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Found 413 results
  1. News Article
    Allegations of staff assaulting patients at a mental health hospital have been uncovered for a second time, one year after the Care Quality Commission (CQC) first raised concerns over potential abuse at the unit. The regulator criticised Broomhill Hospital in Northampton in a report issued this week after inspectors found details of three alleged assaults by staff against patients. The unit is run by independent sector provider St Matthew’s Healthcare, but treats NHS patients. In May 2020, the CQC placed the hospital into special measures amid concerns it was failing to protect pati
  2. News Article
    Nearly 400 women who were treated by a consultant gynaecologist who "unnecessarily harmed" some patients are being invited to have their care reviewed by an independent expert. University Hospitals of Derby and Burton NHS Trust is writing to 383 patients treated by Daniel Hay. His conduct has been under investigation since 2019 after hospital colleagues raised concerns. The trust has said at least eight of his patients had been harmed. It has not provided any further information on the nature of the harm. Mr Hay worked at the Royal Derby Hospital and Ripley Hospital between
  3. News Article
    Almost 20% of patients seen by neurology consultant Dr Michael Watt were given a wrong diagnosis, a report has found. A review of 927 of Dr Watt's high-risk patients found 181 people received a diagnosis described as "not secure", Health Minister Robin Swann said. He was speaking as the Belfast Trust announced the recall of a further 209 neurology patients seen and discharged by Dr Watt between 1996 and 2012. This is the third such recall. Dr Watt was at the centre of Northern Ireland's biggest patient recall linked to his work at Belfast's Royal Victoria Hospital. Mr
  4. Content Article
    There has been a history of collaboration between the NHS and independent hospitals when delivering care to patients. This has included NHS patients undergoing care for certain conditions in independent hospitals. Recently, COVID-19 has placed increased pressure on the NHS. This has resulted in independent hospitals providing more care for NHS patients including urgent NHS elective surgical care and delivery of cancer pathways. This HSIB investigation will consider the safe provision of surgical care, with reference to a specific incident, and how decisions are made around which patients are
  5. News Article
    An NHS trust has admitted failing to provide safe care and treatment for a mother and her baby boy, who died seven days after an emergency delivery. Mother Sarah Richford said it brought "some level of justice" for baby Harry's death in 2017. Lawyers for the East Kent Hospitals Trust pleaded guilty to the charge at Folkestone Magistrates Court. The trust said it had made "significant changes" and would "do everything we can to learn from this tragedy". Mrs Richford said: "Although Harry's life was short, hopefully it's made a difference and that other babies won't die". Sh
  6. News Article
    Nearly 200 families have now reported experiences of poor maternity and neonatal care in East Kent, according to the family whose baby’s death sparked both an independent investigation and a court case against the trust. Baby Harry Richford died seven days after his birth at the Queen Elizabeth, the Queen Mother, Hospital in Thanet in 2017. Next week, the Care Quality Commission is taking East Kent Hospitals University Foundation Trust to court, alleging it failed to meet fundamental standards of care in the treatment of both Harry and his mother Sarah. An independent investigat
  7. News Article
    A care home under investigation over a resident's death has been rated inadequate for the second time. Merseyside Police began investigating Prescot's Griffin House after the death of a 90-year-old man in June 2020. The Care Quality Commission (CQC) rated it inadequate in September, highlighting safety concerns and a report from February, released on 9 April, found it had not improved. The inspection on 24 February found management had failed to adequately address the problems previously identified by the CQC and there were new concerns relating to staff recruitment. Inspec
  8. Event
    This national conference looks at the practicalities of Serious Incident Investigation and Learning. The event will look at the development and implementation of the New Patient Safety Incident Response Framework (previously known as the Serious Incident Framework) which has now been published for the early adopter sites as introductory guidance. NHS Improvement will then work with a small number of early adopters to test implementation. For all other organisations the PSIRF is being published for information only and using learning from the pilot sites, resources and guidance will be develope
  9. Event
    Safe healthcare depends on factors spanning the entire healthcare system. We know that adverse events will occur and the reasons are seldom simple. Improving patient safety and learning depends on investigating, understanding, and addressing the complex networks of causal factors at all levels. Norway and England have established national independent investigation bodies to support learning and system improvement. The talk looks into the rationale, expectations and practice in this new area in healthcare. Register
  10. Content Article
    Martin has managed over the course of his blogs to open our eyes to the world of Human Factors (HF) and, in particular, the area of HF within the medical world. What hasn’t been touched on yet is the topic of fatigue. Why am I mentioning this dreaded word, you ask. Well, unfortunately it impacts all of us. In fact, I would be prepared to bet a lot of money that we have all experienced fatigue at some point. And I will point out that I am not a gambling person, so hopefully that indicates to you how certain I am, but also unfortunately points out the prevalence. Right now we’re all under
  11. News Article
    A public inquiry into the infected blood scandal has been told some patients were used as "guinea pigs" at Belfast's Royal Victoria Hospital. The inquiry is looking at how haemophilia patients across the UK were treated with Hepatitis C infected blood or HIV in the 1970s and 1980s. Among the correspondence presented to the inquiry this week was a letter, dated 1988, sent by Dr Elizabeth E Mayne, consultant/director at the Department of Haematology in the Royal Victoria Hospital, to Professor Ludlam at the Royal Infirmary in Scotland. The letter was part of discussions about a po
  12. News Article
    A witness to an inquiry into deaths at England’s largest mental health trust has been intimidated by “cruel and calculated pressure”, with messages described by the man leading the investigation as “truly shocking”. In a statement at the start of hearings into the quality of care at Southern Health Foundation Trust, inquiry chairman Nigel Pascoe QC said one witness had received threatening telephone calls, messages and emails, which he said were “totally unacceptable, damaging and deeply disturbing”. Mr Pascoe said the inquiry had been told Beth Ford, whose job title at the trust is
  13. News Article
    A French court has fined one of the country’s biggest pharmaceutical firms €2.7m (£2.3m) after finding it guilty of deception and manslaughter over a pill linked to the deaths of up to 2,000 people. In one of the biggest medical scandals in France, the privately owned laboratory Servier was accused of covering up the potentially fatal side-effects of the widely prescribed drug Mediator. The former executive Jean-Philippe Seta was sentenced to a suspended jail sentence of four years. The French medicines agency, accused of failing to act quickly enough on warnings about the drug, was
  14. Event
    The NHS is the world’s first health organisation to publish data on avoidable deaths. The National Guidance on Learning from Deaths has driven a strengthening of systems of mortality case review with emphasis on learning. By collecting the data and taking action in response to failings in care, trusts will be able to give an open and honest account of the circumstances leading to a death. This National Conference focuses on improving the investigation and learning from deaths in NHS Trusts and will reflect on learning from deaths involving COVID-19 and how mortality investigation should be man
  15. News Article
    Doctors and nurses were absent from crucial meetings about oxygen supplies to hospital wards in the run up to the coronavirus crisis, a safety watchdog has warned. At one hospital trust, which was forced to declare a major incident during the second wave of the crisis, doctors had not attended the hospital’s medical gas committee (MGC) since 2014. The Healthcare Safety Investigation Branch (HSIB) said it had discovered a similar lack of input at other NHS trusts and also warned that none of the urgent alerts and guidance from NHS England ahead of the Covid surge had been discussed at
  16. News Article
    A previously secret report into children’s services at a scandal-hit NHS hospital has revealed concerns over the safety of services including care of seriously ill babies were raised with managers back in 2015. A report by the Royal College of Paediatrics and Child Health (RCPCH) raised serious concerns over children’s services at East Kent Hospitals University Trust in 2015 including senior consultants refusing to work beyond 5pm and a shortage of nurses and junior doctors. It also found the neonatal intensive care unit was being staffed by general paediatric doctors instead of spec
  17. Event
    This national conference looks at the practicalities of Serious Incident Investigation and Learning from Deaths in Mental Health Services. The event will look at the development and implementation of the New Patient Safety Incident Response Framework (previously known as the Serious Incident Framework) which has now been published for the early adopter sites as introductory guidance, and will examine how this will fit with the Royal College of Psychiatrists Care Review Tool for mortality review. A 20% discount is currently available. Quote HCUK20dmh when booking. Register
  18. News Article
    Long delays for coronavirus patients to get through to NHS 111 call handlers while other seriously ill patients were told to stay at home have prompted a safety watchdog to launch an investigation of the phone triage service. The Healthcare Safety Investigation Branch (HSIB) has launched an inquiry into the handling of coronavirus calls by NHS 111 – the first port of call for patients when they become unwell. During the pandemic the NHS 111 service set up a dedicated COVID-19 Clinical Assessment Service (CCAS) but concerns over the safety of advice given to patients saw nurses and no
  19. News Article
    Ministers have been accused of “knowingly exposing” NHS and private patients to safety risks after delaying again a full response to the inquiry into the Ian Paterson scandal. Victims of rogue surgeon Ian Paterson, who was jailed in 2017 for carrying out unnecessary surgery on patients, told The Independent there was a “clear and present danger” of similar crimes being committed without urgent action being taken. On Tuesday, the government released a partial response to an independent inquiry, led by Reverend Graham James, which reported in February last year. It revealed Paterson wa
  20. News Article
    A trust being investigated over maternity care failings was urged six years ago to strengthen its neonatal staffing, HSJ can reveal. An external review into East Kent Hospitals University Foundation Trust — conducted in 2015 and kept under wraps until now — said it had insufficient staffing, and that medical consultants felt a lack of engagement with senior managers. The trust released the review yesterday after its existence became public for the first time earlier this month. Last year, the trust was heavily criticised at the inquest of baby Harry Richford, who died seven days
  21. News Article
    There was a "gross failure in basic care" which led to a baby being starved of oxygen during birth, a coroner said. Zak Ezra Carter died at the Royal Gwent Hospital, Newport, two days after being born in July 2018 at Ystrad Fawr Hospital in Caerphilly county. Gwent coroner Caroline Saunders said the monitoring of Zak and his mother Adele Thomas fell "well below the standards expected". She said she was reassured the health board had taken steps to improve care. Ms Thomas told the Newport hearing she felt "scared" and staff "didn't care" when she arrived to give birth on 20 July
  22. News Article
    The COVID-19 Bereaved Families for Justice group has told Downing Street it wants a statutory public inquiry led by a senior judge to “determine a definitive, official, evidence-based narrative of what did and did not happen, independent of political influence” during the pandemic. The group considers it potentially cathartic and wants the families’ grief heard. Frontline health workers also want a wide-ranging inquiry to provide a platform for their experiences, while minority ethnic leaders believe an inquiry can only determine what went wrong if wider societal inequalities relating to
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