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Showing results for tags 'Organisation / service factors'.
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News ArticleA hospital with a roof containing beams described as a ‘significant safety issue’ could be rebuilt or replaced rather than repaired, at a likely cost of several hundred million pounds. Read full story (paywalled) Source: HSJ, 5 July 2021
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News Article
Dozens of hospitals hit dangerous bed occupancy levels
Patient Safety Learning posted a news article in News
Dozens of acute trusts have operated at very high levels of bed occupancy in the past month, as they deal with a surge in non-covid patients with thousands fewer beds than normal. At one point in May, 49 general acute trusts out of 145 — the most since before covid — operated at occupancy of 95 per cent or more in adult acute beds. Up to eight trusts at a time were operating at 99 or 100% occupancy during May, according to analysis of published data. NHS England, prior to covid, told trusts to keep occupancy below 92%, and others believe even this is dangerously high, although trust -
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HPMA newsletters
Patient Safety Learning posted an article in Leadership for patient safety
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News ArticleA group of patient activists has set up a new website using official NHS data to allow patients to check the waiting times for treatments at their local hospital. The new waiting times tool is thought to be the first automated and regularly updated website that shows hospital performance against key waiting time targets, by medical specialty such as cardiology or orthopaedics. The service, developed by volunteers from the not-for-profit Patient Experience Library, not only shows patients how many people are waiting to be treated overall but also shows data on the median waiting time
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‘Young people need help’: parents call for change in eating disorder care
Patient Safety Learning posted a news article in News
It is more than eight years since Averil Hart died after being found passed out in her university room, but the words left in her diary are etched in her father’s mind. “She said: ‘dear God please help me’ and that was four or five days before she collapsed,” says Nic Hart. “It sums up what many young people desperately need. They need help. Here we are eight-and-a-half years on and what has changed?” Averil, who was diagnosed with anorexia aged 15, was taken to Norfolk and Norwich University hospital at 19 in a “severely malnourished” state but received no nutritional or psychiatric supp -
News ArticleA new national service has been established to improve the quality and management of healthcare construction and refurbishment projects across NHS Scotland. NHS Scotland Assure brings together experts to improve quality and support the design, construction and maintenance of major healthcare developments. This world first interdisciplinary team will include microbiologists, infection prevention and control nurses, architects, planners, and engineers. Commissioned by the Scottish Government and established by NHS National Services Scotland, the service will work with Health Boards to
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Call for surgery hubs to tackle NHS backlog
Patient Safety Learning posted a news article in News
Surgeons are calling for specialist hubs in England to help tackle what they call a "colossal backlog" of non-urgent operations because of COVID-19. The Royal College of Surgeons (RCS) wants a network of hospital sites focused on routine surgery, such as hip and knee replacements. The government says it is working "to accelerate the recovery of services". In March, around five million patients were waiting for surgery - the highest number since modern records began. Prof Neil Mortensen, president of the RCS, said the pandemic has had a devastating impact on surgical service -
News ArticleAlmost as soon as the pandemic struck early last year, NHS England recognised that patients catching Covid-19 while they were in hospital for non-Covid care was a real risk and could lead to even more deaths than were already occurring. Unfortunately their fears have been borne out by events since – every acute hospital in England has been hit by this problem to some extent. Over the last 15 months various NHS and medical bodies have looked into hospital-acquired Covid and published reports and detailed guidance to help hospitals stem its spread. They include the Healthcare Safety Investi
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News ArticleSafety and quality, as well as integration and leadership, will be a “core focus” for the Care Quality Commission’s (CQC) ratings of integrated care systems (ICS), health secretary Matt Hancock has indicated. In a letter to health and social care committee chair Jeremy Hunt, Mr Hancock said the Department of Health and Social Care is working with the CQC and NHS England to develop “detailed proposals” on how ICSs will be regulated. The CQC is due to be given “new powers” to rate ICSs under the government’s proposed health and social care bill. The confirmation that the CQC’s ratings
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NHS plans to keep electives at 80% in next covid surge
Patient Safety Learning posted a news article in News
NHS England has asked hospitals to prepare for a potential further surge of covid cases reaching around half the level of first wave of the virus last year – and to seek to deliver 80% of normal elective activity throughout it, HSJ has learned. Well-placed sources said NHSE officials have held meetings in recent weeks discussing the possibility of a fourth wave of covid later this year, which modelling suggests could see up to 50% of the patient numbers seen in April last year. Trusts have been asked by NHSE officials, as part of the planning process, what resources they would need t -
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News Article
Glan Clwyd: Vascular overhaul 'must be undone' over safety risks
Patient Safety Learning posted a news article in News
Changes to vascular services in north Wales must be reversed urgently after a report highlighted safety risks, campaigners warned. Services were centralised from Ysbyty Gwynedd to Ysbyty Glan Clwyd - about 30 miles away - in April 2019. An independent report, by the Royal College of Surgeons, highlights bed shortages and confusion over staffing levels. Betsi Cadwaladr health board said it was making urgent changes to services. In the report, commissioned by BCUHB after patients and staff raised fears about the new service, the Royal College of Surgeons makes nine "urgent re -
News Article
NHS was ‘overwhelmed’ in January surge, study finds
Patient Safety Learning posted a news article in News
The NHS “was largely overwhelmed” at the height of the UK’s Covid second wave in January, according to a study. New research published in Anaesthesia, a journal of the Association of Anaesthetists, revealed the scale of the pressure on hospitals during the pandemic and how stretched some units were. Based on surveys of all NHS hospitals, with more than half responding, the study found almost a third of anaesthetists were redeployed to look after critically ill patients, leaving 42% of operating theatres closed. This meant operations, including for cancer and emergency surgery pa -
News Article
Unpublished hospital patient safety reports exposed
Patient Safety Learning posted a news article in News
Serious patient safety issues are being buried in confidential hospital reports, BBC Panorama has found. Freedom of Information requests revealed 111 reports, written by medical royal colleges, which NHS trusts have a duty to share. Eighty reports were given to the BBC but only 26 had been shared in full with regulators, and 16 published. The Department of Health would not comment on whether it might change the law to ensure publication. Since the 2015 Morecambe Bay maternity scandal in which 11 babies and a mother died, NHS Trusts are supposed to publish summaries of external r -
News Article
How making mental wellbeing a priority can lower healthcare costs
Patient Safety Learning posted a news article in News
There are many reasons why mental wellbeing is important. Not only is it protective against physical illnesses and linked to greater productivity, but the mental wellbeing of a population is essential for a country’s sustainability, long-term growth and development. But despite the clear benefits, governments tend to focus public spending on treating and preventing disease, and providing care for those who are ill. While this is important and should continue to be prioritised, such strategies alone won’t increase levels of mental wellbeing overall. Not only would enhancing mental wel -
News Article
UK needs £102bn boost to NHS and social care, says major report
Patient Safety Learning posted a news article in News
Spending on the NHS, social care and public health needs to rise by £102bn over the next decade, funded by big tax rises, to improve Britain’s health in the wake of the coronavirus pandemic, an inquiry has said. The massive funding boost would cut avoidable deaths from cancer and heart disease, tackle glaring health inequalities and rebuild the NHS after Covid exposed weaknesses such as a lack of beds and staff, a team of experts have urged ministers. The money would come largely from increases in income tax, national insurance and VAT, which evidence suggests the public is willing t -
Content ArticleThe report from the Pelvic Floor Society proposes changes in six key areas: Empowering and educating patients and beyond. Making use of technology. Integrating expertise. Looking again at surgical procedures. Making the most of our teams. Considering collaborations. Each area is addressed with its own chapter in the report.
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We can now prevent mental ill-health in the same way we fight cancer
Patient Safety Learning posted a news article in News
A cutting-edge child and adolescent mental health centre hopes to help prevent young people from experiencing mental health problems. As we look hopefully towards a June bonfire of pandemic regulations and restrictions, many recognise that soaring rates of mental health problems and distress amongst our children and young people must be near the top of a 21st century list of challenges in “building back better”. School closures, uncertainty and being cut off from friends and social and sporting events have seen more children and young people referred to CAMHS — a service that was fac -
News ArticleThe NHS should pause the planned roll out of bookable A&E slots until a robust evaluation of the new system has been undertaken, the Royal College of Emergency Medicine president has told HSJ. The proposals were set out in NHS England’s 2021-22 planning guidance last month. The guidance say local systems should “promote the use of NHS 111 as a primary route into all urgent care services”. It instructs local systems to “maximise the use of booked time slots in A&E with an expectation that at least 70% of all patients referred to an emergency department by NHS 111 receive a boo
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News ArticleMinisters have been urged to implement a clear recovery plan to bring down the country’s patient waiting lists that have ballooned to record-breaking levels as a result of disruption from the pandemic. Labour has warned that thousands of people waiting for hospital treatment are at risk of permanent disability and losing their livelihoods and has demanded government action. Some 387,885 patients in England are waiting more than a year for hospital treatment, according to NHS data. This has increased month-on-month since March of last year when the UK was first placed into lockdown.
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News ArticleHealth resources diverted to fight the COVID-19 pandemic have caused a major drop in critical preventative care in the US, including childhood vaccinations and lead screenings, sexually transmitted disease testing and substance abuse services. In short, many of the routine measures meant to keep Americans healthy – and keep American health from slipping further behind that of other developed, peer nations – have hit a worrying cliff. As attention has focused on the immediate crisis of the pandemic and the hundreds of thousands of lives lost in America, this other hidden crisis repres
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