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News Article
NHS poll shows rising toll of work stress on staff health
Patient Safety Learning posted a news article in News
The proportion of NHS staff in England who reported feeling unwell as a result of work-related stress increased by nearly 10% last year as the Covid pandemic took its toll, according to the health service’s 2020 survey. The survey found that 44% reported feeling unwell as a result of work-related stress in the previous 12 months, compared with 40.3% in 2019. The proportion has steadily increased since 2016 (36.8%). In a year like no other for the health service, the 2020 survey also found a slight reduction in respondents who said they often or always looked forward to going to work, and a bigger fall in those who said they were often or always enthusiastic about their job. Nevertheless, the survey – which was carried out before Boris Johnson announced plans to give NHS England healthcare workers a 1% pay rise next year, prompting widespread fury – found that the proportion of staff who were thinking of leaving the NHS fell from 19.6% to 18.2%. In a year in which ethnic minorities were heavily represented in the death toll of healthcare workers, and concerns were raised about being more likely to be pushed into frontline roles and about access to personal protective equipment, the responses relating to equality, diversity and inclusion were not so positive. The proportion of staff who said their employer provided equal opportunities fell compared with 2019, with a decrease among black and minority ethnic staff from 71.2% to 69.2%. Danny Mortimer, the chief executive of the NHS Confederation, said the overall picture was encouraging in the circumstances, adding: “There are, though, significant areas of concern, and the recent data on the continued poorer experience of ethnic minority staff starkly reminds NHS leaders that staff experience varies unacceptably in their organisations." Read full story Source: The Guardian, 11 March 2021 -
News Article
Two in five NHS staff feel anxious, NHS England reports
Patient Safety Learning posted a news article in News
Around 40% of NHS staff reported feeling anxious during the recent coronavirus surge, but results were 10 percentage points worse for minority ethnic workers, according to NHS England’s surveys. Prerana Issar, NHSE chief people officer, highlighted national data from the health service’s ‘people pulse’ survey during a Commons health and social care committee hearing. The survey was launched last July to help gauge how the health service’s workforce was coping with the pressures of the pandemic, asking questions such as whether they felt supported, motivated, or anxious and what made the biggest difference to their experience at work. It involves findings from 114 local NHS organisations. Ms Issar said the percentage of staff who reported they were feeling supported “was at a high of 68% during the first few months and started dipping from November onwards to 62%. It is still at 62%”. Meanwhile, the share of those “feeling anxious” was at a “low” of 29% during the summer and autumn but has since increased to 40%. The 40% finding may seem surprisingly low to many, considering the enormous impact of the winter surge of coronavirus demand, the very widespread extra asks of staff, potential health risks, and redeployment of roles. Ms Issar added: “We have seen ‘feeling supported’ come down a little bit and ‘feeling anxious’ go up, and we used that feedback to then augment our offer and communication.” Read full story (paywalled) Source: HSJ, 24 February 2021 -
News ArticleLeaked 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
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News Article
Major survey reveals ‘best and worst’ A&Es for patient satisfaction
Patient Safety Learning posted a news article in News
A survey of almost 50,000 patients by the Care Quality Commission (CQC) found people’s experiences of emergency departments improved in 2020, compared to the last time the poll was conducted in 2018. On a scale of one to 10, the regulator found 33% of patients scored their overall experience as 10, compared to 29% in 2018. Eighty-eight per cent of patients scored their care at six or higher, compared to 85% three years ago. However, overall satisfaction levels declined at around 20 providers. Ted Baker, CQC’s chief inspector of hospitals, said: “This year’s survey shows some encouraging improvements with trust and confidence in clinicians, perceptions of cleanliness and overall experience all performing better than in previous years… “However, the scope for further improvement remains. Access to emotional support, help with pain relief and information provided at discharge were all areas where some people surveyed were less positive.” Read full story (paywalled) Source: HSJ, 16 September 2021 -
News Article
Fears of side-effects fuel reluctance to get Covid jabs, survey finds
Patient Safety Learning posted a news article in News
Most people who are reluctant to be vaccinated against Covid are worried about side-effects and whether the vaccines have been adequately tested, a survey in 15 countries has shown. Other reasons cited in the survey of 68,000 people, led by Imperial College London’s Institute of Global Health Innovation in collaboration with YouGov, were the uncertainty that people would not get the vaccine they preferred and worries about efficacy. The survey was carried out in Australia, Canada, Denmark, France, Germany, Israel, Italy, Japan, Norway, Singapore, South Korea, Spain, Sweden, the United Kingdom and the United States. Excluding eligibility, the top reasons for not having the vaccine across all 15 countries surveyed were “concerns about side effects” and/or “concerns that there has not been enough testing of vaccines”. Trust in vaccines was highest in the UK, at 87%, and lowest in Japan, at 47%. The UK respondents also had the highest level of confidence in their health authorities (70%), while South Korea had the lowest (42%). Among those who had not yet been vaccinated, confidence was highest in the Pfizer/BioNTech vaccine in nine out of the 15 countries, and in three others – Canada, Singapore and Sweden – among those under 65. Read full story Source: The Guardian, 4 June 2021 -
EventuntilThis Patient Information Forum webinar will share the key findings of our survey on maternity decisions. Our expert panel will share recommendations to help empower women to make informed decisions about the induction of labour. Open to members and non-members. Register
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EventThis AHRQ webcast will introduce the new Surveys on Patient Safety Culture™ (SOPS®) Diagnostic Safety Supplemental Items. Medical offices can use the survey items as a supplement to the SOPS Medical Office Survey to assess the extent to which the organizational culture supports the diagnostic process, accurate diagnoses, and communication around diagnoses. Speakers will provide background on the importance of diagnostic safety, an overview of the development of the items, results from a pilot test in 66 medical offices, and share resources available for users. Register
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EventThis webcast provides a tutorial on the AHRQ Surveys on Patient Safety Culture™ (SOPS®) Data Entry and Analysis Tool. Speakers will demonstrate how you can enter your SOPS survey data into the tool and it will automatically create tables and graphs to display your survey results. The tool allows healthcare organisations to compare results to the data in SOPS Databases. Register
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Content Article
GP Patient Survey 2022
Patient Safety Learning posted an article in GP and primary care
The GP Patient Survey (GPPS) is an England-wide survey of patients aged 16+. It provides GP practice-level data about patients’ experiences of general practice. -
Content Article
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We’re looking for patients to help raise awareness of the damaging impact that surgical infections can have on people, and guide improvements. Have you ever been in surgery and contracted an infection? Do you want to share your experience anonymously and help create change? Take part in this survey: Experiences of Surgical Infections -
Content ArticleFollowing the UK's exit from the European Union, the government aims to improve how medical devices and diagnostic devices are regulated through a new framework. The MHRA held a consultation on the future regulation of medical devices in the UK in autumn 2021 and this report outlines the government's response to the consultation. The consultation received 891 responses and aimed to collect views on developing a future legislation for medical devices which delivers: improved patient and public safety greater transparency of regulatory decision making and medical device information close alignment with international best practice, and more flexible, responsive and proportionate regulation of medical devices.
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Content ArticleThis survey conducted by the Care Quality Commission (CQC) explored the experiences of people who used community mental health services between September and November 2020. The results show that people are consistently reporting poor experiences of NHS community mental health services, with few positive results. Many people reported that their mental health had deteriorated as a result of changes made to their care and treatment due to the pandemic. Analysis also showed disparities in the experiences of people with different mental health diagnoses, and in the experience of people using different methods to access care, such as telephone consultations. On this webpage you can also access a benchmark report for each NHS trust, which provides detail of the survey methodology, headline results, the trust score for each evaluative question and banding for how a trust score compares with all other trusts.
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Content Article
BMA: Racism in medicine (15 June 2022)
Patient Safety Learning posted an article in Culture
This report presents the findings of the British Medical Association (BMA) racism in medicine survey, which ran from October to December 2021. The survey sought to gather evidence of the racism experienced by doctors and medical students working in the NHS, and the impact of these experiences on their working lives and their career opportunities. All doctors and medical students in the UK, from all ethnic backgrounds, were invited to participate. The survey received 2030 responses in total, making it one of the largest of its kind. It found a concerning level of racism in the medical profession, stemming from fellow doctors, other NHS staff, and patients. These experiences of racism present in a variety of forms in the institutions and structures of the medical profession- Posted
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Content ArticleThere is an overall dearth of information on implementation and compliance with patient safety standards in developing countries. In recognition of this, the World Bank Group’s Health in Africa Initiative, WHO and the PharmAccess Foundation came together with the ministries of health to conduct an assessment of patient safety at Kenyan health facilities. The study is the first nationwide assessment of patient safety levels based on documented processes and levels of risk, and is meant to serve as a baseline against which future interventions can be measured.
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Content ArticleRoyal Philips, a global leader in health technology, has published their Future Health Index (FHI) 2022 report: ‘Healthcare hits reset: Priorities shift as healthcare leaders navigate a changed world’. Now in its seventh year, the Future Health Index 2022 report, based on proprietary research from almost 3,000 respondents conducted across 15 countries, explores how healthcare leaders are harnessing the power of data and digital technology as they look to address their key challenges coming out of the pandemic. The 2022 report paints a picture of a sector that is radically re-evaluating priorities as it strives to deliver improved patient care. “As we emerge from the pandemic, healthcare leaders worldwide are embarking on a reboot,” said Jan Kimpen, Chief Medical Officer, Philips. “Many are refocusing on both new and existing priorities, from addressing staff shortages and extending care delivery, to leveraging big data and predictive analytics.”
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Content ArticleHandover is a critical process for ensuring quality and safety in healthcare, and research suggests that poor handover results in significant morbidity, mortality, dissatisfaction and increased financial costs. However, the safety of handover has not received much research attention to date. This study aimed to measure the perceived risk, degree of patient harm and the systems used to support handover, and to understand how this varied by care setting, type of clinical practice, location and level of experience. The authors suggest that the results of the study indicate that action needs to be taken to improve communication and reduce risk during all types of handovers. Clinical leaders should find ways to train and support handover with effective systems, particularly focusing on training less experienced staff. More research is needed to demonstrate which interventions improve the safety of handover.
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Content ArticleHandover in healthcare settings can be a time when the risk of error and harm is increased. This blog summarises the results of global survey that asked the opinions of healthcare workers on the safety of handover. It highlights ten key points raised by the results: Handover causes frequent errors and patient safety incidents Handover errors can cause serious harm to patients Most people think they are better than average at handover The longer you’ve been around, the scarier handover appears Different types of handovers have a similar safety profile The safety of handover is a problem all over the world Most practitioners use manual or informal systems to support handover EPR systems are not up to the job of supporting handover Staff need more training, and we need more time Healthcare leaders want better electronic systems The results of the survey have been published in Preprints.
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Content ArticleThis report from the Royal College of Nursing (RCN) reveals the full extent of the UK nursing workforce crisis. In March 2022, nursing and midwifery staff from across the UK were invited to tell the RCN about their experiences of the last time they were at work. The survey report provides valuable insight into the realities of staffing levels across the UK, and the impact on our members and the people they are caring for.
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Content ArticleiSupport are an international group of health professionals, academics, young people, parents, child rights specialists, psychologists and youth workers who are all passionate about the health and wellbeing of children, especially when they interact with healthcare services. The group is made up of over 50 members from around the world. iSupport have been working together throughout 2021 to develop standards for children and young people (aged 0-18 years) undergoing clinical procedures, based on internationally agreed children’s rights set out by the UNCRC (1989). The standards aim to ensure that the short and long-term physical, emotional and psychological well-being of children and young people are of central importance in any decision-making for procedures or procedural practice. The standards have been developed through ongoing and extensive consultation within the collaborative group and with established youth and parent forums. iSupport have also sought wider feedback, input and consensus through an international online survey.
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Content ArticleMaternal outcomes for Black women are significantly worse than for white women - Black women are four times more likely to die during pregnancy, labour, or postpartum and are twice as likely to have their baby die in the womb or soon after birth. They are also at an increased risk of readmission to hospital in the six weeks after giving birth. This report by the organisation Five X More presents the findings of a survey into black women's experiences of maternity services in the UK. The survey aimed to understand how maternity care is delivered from the perspective of women from the Black community, and 1,340 Black and Black mixed women responded, sharing their experiences. It seeks to highlight the real life encounters behind the known disparities in maternal care. Women reported far more negative experiences than positive, and most of these experiences centred around interactions with healthcare professionals. The authors highlight three factors related to healthcare professionals that contribute to damaging interactions, to do with their attitudes, knowledge and assumptions. The report includes many quotes from Black women about their experiences of NHS care and the damaging long-term consequences of this, such as fear of having another baby, reluctance to engage with health services and mental health issues.
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Content ArticleThis study from Shepard et al. aimed to explore staff perceptions of patient safety in the NHS ambulance services. The authors interviewed 44 participants from three organisational levels, including executives, managers and operational staff. They identified five dominant themes: varied interpretation of patient safety; significant patient safety risks; reporting culture shift; communication; and organisational culture. The findings demonstrated that staff perceptions of patient safety ranged widely across the three organisational levels, while they remained consistent within those levels across the participating ambulance service NHS trusts in England. The findings suggest that participants from all organisational levels perceive that the NHS ambulance services have become much safer for patients over recent years, which signifies an awareness of the historical issues and how they have been addressed. The inclusion of three distinct ambulance service NHS trusts and organisational levels provides deepened insight into the perceptions of patient safety by staff. As the responses of participants were consistent across the three NHS trusts, the identified issues may be generic and have application in other ambulance and emergency service settings, with implications for health policy on a national basis.
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Content ArticleThe recent NHS staff survey showed worrying results across all staff groups, but it was midwives who reported the sharpest decline in how satisfied they are in their work. Lucina Rolewicz takes a closer look at their responses to the survey, and emphasises the importance of improving the situation.
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Content Article
Menopause and the workplace: Fawcett Society 2022
Patient Safety Learning posted an article in Women's health
Workplaces are failing menopausal women and change is urgently needed. A report from the Fawcett Society 'Menopause and the Workplace'' delves into women’s experiences at work and is the largest representative survey of menopausal women conducted in the UK. -
Content ArticleInfection prevention and control (IPC) programmes and practices play a vital role to ensure outbreak preparedness and control, including patient safety and quality of care, which remain essential components of universal health coverage across health systems worldwide. However, detailed IPC evaluations using standardised validated tools, such as the WHO IPC self-assessment framework (IPCAF), are limited. Tomczyk et al. have conducted the first WHO global survey to assess implementation of these programmes in healthcare facilities. IPC professionals were invited through global outreach and national coordinated efforts to complete the online WHO IPC assessment framework (IPCAF). The study found that despite an overall high IPCAF score globally, important gaps in IPC facility implementation and core components across income levels hinder IPC progress. Increased support for more effective and sustainable IPC programmes is crucial to reduce risks posed by outbreaks to global health security and to ensure patient and health worker safety.
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Content ArticlePicker, an international charity working across health and social care, have published the results of their National Cancer Patient Experience Survey. Almost 60,000 people responded to the survey, which was coordinated by Picker on behalf of NHS England and conducted between October 2021 and February 2022. The survey included people aged 16 years and over with a confirmed primary diagnosis of cancer and who had been treated in hospital between April and June 2021.
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