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Found 244 results
  1. Content Article
    In August 2022, NHS England launched a new way of responding to safety events, called the Patient Safety Incident Response Framework (PSIRF). The PSIRF policy aims to support NHS organisations to be more flexible in how they respond to safety events.  The Response Study is funded by the National Institute for Health and Care Research (NIHR). The aim of the Response Study is to understand, in real time, how the roll out of this new policy happens across the NHS in England, and what impact it has.  The study is based at the University of Leeds. It began in May 2022 and will end in July 2025. The Response Study are inviting all PSIRF Leads from NHS Trusts and Integrated Care Boards in England to complete a survey by 15 December 2023. To access the survey please contact responsestudy@leeds.ac.uk.
  2. Content Article
    The results of the latest annual survey of hospital inpatients published by the Care Quality Commission (CQC) show patient satisfaction levels have remained largely static since 2021, but indicate a longer term decline in most areas compared to previous years.People were eligible to take part in the survey if they stayed in hospital for at least one night during November 2022 and were aged 16 years or over at the time of their stay.The survey highlights growing frustration with waiting times and reveal that four in ten people scheduled for planned treatment said their health deteriorated while waiting to be admitted.An A-Z list of inpatient survey results by NHS trust can be found here.
  3. Content Article
    Women across England are being encouraged to help shape future reproductive health policy by sharing their experiences of a range of issues, as the government launches a new landmark survey. Delivering on a key commitment in the Women’s Health Strategy, the Women’s Reproductive Health Survey will seek women’s views across England on issues including periods, contraception, fertility, pregnancy and the menopause. Findings from the survey will then be used to better understand women’s reproductive health experiences over time. The vital information gathered about the lives and experiences of women will inform current and future government decision-making and health policy. There are currently disparities in women’s health across the country, and far too many cases where women’s voices are not being heard. Along with the strategy, the new survey will play a key part in changing this.
  4. News Article
    NHS staff will be asked if they have experienced sexual harassment or inappropriate behaviour in the workplace for the first time. In a letter, NHS England chief delivery officer Steve Russell said the upcoming annual staff survey would include the following question: “In the last 12 months, how many times have you been the target of unwanted behaviour of a sexual nature in the workplace? This may include offensive or inappropriate sexualised conversation (including jokes), touching or assault.” Mr Russell said the anonymous answers to the new question would “help us understand the potential prevalence of sexual misconduct in your organisation and inform further action to protect and support staff across the NHS”. It comes as NHSE launches the health service’s first sexual safety charter to help protect staff from harassment and inappropriate behaviour. The charter is an agreement comprising 10 pledges, including commitments to provide staff with clear reporting mechanisms, training, and support from managers. Read full story (paywalled) Source: HSJ, 6 September 2023
  5. Event
    until
    AHRQ’s Consumer Assessment of Healthcare Providers and Systems (CAHPS®) program will host a free webcast about how the agency’s CAHPS Consortium is addressing survey stakeholders’ emerging needs for patient experience measurement and improvement. Topics of the webcast include: The value of AHRQ’s CAHPS program and its use of survey results to improve patient experience. Updates in survey content in response to changes in care delivery. Efforts to improve CAHPS survey design and administration methods. The development of new surveys in response to emerging information needs. Register
  6. Content Article
    Chris Graham of the Picker Institute and Jacob Lant from charity National Voices join host Annabelle Collins to discuss patient experience revealed by recent national surveys, how the findings should be used to improve quality and reduce health inequalities, and whether there is a bigger role for “real-time” experience measures.
  7. News Article
    Eight in 10 respondents in the largest survey of menopausal women in the UK said their workplace had no basic support in place and 41% said menopause symptoms were treated as a joke by colleagues. The landmark study found menopausal women were being ignored in the workplace and by healthcare providers, with a third saying it took many GP appointments before they were diagnosed with menopause or perimenopause. This rose to 45% for black and minoritised women. The findings were revealed in a report by the Fawcett Society, based on a survey of more than 4,000 women commissioned by Channel 4 for a documentary by Davina McCall. “Menopausal women are experiencing unnecessary misery and it’s a national scandal,” said Jemima Olchawski, the chief executive of the Fawcett Society. “For too long, menopause has been shrouded in stigma. We need to break the culture of silence and ensure menopausal women are treated with the dignity and support they deserve instead of being expected to just get on with it.” Official guidance states hormone replacement therapy (HRT) should be offered to women struggling with menopause symptoms, but there have been acute shortages of some HRT products and demand is expected to rise. The survey found 39% of women said their GP or nurse offered HRT as soon as they knew they were experiencing menopause, but only 14% of menopausal women said they were currently taking HRT. Read full story Source: The Guardian, 5 May 2022
  8. News Article
    Three in four GPs have reported facing increasing patient abuse last year, according to a major survey by a medical defence organisation. The Medical and Dental Defence Union of Scotland (MDDUS) surveyed almost 2,000 members across the UK, including 668 GPs, about their experiences last year compared with 2020. It revealed that 76% of GPs reported an increase in verbal abuse from patients towards them and their practice staff. Half of these (38%) said this had ‘significantly increased’ and the other half that it had ‘somewhat increased’ throughout 2021. Female GPs were more likely to face verbal abuse or aggression than their male counterparts, with 81% reporting an increase in this compared with 72% of their male colleagues. The survey found that this has led to a ‘huge increase in work-related stress’, MDDUS said. Among GPs who experienced verbal abuse or aggression in the workplace, 83% said they felt ‘more stressed’ than they did in 2020. MDDUS chief executive Chris Kenny said: ‘The pandemic has stretched our healthcare professionals to the limit. For those at the very frontline, it is clear now that the levels of stress have reached an almost unsustainable point. ‘GPs urgently need recognition, reassurance and realism to support them so they can reset their relationship with patients.’ Read full story Source: Pulse, 22 April 2022
  9. News Article
    A survey looking at the effect of body image on physical and mental health has been launched by MPs in England. It also asks whether people have used the NHS to deal with body image issues and how successful services have been. The Health and Social Care Committee will use the survey as part of its ongoing inquiry into the impact of body image. The committee will hold another parliamentary evidence session on Tuesday. This session will hear from doctors, researchers and people with Body Dysmorphic Disorder. Questions in the survey cover a range of topics, including whether thoughts and feelings on body image negatively impact quality of life, and which aspects of life are affected the most. Jeremy Hunt, chairman of the Health and Social Care Committee, said: "Worries about body image can become enormously distressing, particularly for young people. "To support our inquiry into body image, we're asking people to take part in a survey about how concerns about body image can affect their physical and mental health," he added. "We want to hear about their experiences of accessing NHS services in relation to body image, whether people know where to go to get help, and whether they feel any stigma in seeking support for health issues relating to body image." Read full story Source: BBC News, 25 April 2022
  10. News Article
    In an ongoing effort to improve care and support for elderly women and women’s health satisfaction and outcomes in general, the government have published their report summarising written responses from 436 organisations and experts from the Women’s Health Strategy call for evidence. The organisations that contributed to the report included participants from the charity sector, academia, professional bodies, clinicians, royal colleges and other general experts in women’s health. The topics highlighted in the report include: Menstrual health and gynaecological conditions, including the impact of premenstrual syndrome on someone’s quality of life. Fertility, pregnancy, pregnancy loss and maternal health, including women not feeling listened to during and after pregnancy and the provision of bereavement support services. Menopause, including suggestions for improvements in training and guidelines for healthcare professionals. Gynaecological and other cancers, including barriers to accessing high-quality, up to date information on risk factors for female cancers. Mental health, including its interaction with other health conditions across women’s life course. Healthy ageing, including the need to increase focus on the health needs of older women and emphasise women may experience the same conditions as men in different ways. Violence against women and girls, including the complications associated with hymenoplasty and barriers to accessing healthcare support for those who’ve been subject to years of violence and abuse. Minister for Women’s Health Maria Caulfield said: “For generations, women have lived in a healthcare system primarily designed by men, for men. We are committed to tackling the gender health gap, and the publication of our strategy later this year will mark a significant step forward.” She added: “I want to thank the expert individuals and organisations who took the time to respond to our call for evidence. The insights you have provided have been stark and sobering but will be pivotal to ensuring our strategy represents the first-hand experiences of the health care system.” Read full story Source: NHE, 13 April 2022
  11. News Article
    Several large teaching hospitals are among those which saw the steepest declines in the proportion of staff who would recommend the care of their organisation, according to the NHS staff survey results. Norfolk and Norwich University Hospitals Foundation Trust, University Hospitals Birmingham, Liverpool University Hospitals FT and Nottingham University Hospitals Trust saw declines of 12 percentage points or more in 2021 — for the proportion of staff saying they would be happy for a friend or relative to be treated at their organisation. This was double the average drop in the acute sector. In a message to staff, Sue Musson, chair of Liverpool University Hospitals Trust, said about her trust’s overall results: “On behalf of the trust board, I want to apologise to everyone that the experience of working at the trust is so deeply unsatisfactory for so many colleagues. “It would be wrong to suggest that there are quick fixes to these issues. The promise I can give you today is a genuine commitment to listen and learn; we particularly need to understand what would make the difference for colleagues across the trust, recognising that there may well be different answers in different parts of the organisation. “We will seek to learn from the trusts that have demonstrated the best staff experience scores and to implement best practices at pace. We will also be seeking support and input from national and staff side colleagues.” Read full story (paywalled) Source: HSJ, 11 April 2022
  12. News Article
    Less than half of staff at scandal-hit Shrewsbury and Telford Hospital NHS Trust feel they can speak up about concerns, according to a staff survey, as a damning report warned serious problems persist in maternity care. Shrewsbury and Telford Hospital Trust is one of the worst-performing trusts on the latest national survey of staff for the NHS. It comes after Donna Ockenden, who chaired a review into maternity failures at the trust, said her “biggest concern” was that staff had been told not to share concerns with her inquiry. Ms Ockenden told The Independent her biggest concern was “that ordinary staff on the ground are telling me they were advised not to cooperate with the Ockenden review”. The NHS staff survey, published on Wednesday, showed just 49% of staff at the trust reported they would feel safe enough speaking up about concerns in 2021 – down from 53% in 2020. Meanwhile, just 34% of staff said they feel their concerns would be addressed if there were to speak up. The trust is one of the worst three hospital trusts in the country when it comes to rising care concerns, the figures show. Only United Lincolnshire Hospitals NHS Trust and Barking, Havering and Redbridge University Hospitals NHS Trust performed worse. Read full story Source: The Independent, 31 March 2022
  13. News Article
    NHS staff are significantly less likely to recommend their organisations as places to work or believe they employ enough people to deliver effective care, the service’s annual staff survey has revealed. The 2021 survey results, published today, showed regression across a broad range of questions, including in areas such as motivation, morale, workload pressures and staff health. One of the biggest drop-offs in survey scores related to the question asking whether there were enough staff in their organisation for respondents to do their job properly. Only 27.2% of those surveyed said staffing was adequate, a fall of 11% points from the previous year (38.4%). Only 59.4%nof staff said they would recommend their organisation as a place to work. This represented a 7% point decline from the previous year (66.8%). The rating had steadily improved since 2017 when it was at 59.7%. While a decline was seen across all sectors, the steepest drop was found among ambulance trusts. Ambulance trusts performing worse compared to other sectors appeared to be a recurring theme across the survey. Read full story (paywalled) Source: 30 March 2022
  14. News Article
    More than 80% of GPs believe that patients are being put at risk when they come into their surgery for an appointment, a new survey shows. A poll of 1,395 GPs found only 13% said their practice was safe for patients all the time. Meanwhile, 85% expressed concerns about patient safety, with 2% saying patients were “rarely” safe, 22% saying they were safe “some of the time” and 61% saying they were safe “most of the time”. Asked if they thought the risk to patient safety was increasing in their surgery, 70% said it was. Family doctors identified lack of time with patients, workforce shortages, relentless workloads and heavy administrative burdens as the main reasons people receiving care could be exposed to risk. The survey, which was self-selecting, also found that: 91% said more GPs would help improve the state of general practices. 84% have had anxiety, stress or depression over the past year linked to their job. 31% know a colleague who was physically abused by a patient in the last year. 24% know of a member of general practice staff who has taken their own life due to work pressures. Read full story Source: The Guardian, 21 March 2022
  15. News Article
    The Care Quality Commission has named the trusts which have performed ‘worse than expected’ on patient experience in urgent and emergency care. Data from the CQC survey of more than 36,000 people who used urgent and emergency care services in September 2022 shows a total of 10 trusts performed poorly on patients’ overall experience. Patients reported longer wait times, while only around half felt staff “definitely” did everything they could to help control their pain in the latest survey. Sean O’Kelly, the CQC’s chief inspector of healthcare, said it “remains extremely concerning that for some people care is falling short”. “These latest survey responses demonstrate how escalating demand for urgent and emergency care is both impacting on patients’ experience and increasing staff pressures to unsustainable levels." Read full story (paywalled) Source: HSJ, 26 July 2023
  16. News Article
    Most NHS staff think they have too little time to help patients and the quality of care the service provides is falling, a survey reveals. Medical and nursing groups said the “very worrying” findings showed that hard-pressed staff cannot give patients as much attention as they would like because they are so busy. In polling YouGov carried out for the Guardian, 71% of NHS staff who have direct contact with patients said they did not have the amount of time they would like to have to help them. A third (34%) felt they had “somewhat less than enough time” and 37% “far less than enough time” than they wanted. Almost a quarter (23%) felt they had the right amount of time while just 3% said they had “more time” than they wanted. The survey presents a worrying picture of the intense pressures being felt at the NHS frontline. Those same personnel were asked if they thought the quality of care the service is able to offer has got better or worse over the last five years. Three-quarters (75%) said “worse”, including a third (34%) who answered “much worse”, while 17% said “about the same” and only 6% replied “better”. Read full story Source: The Guardian, 24 July 2023
  17. News Article
    The Care Quality Commission (CQC) inspection process may be ‘disproportionate’, a Government survey found, although the incredibly low response rate hampered conclusions. All 51,000 providers registered with the CQC were given access to a survey as part of a post implementation review but only 86 responded and only 36 of those were NHS providers. Most NHS responses to the survey came from organisations employing between 10 and 49 people, the review found. The lack of engagement with the survey meant no conclusion could be reached about whether an alternative system would impose less regulation of the health and social care sector. Criticisms among those who did respond included that the registration process is too inflexible, and the regulations too onerous and burdensome. Some also felt the CQC regulations do not cover all health and social care activities where there is a possible risk to patient safety or service users. Read full story Source: Pulse, 13 July 2023
  18. News Article
    There has been a rise in the number of young adults in England who report feelings of severe distress, according to a new survey. The study found one in five 18 to 24-year-olds said they experienced severe distress at the end of 2022, compared to around one in seven in 2021. The research suggested reports of severe distress rose across all age groups, except for those over 65. Experts have pointed to the pandemic, cost of living and healthcare crisis. Researchers used a point-based score during telephone interviews to assess severe distress for the survey. People had not necessarily sought clinical help or a diagnosis at this point. The research team, including academics from King's College London and University College London (UCL), say the rise in reports needs to be urgently addressed. Read full story Source: BBC News, 7 July 2023
  19. News Article
    Doctors are less likely to resuscitate the most seriously ill patients in the wake of the pandemic, a survey suggests. Covid-19 may have changed doctors’ decision-making regarding end of life, making them more willing not to resuscitate very sick or frail patients and raising the threshold for referral to intensive care, according to the results of the research published in the Journal of Medical Ethics. However, the pandemic has not changed their views on euthanasia and doctor-assisted dying, with about a third of respondents still strongly opposed to these policies, the survey responses reveal. The Covid-19 pandemic transformed many aspects of clinical medicine, including end-of-life care, prompted by millions more patients than usual requiring it around the world, say the researchers. In respect of DNACPR, the decision not to attempt to restart a patient’s heart when it or breathing stops, more than half the respondents were more willing to do this than they had been previously. Asked about the contributory factors, the most frequently cited were: “likely futility of CPR” (88% pre-pandemic, 91% now); coexisting conditions (89% both pre-pandemic and now); and patient wishes (83.5% pre-pandemic, 80.5% now). Advance care plans and “quality of life” after resuscitation were also commonly cited. Read full story Source: The Guardian, 25 July 2022
  20. News Article
    Patients are increasingly avoiding seeing their GP because they find it too difficult to book an appointment, the latest data show. Results from the 2022 GP Patient Survey also show that satisfaction with family doctors in England has dwindled since the previous year. The findings come as the Government and the NHS struggle to retain GPs and boost recruitment to meet rising patient demand and an ageing population. The survey found that overall satisfaction ratings have declined over the past 2 years, although most patients who responded to a questionnaire reported a good overall experience with their GP practice, had confidence and trust in the healthcare professional who saw them, and considered they received good care and treatment. The results also revealed an increase in the barriers patients faced in getting an appointment in the first place, with 55.4% who needed one in the last 12 months saying they had avoided making one – an increase of 13.1% since the last survey. The most common reason given was that they found it too difficult, cited by 26.5% of respondents, and a huge increase on last year's figure of 11.1%. Commenting on the results, Beccy Baird, senior fellow at The King's Fund said: "For many of us, general practice is the front door to the NHS – these results show that patients are finding that door increasingly hard to push open. "GPs are working harder than ever before, yet these findings show a dramatic fall in patients' experience of getting an appointment." She said recruitment of GPs, nurses, and other professionals to meet rising levels of need was proving tough "because in many cases those staff simply don’t exist". Read full story Source: Medscape, 14 July 2022
  21. News Article
    More than a quarter of nursing staff in hospitals across the UK say patient care is being compromised due to treatment taking place in the wrong setting. Investment in the nursing workforce is needed now, the Royal College of Nursing insists, as survey findings show clinical care is taking place in settings such as hospital corridors and waiting rooms rather than on wards. The poll of more than 20,000 nursing and midwifery staff found the situation is worst in emergency care settings where nearly two-thirds of respondents reported the problem. Elsewhere, more than a quarter of nursing staff who responded say patients are being treated in the wrong setting, meaning their care is being compromised and even made unsafe. Staff shortages are a key factor, and across health and social care settings this is causing delays to patients being discharged into the community. This leaves hospitals full, with emergency care staff having to provide care in inappropriate settings. One specific issue identified by respondents was extra beds being added to wards, making carrying out care more difficult, and leading to a lack of privacy for patients and their families. A nurse who works on an NHS adult acute ward in Scotland said patients and their relatives had complained about an extra bed being squeezed into a four-bedded bay, meaning they had no buzzer, no curtains and were not two-metre distanced. She added: “I feel incredibly frustrated and embarrassed. It is totally inappropriate for ward rounds, nursing procedures, COVID precautions and an extra stress on staff.” Read full story Source: Royal College of Nursing, 14 July 2022
  22. News Article
    Just over half of senior ethnic minority leaders have considered leaving the NHS due to experiencing workplace racism a survey suggests. The survey was carried out by the NHS Confederation’s BME Leadership Network and its 123 respondents included chief executives, directors and senior managers. Responses were collected from network members online before three roundtables were held with senior ethnic minority leaders to understand their experiences and the challenges they have faced in relation to discrimination. The survey found: 51% of respondents said they had considered leaving the NHS in the past three years because of their experience of racist treatment while working. More than 20% said they had experienced verbal abuse or abusive behaviour targeting racial, national or cultural heritage five times or more in the last three years. 69% had experienced this behaviour from other leaders or managers within their organisation at least once in the same timeframe. 57% had experienced it from leaders or managers in another organisation at least once over the same period. Joan Saddler, NHS Confederation’s director of equality and partnerships, said the NHS was at risk of losing “committed, highly skilled and motivated talent to institutional racism and discrimination”. Read full story (paywalled) Source: HSJ, 17 June 2022 You may also be interested in reading: BMA: Racism in medicine
  23. News Article
    Patient safety campaigners have said ‘too many women’ are still not being offered a general anaesthetic for a diagnostic test because of staff shortages, leaving them in severe pain. A survey by the Campaign Against Painful Hysteroscopies found around 240 women – which equates to 80 per cent of respondents – who had a hysteroscopy since the start of 2021 said they were not told they could have a general anaesthetic prior to the procedure. This suggests the situation has only improved marginally since 2019, when the campaign group first started collecting data. A spokeswoman from the campaign group called the pain being endured by women “barbaric” and said staffing shortages need to be addressed. Guidance from the Royal College of Obstetricians and Gynaecologists said all pain relief options, including general anaesthetic, should be discussed. Helen Hughes, chief executive of Patient Safety Learning, said: “We are hearing from too many women that they are not being given the full information about the procedure. It damages their trust and makes them worry about accessing future services.” She said: “It’s distressing that despite what we know, [the guidance] is not being implemented properly. Informed consent is essential for patient safety as well as a legal requirement.” Read full story (paywalled) Source: HSJ, 7 June 2022 What is your experience of having a hysteroscopy? Share your experiences on the hub in our community forum. Further reading: House of Commons Debate - NHS Hysteroscopy Treatment Through the hysteroscope: Reflections of a gynaecologist Minister acknowledges patients’ concerns about painful hysteroscopies; but will action be taken? Improving hysteroscopy safety: Patient Safety Learning blog Outpatient hysteroscopy: RCOG patient leaflet
  24. News Article
    Most nurses warn that staffing levels on their last shift were not sufficient to meet the needs of patients, with some now quitting their jobs, new research reveals. A survey of more than 20,000 frontline staff by the Royal College of Nursing (RCN) suggested that only a quarter of shifts had the planned number of registered nurses on duty. The RCN said the findings shone a light on the impact of the UK’s nursing staff shortage, warning that nurses were being “driven out” of their profession. In her keynote address to the RCN’s annual congress in Glasgow, general secretary Pat Cullen will warn of nurses’ growing concerns over patient safety. Four out of five respondents said staffing levels on their last shift were not enough to meet all the needs and dependency of their patients. The findings also indicated that only a quarter of shifts had the planned number of registered nurses, a sharp fall from 42% in 2020 and 45% five years ago, said the RCN. Ms Cullen will say: “Our new report lays bare the state of health and care services across the UK. “It shows the shortages that force you to go even more than the extra mile and that, when the shortages are greatest, you are forced to leave patient care undone. Read full story Source: The Independent, 6 June 2022
  25. News Article
    NHS staff are significantly less comfortable raising concerns and are less confident in their organisation to address them, the service’s annual staff survey has revealed. The 2022 results, with a response rate of 46%, showed a decline on all measures relating to raising concerns about clinical safety and speaking up more generally, with the greatest deterioration seen in the percentage of staff who would feel secure raising concerns about unsafe clinical practice. Helen Hughes, chief executive of charity Patient Safety Learning, warned an “alarmingly high” number of staff could not say they felt safe raising concerns. Ms Hughes continued: “If we are to effectively learn from and prevent future incidents of avoidable harm, staff need to feel safe to raise and discuss patient safety incidents. “This year’s staff survey results are a clear indication that too often this is still not the case. This is reinforced by the experiences and testimonies of many whistleblowers and the findings of numerous inquiries into major patient safety scandals.” She added there were a lack of “tangible measures” in place to create a safety culture where staff feel safe to speak up and called for “more resources to support improvement and evaluate their impact”. Read full story (paywalled) Source: HSJ, 9 March 2023
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