1-day face to face training for people who require Tier 2.
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Content ArticleThe Right Honourable Sir Anthony Hooper was asked by the General Medical Council (GMC) on 5 September 2014 to conduct an independent review of how the GMC engage with individuals who regard themselves as whistleblowers. The terms of reference were: “To conduct a review of how the General Medical Council handles cases involving individuals who regard themselves as whistleblowers and who have appropriately raised concerns in the public interest. These are individuals: whose fitness to practise is being investigated or determined under the General Medical Council (Fitness to Practise) Rules 2004; or who have reported such a concern to the GMC.” This is the report by the Right Honourable Sir Anthony Hooper to the GMC presented on the 19th March 2015.
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News ArticleTwo in three UK doctors are suffering “moral distress” caused by the enfeebled state of the NHS and the damage the cost of living crisis is inflicting on patients’ health, research has found. Large numbers are ending up psychologically damaged by feeling they cannot give patients the best possible care because of problems they cannot overcome, such as long waits for treatment or lack of drugs or the fact that poverty or bad housing is making them ill. A new survey found that 65% of doctors overall, including nearly four in five (78%) GPs and more than half (56%) of hospital doctors, have experienced “moral distress” as a direct result of situations they have encountered working in the NHS. Seeing patients with malnutrition or hypothermia, or stuck on trolleys in A&E corridors asking for help or forced to choose between heating their home or getting a prescription dispensed are among the events triggering their distress, medics said. “There’s barely a doctor at work in the NHS today who doesn’t see or experience this distress on a daily basis,” said Prof Philip Banfield, the leader of the British Medical Association. The NHS is “impossibly overstretched”, has thousands of vacancies for doctors and has a quarter fewer doctors a head of population than Germany, he added. “In practice that means we can almost never give the standard of care we would want, only ever the care we can manage. That takes its toll, as we see here,” Banfield said. Read full story Source: The Guardian, 28 December 2023
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Content ArticleA team of ward nurses from Merseyside took part in the 2018–19 cohort of the Innovation Agency's coaching for culture programme. The team, led by ward manager Sharon Mcloughlin, were all from the Dott Ward at The Walton Centre NHS Foundation Trust, a specialist trust in north Liverpool dedicated to providing comprehensive neurology, neurosurgery, spinal and pain management services.
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What are Patient Safety Collaboratives?
Claire Cox posted an article in Health Innovation Networks (formerly AHSNs)
England’s 15 Patient Safety Collaboratives (PSCs) play an essential role in identifying and spreading safer care initiatives from within the NHS and industry, ensuring these are shared and implemented throughout the system. The PSC is a joint initiative, funded and nationally coordinated by NHS Improvement, with the regional PSCs organised and delivered locally by the Academic Health Science Networks (AHSNs).- Posted
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Content ArticleMartin Hogan, Lead Professional Nurse Advocate (PNA) at Central London Community Healthcare NHS Trust, tells us about the PNA training programme and the impact and improvements it can have on both staff and patient safety. He shares his own personal development from taking the programme, how he has used the skills learnt to educate and support his colleagues, and explains why he is championing the PNA to others and has set up a network of PNAs.
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Content ArticleJETS is the JAG Endoscopy Training System. It supports high quality endoscopy training in the UK by offering training courses for endoscopists and an ePortfolio for trainees to record their procedure data. JETS is an online framework for trainee certification in a number of endoscopy modalities including OGD, colonoscopy, and flexible sigmoidoscopy.
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Content ArticleIn July 2019, NHS England and NHS Improvement launched the NHS National Patient Safety Strategy. A key element of this is the development and implementation of a patient safety syllabus, which was created by Academy of Medical Royal Colleges (AoMRC) based on a proactive approach to the prevention of harm. UCLPartners is working in partnership with the Chartered Institute for Ergonomics and Human Factors’ (CIEHF) Lantern Group to support Trusts across London to assess their readiness to implement the syllabus through the development of an organisational self-assessment tool. This work has been commissioned by Health Education England (HEE). The organisational self-assessment tool has been developed alongside a Facilitator’s Guide.
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