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Content Article
Think Local Act Personal - Making it real framework
Patient-Safety-Learning posted an article in Patient engagement
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untilWith general practice in crisis due to workforce shortages, an increasingly complex workload, rising public expectations, and further pressures caused by the Covid-19 pandemic, The King's Fund are providing the time and space for you to reflect, think differently, share and learn. Join peers and experts from The King’s Fund to explore: what the future of general practice looks like how the experience for patients and staff can be improved how to ensure those actions are building blocks towards the future. This event is for GPs, commissioners, nurses, practice man- Posted
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Below is the Department of Health and Social Care’s summary of the responses to the consultation: There were 61 respondents, comprised of 34 organisations and 27 individuals, responded to this consultation. 59% agreed or strongly agreed that the Commissioner should serve a term of 3 years. 64% agreed or strongly agreed that the Commissioner should be eligible for reappointment for an additional term of 3 years and that they may resign or be removed by the Secretary of State. 87% agreed or strongly agreed that the Commissioner should be remunerated. 69% agreed or- Posted
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I love and support the NHS. But when things go wrong for patients and service users, the system is often too slow to change or respond effectively. I have been through complaints, the Ombudsman and Inquest processes around the poor end of life care of my late mother. Those processes took years and were almost as stressful as those last few days of my mother’s life. I would not do it again. At the time, I reported the incident in detail to the CQC (inspectors), to the CCG (commissioners), to Healthwatch (local and national), but I noted no evidence of change. In fact, the CQC continued for- Posted
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Too often health and social care is designed and delivered around the traditional idea that the patient is the passive participant in the care process. A recurring theme that emerges time and again from serious patient safety failings is that concerns raised by patients and family members are not acted on and, when harm occurs, they are left out of the investigation process. Discussing the shocking degree of avoidable harm to patients as a result of side effects of hormone pregnancy tests, sodium valproate and pelvic mesh implants, the findings of last year’s important patient safety repo- Posted
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Background The UK Government committed to establishing a Patient Safety Commissioner for England in the Medicines and Medical Devices Act 2021. The introduction of a Patient Safety Commissioner also acts on the second recommendation of the report of the Independent Medicines and Medical Devices Safety Review (also known as the Cumberlege Review), First Do No Harm, published in July 2020. This was one of a number of recommendations made by the Review after examining the response of the healthcare system in England to the harmful side effects of three medical interventions: hormone preg- Posted
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Below is a summary of the main responses and themes from the report: Should the initial focus of the Patient Safety Commissioner (PSC) be on medicines and medical devices? And in the future? Most respondents agreed that the PSC role should initially focus only on medicines and medical devices, as recommended in the Cumberlege review. However, it is clear that there is support for the role expanding at some point. When the role does expand, it was suggested that the PSC should cover communication, policies, processes and systems such as adverse event reviews, learning and acco- Posted
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News Article
An Independent Patients' Commissioner is set to be appointed to act as champion for people who have been harmed by medicines or medical devices. Baroness Cumberlege, who recommended the new role in a landmark report earlier this year, announced that the government had budged on the issue after initial resistance. She welcomed the move saying: "Had there been a patient safety commissioner before now, much of the suffering we have witnessed could have been avoided." But she added "the risk still remains" and further urgent action is needed to protect patients from potentially h- Posted
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"Many voices are not heard in British mental health care (and beyond), significant flaws are overlooked. If you are not satisfied with the status quo or just curious, follow us!" Here's a sample of some of the podcasts: Episode 33 - Basaglia's International Legacy: From Asylum to Community... review Episode 8 - Lived experience in Trieste, a mental health system without psychiatric hospitals, with Marilena and Arturo Episode 25 - Clinical Psychology vs Psychotherapy in Italy and the UK Episode 18 - The Trieste model cannot be exported to the UK because... let's un- Posted
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Commissioning for Quality and Innovation (CQUIN): Guidance for 2020– 2021
Claire Cox posted an article in CQUIN
This document provides the guidance for the CQUIN scheme for 2020/21. It sets out details of both the CCG and Prescribed Specialised Services (PSS) schemes. This includes: prevention of ill health mental health patient safety best practice pathways.- Posted
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Background The UK Government committed to establishing a Patient Safety Commissioner for England in the Medicines and Medical Devices Act 2021. The introduction of a Patient Safety Commissioner also acts on the second recommendation of the Independent Medicines and Medical Devices Safety Review, First Do No Harm, published in July 2020 by Baroness Cumberlege, which examines the consequences of the use of Primodos, sodium valproate and pelvic mesh and its effects on patient safety. Consultation The consultation process opened on the 10 June 2021 and closes on the 5 August 2021- Posted
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Background The Scottish Government's Programme for Government 2020-21 commits it to establishing a Patient Safety Commissioner for Scotland. The decision to create this role came about as a result of the First Do No Harm: The Report of the Independent Medicines and Medical Devices Safety Review (the Cumberlege Review), published in July 2020. The Cabinet Secretary for Health and Sport accepted all of the recommendations in the review, including recommendation 2 relating to the establishment of a Patient Safety Commissioner. Consultation The consultation process opened on Friday 5- Posted
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News Article
Up to 100,000 on antipsychotics with no review
Patient Safety Learning posted a news article in News
A national strategy is needed to tackle health risks linked to antipsychotic drugs because current policy is letting tens of thousands of people fall through the gaps, commissioners in London are warning. Commissioners and clinicians in City and Hackney found more than 1,000 patients in their area who were on these drugs without having regular medication reviews or health checks. They warned that, if their findings applied across England, 100,000 patients could be in the same position. Although NHS England funds GP practices to carry out regular health checks on patients who are on- Posted
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CQC chief sceptical about need for ‘patient safety commissioner’
Patient Safety Learning posted a news article in News
The Care Quality Commission's chief executive Ian Trenholm has said he is sceptical about the need to appoint an NHS patient safety commissioner, one of the key recommendations of the recently published Cumberlege review. In a wide-ranging interview with HSJ, Mr Trenholm also revealed that he wants the Care Quality Commission to review the collaboration of every health system in England. Mr Trenholm told HSJ he is “not sure” a patient safety commissioner was needed and that it would need to perform a “role that was different from what’s already in place” for it to add value. He- Posted
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Community Post
Coexistence of Accreditation and Regulation in Healthcare
Dr Akhil Sangal posted a topic in Innovation programmes in health and care
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