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Found 597 results
  1. Content Article
    Understanding of the significance of psychological safety has grown over recent years as we see the implications of people not speaking out—a culture that forces people to conceal rather than reveal. Concealing observations, ideas and thoughts can lead to major events that are harmful to organisations as much as individuals. Sometimes, individuals feel it is imperative to speak out somewhere, which leads to whistleblowing. This article looks at how to identify whether a workplace has a psychologically safe culture and how to transform cultures where staff don't feel able to speak up. It describes The Wellbeing and Performance Agenda, which contains six elements for building psychological safety: Transforming managers into leaders Psychological responsibility Sharing responsibility for the future success of the organisation Adaptive and positive culture Intelligent management Safe and resilient individuals
  2. Community Post

    Better use of data for medication safety in hospitals

    Kenny Fraser

    Kenny Fraser posted a topic in Medicine management

    NHS hospital staff spend countless hours capturing data in electronic prescribing and medicines administration systems. Yet that data remains difficult to access and use to support patient care. This is a tremendous opportunity to improve patient safety, drive efficiencies and save time for frontline staff. I have just published a post about this challenge and Triscribe's solution. I would love to hear any comments or feedback on the topic... How could we use this information better? What are hospitals already doing? Where are the gaps? Thanks
  3. Content Article
    The government’s long term workforce plan, developed by NHS England, was finally published on 30 June, having first been promised more than five years ago by the then secretary of state for health and current chancellor, Jeremy Hunt. The plan is a welcome and necessary step towards solving the workforce challenges that have vexed the health service, although it is more of a jigsaw puzzle than a masterplan. The overall picture of a future NHS workforce with many more staff, increasingly working in more diverse multidisciplinary teams, and with greater support from technology, is encouraging but several pieces are missing from the vision and roadmap for its delivery, writes William L Palmer and Rebecca Rosen in this BMJ Editorial.
  4. Content Article
    The presentation was held following the inaugural William Rathbone X Lecture, given by Professor Alison Leary, who spoke on the highly topical subject, ‘Thinking differently about nursing workforce challenges.’ The presentation can be watched from The Queen's Nursing Institute website.
  5. Content Article
    The NHS Long Term Workforce Plan 2023 is crucial to the long term sustainability of the health service. The National Centre for Rural Health and Care is concerned that the plan has not been 'rural proofed' and makes very few references to rural issues. They are preparing a response and are looking for views about the plan through this survey. The closing date for responses is 4 August 2023.
  6. Content Article
    NHS urgent and emergency care is under intolerable strain. This strain is increasingly causing harm to patients. Timely and high quality patient care is often not being delivered due to overcrowding driven by workforce and capacity constraints. While the covid-19 pandemic has accentuated and arguably expedited the crisis; the spiral of decline in urgent and emergency care has been decades long and unless urgent action is taken, we may not yet have reached its nadir, writes Tim Cooksley and colleagues in this BMJ opinion article.
  7. Content Article
    “Crisis,” “collapse,” “catastrophe” — these are common descriptors from recent headlines about the NHS in the UK. In 2022, the NHS was supposed to begin its recovery from being perceived as a Covid-and-emergencies-only service during parts of 2020 and 2021. Throughout the year, however, doctors warned of a coming crisis in the winter of 2022 to 2023. The crisis duly arrived. In this New England Journal of Medicine article, David Hunter gives his perspective on the current state of the NHS.
  8. Content Article
    How can we ensure that health and care staff from all backgrounds feel respected, valued and listened to at work? Siva Anandaciva sits down with Karen Bonner, Chief Nurse at Buckinghamshire Healthcare NHS Trust, to talk about the value of having a diverse workforce, and how we can make the health and care system fairer for staff, patients, and communities from ethnic minority groups.
  9. Content Article
    What is the optimal skill mix for virtual wards? Do new roles such as clinical pharmacists or advanced practitioners act as substitutes for, or additions to, existing staff? What works to retain staff? How much do current rates of attrition and turnover cost the NHS and social care? Evidence gaps in workforce research are holding back healthcare improvements, say Tara Lamont, Cat Chatfield, and Kieran Walshe in this BMJ opinion piece.
  10. Content Article
    In this article, The King's Fund Chief Executive Richard Murray argues that if the NHS Workforce Plan manages to do the things it says it will do, the NHS could start to overcome the repeated workforce crises that have periodically plagued it over the past 75 years. He highlights that the plan sets out forecasts of future supply and demand for staff, with explanations of how these figures were derived, and that the `action’ it sets out encompasses everyone working in health including those in government.
  11. Content Article
    As the NHS turns 75, the Chief Executives of The Health Foundation, Nuffield Trust and The King’s Fund have written to the leaders of the three largest political parties in England, calling on them to make the upcoming general election a decisive break point by ending years of short termism in NHS policy-making.   The joint letter highlights four key areas where long-term policies coupled with considered investment would help chart a path back to a stronger health service:   Invest in the physical resources the NHS needs to do its job including equipment, beds, buildings and new technology.  Deliver long overdue reform of adult social care  Commit to a cross-government strategy over the course of the next parliament to improve the underlying social and economic conditions that shape the health of the nation  Build on the recently published NHS long term workforce plan with sustained commitment to providing the resources it needs to succeed
  12. News Article
    A 30-year-old actress whose symptoms were dismissed as anxiety died of a blood clot. Emily Chesterton believed she had seen a GP, but had in fact been seen twice by a physician associate (PA), a newer type of medical role that involves significantly less training. Her parents, Brendan and Marion Chesterton, both 64 and retired teachers, said they have serious concerns about plans for thousands more PAs to be employed to combat staff shortages as part of the NHS Long Term Workforce Plan. Chesterton’s calf pain and shortness of breath should have suggested a pulmonary embolism and meant she was sent to A&E. A coroner concluded this would probably have saved her life. Instead she was told to take anxiety pills. She collapsed that evening. She was taken to hospital but her heart stopped and she could not be revived. Read full story (paywalled) Source: The Times, 10 July 2023
  13. News Article
    Racism is “a stain on the NHS” and tackling it is key to recruiting and retaining staff, the outgoing president of the Royal College of Psychiatrists (RCP) will warn. The health service has a moral, ethical and legal duty to do more to stamp out racism, Dr Adrian James is expected to say at the college’s international congress in Liverpool. He will cite pay gaps, disparities in disciplinary processes and a “glass ceiling” for doctors from minority ethnic backgrounds who want to progress into management positions as problems in the NHS that are linked to racism. Last month, the NHS Race and Health Observatory, which was formed in 2021 to examine disparities in health and social care based on race, said better anti-racism policies could strengthen the NHS workforce. The RCP agreed that “better care, training and anti-racist policies” would increase staff numbers in the NHS, and that this would “improve patient experience and save millions of pounds spent annually on addressing racism claims brought by staff, clinicians and patients”. Read full story Source: The Guardian, 10 July 2023
  14. Content Article
    This study looked at nursing within the UK and The Netherlands' health sectors, which are both highly regulated with policies to increase inclusiveness. It aimed to investigate the interplay between employment conditions and policy measures at sectoral level, in order to identify how these both facilitate and limit employment participation for disabled workers.
  15. News Article
    Nearly half of all NHS hospital maternity services covered so far by a national inspection programme have been rated as substandard, the Observer can reveal. The Care Quality Commission (CQC), which regulates health and care providers in England, began its maternity inspection programme last August after the Ockenden review into the Shropshire maternity scandal, which saw 300 babies left dead or brain damaged by inadequate NHS care. Of the services inspected under the programme, which focuses on safety and leadership, about two-thirds have been found to have insufficient staffing, including some services that were rated as good overall. Eleven services saw their rating fall from their previous inspection. Dr Suzanne Tyler of the Royal College of Midwives said: “Report after report has made a direct connection between staffing levels and safety, yet the midwife shortage is worsening. Midwives are desperately trying to plug the gaps – in England alone we estimate that midwives work around 100,000 extra unpaid hours a week to keep maternity services safe. This is clearly unsustainable and now is the time for the chancellor to put his hand in the Treasury pocket and give maternity services the funding that is so desperately needed.” Read full story Source: The Guardian, 9 July 2023
  16. News Article
    The government is resisting what it believes are inflationary pay demands from junior doctors for the sake of NHS staff, health and social care secretary Steve Barclay has told HSJ. In a wide-ranging interview, Mr Barclay also: Rejected the idea that it would be impossible to hit the prime minister’s waiting times pledge without settling the junior doctors strike; Defined what he believed was the difference between good and bad management; Refused to apologise to the 123 trusts whose bids for “new hospital programme” funding were rejected. Read full story (paywalled) Source: HSJ, 10 July 2023
  17. Content Article
    Using new technologies in the NHS could bring multiple benefits. They could save healthcare professionals’ time, increase the number of people a skilled professional can support, and enable more sustainable workforce models. At the same time, they can promote safer and more personalised care. The National Institute for Health and Care Research (NIHR) have published their latest Collection brings together NIHR research demonstrating how digital technology can improve care while reducing the demands on staff.
  18. News Article
    Healthcare leaders have called for an urgent plan to tackle the social care crisis, warning Rishi Sunak there is “clear concern” over an ongoing failure to tackle staff shortages. The warning from Matthew Taylor, chief executive of NHS Confederation which represents hospitals and community services, comes after the publication of the long-awaited £2.4bn NHS workforce plan, which committed to 300,000 extra nurses and doctors in the coming years. Mr Taylor said any benefits to improve NHS staffing will be “limited” without an equivalent strategy for the social care sector, which currently has 165,000 vacant posts. Health bosses, represented by NHS Confederation, have now written to the prime minister asking for “urgent intervention” and calling for a clear plan for improving pay and conditions to attract staff. Martin Green, chief executive for Care England that represents care homes, warned that the sector “is in the midst of a workforce crisis, which is going to get worse not getting better”. He welcomed the NHS Confederation’s letter and said unless similar improvements were made within social care, there would be more “cancelled operations, more people languishing in hospital when they don’t need to and the whole breakdown of the system”. Read full story Source: The Independent, 2 July 2023
  19. News Article
    The head of NHS England has warned that July's planned strikes in the health service could be the worst yet for patients. Amanda Pritchard said industrial action across the NHS had already caused "significant" disruption - and that patients were paying the price. This month's consultant strike will bring a "different level of challenge" than previous strikes, she said. Junior doctors and consultants will strike for a combined seven days. Ms Pritchard told the BBC's Sunday with Laura Kuenssberg programme that the work of consultants - who are striking for the first time in a decade - cannot be covered "in the same way" as junior doctors. "The hard truth is that it is patients that are paying the price for the fact that all sides have not yet managed to reach a resolution," she said. Read full story Source: BBC News, 2 July 2023
  20. Event
    until
    The workforce crisis engulfing the health and care system is well documented with the social care staff vacancy rate at its highest since records began and the overall morale of the NHS workforce declining for a second year with significant numbers intending to leave the sector. This King's Fund event will be showcasing projects and case studies aimed at encouraging others to explore innovative and positively disruptive approaches to meeting challenges facing the health and social care workforce. It will cover areas including recruitment, retention, wellbeing, and equity, diversity and inclusion. Sessions will aim to: encourage senior leaders in integrated care systems, providers, public health and social care to think about how innovation becomes possible and what it means to take similarly mould-breaking mindsets into their own organisations inspire and catalyse new, imaginative approaches to seize opportunities as workforce responsibilities are devolved consider the impact of innovative approaches and their potential to be scaled up and replicated by others across health and care. You will hear about how innovative ways of working can be developed into practical approaches in the following areas: recruitment – developing disruptive approaches, using digital tools such as apps and online selection, and how those in health and care have been working with partners across local authorities and the housing sector attracting young people into the workforce – how people and organisations across health and social care have been engaging directly with communities and providing accessible routes into health and social care careers retention – supporting career pathways and development for people in support roles, working across an organisation to increase a sense of belonging, and building effective multidisciplinary teams and team behaviours workforce health and wellbeing – supporting staff following workplace trauma, developing cultures that meet the core needs of staff, and embracing flexibility and new ways of working to help people thrive throughout their careers making a difference to equity, diversity and inclusion in the health and care workplace – by using courageous leadership challenge (at all levels) to disrupt systemic patterns present in the health and care sector, and when diversity has been used as a real strength to create change. Register
  21. Content Article
    The first comprehensive workforce plan for the NHS, putting staffing on a sustainable footing and improving patient care. It focuses on retaining existing talent and making the best use of new technology alongside the biggest recruitment drive in health service history.
  22. News Article
    Healthcare staff from the European Union can join or continue to work in the NHS for the next five years without undergoing additional exams or further assessments, the government has decided. The “standstill provisions”, which were put in place after the UK left the European Union in 2020, have been extended by government until 2028. The NHS has become increasingly reliant on recruiting staff from overseas, particularly nurses, but has seen a significant drop in the number of staff joining from the European Union post-Brexit. The review by the Department of Health and Social Care said: “Retaining the standstill provisions for a temporary period of five years will support the [DHSC’s] ambition to attract and recruit overseas healthcare professionals, without introducing complex and burdensome registration routes. “[European Economic Area]-qualified healthcare professionals will be able to continue to register with the relevant professional regulator, without the need to sit additional professional exams, mitigating delays to registration and employment in the NHS.” Read full story (paywalled) Source: HSJ, 29 June 2023
  23. News Article
    Thousands more doctors and nurses will be trained in England every year as part of a government push to plug the huge workforce gaps that plague almost all NHS services. The number of places in medical schools will rise from 7,500 to 10,000 by 2028 and could reach 15,000 by 2031 as a result of the NHS’s first long-term workforce plan. There will also be a big expansion in training places for those who want to become nurses, with the number rising by a third to 40,000 by 2028 – matching the number of nurses the health service currently lacks. Amanda Pritchard, the chief executive of NHS England, hailed the long-awaited plan as “a once in a generation opportunity to put staffing on a sustainable footing for years to come”. Medical groups, health experts and organisations representing NHS staff welcomed the plan as ambitious but overdue. Richard Murray, chief executive of the King’s Fund thinktank, said it could be a “landmark moment” for the health service by providing it with the staff it needs to provide proper care. Read full story Source: The Guardian, 29 June 2023
  24. Content Article
    This year marks the NHS's 75th anniversary, and is an important moment to look back at where the service has come from, consider where it stands today and to look forward to how it needs to change to meet future needs. This report from the NHS Assembly draws on the feedback of thousands of people who have contributed to a rapid process of engagement with patients, staff and partners. It aims to help the NHS, nationally and locally, plan how to respond to long term opportunities and challenges. It sets out what is most valuable about the NHS, what most needs to change, and what is needed for the NHS to continue fulfilling its fundamental mission in a new context.
  25. News Article
    Staff sickness in the NHS in England has reached record levels. Figures for 2022 show an absence rate - the proportion of days lost - of 5.6%, meaning the NHS lost the equivalent of nearly 75,000 staff to illness. This is higher than during the peak pandemic years of 2020 and 2021 - and a 29% rise on the 2019 rate. Mental health problems were the most common cause, responsible for nearly a quarter of absences, the Nuffield Trust analysis of official NHS data shows. Big rises were also seen in cold, coughs, infections and respiratory problems, likely to be linked to the continued circulation of Covid as well as the return of flu last year. The think tank warned the NHS was stuck in a "seemingly unsustainable cycle" of increased work and burnout, which was contributing to staff leaving. The analysis, exclusively for BBC News, comes ahead of the publication of the government and NHS England's long-awaited workforce plan. Read full story Source: BBC News, 29 June 2023
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