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Found 404 results
  1. Content Article
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    Email rduh.qit@nhs,net to book a place.
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    Commissioned by the Department of Health and Social Care (DHSC) in February 2020, the Independent Investigation into East Kent Maternity services published its report last month highlighting patient safety failings in maternity and neonatal care services from 2009–2020 at two hospitals: Queen Elizabeth The Queen Mother Hospital at Margate and the William Harvey Hospital in Ashford. This is another devastating report detailing cases of serious avoidable harm and preventable deaths in the NHS, stating that it found that: “... those responsible for the services too often provided clinic
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    You can access the following videos of conference sessions: Welcome remarks from Caroline Corby, the PSA's Chair and Alan Clamp, PSA Chief Executive Is regulation keeping people safe? Health and Social Care Safety Commissioners: a solution to bridge the safety gaps in all UK countries? Are learning cultures compatible with individual accountability and candour? Should health and care professionals have a duty to tackle health inequalities? Parallel session A: Does regulation need to change to deliver the workforce of the future? Parallel session B: A
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    This free webinar will explore what the future looks like for this critical area of human factors investigation. The presenters will each talk about a different aspect and there will be time for you to ask questions. The future of healthcare investigation: focus on learning and improvement Mark Sujan will talk about the new NHS England Patient Safety Incident Response Framework (PSIRF) which puts emphasis on learning and improvement. You’ll hear about the limitations of existing approaches to learning from incidents in healthcare, which PSIRF tries to overcome. You’ll then find out abou
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    Articles and themes in this issue Speak up... a powerful psychological safety indicator (Amy Edmonson) Empty bags or to be filled? An article about medication safety by the mother of a person with autism living in adult residence Patient safety report: Medstar health quality and safety vision A bird in the hand is worth two in the bush. By a mobile intensive care unit composed of a nurse, an ED doctor and a driver A vision of the health system in 10 years (Johannes Wacker) Implementation of an innovative training program promoting checklists in intensive c
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    What has changed? There have been a lot of conversations about the timeline, with many people saying that the initial date of March 2023 to switch was too challenging. There was also concern that there wouldn’t be enough time to transition to an approved LFPSE supplier if they needed to. NHS England announced on 18 October that there will now be an optional six-month extension to the original transition timeline of 31 March 2023; however, there are still things which must be in place by this date despite the extension. What you need to know By 31 March 2023, providers must ha
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    Recommendations It is always best practice, in cases where there is no immediate risk to patient safety for concerns to be raised either with one of the GMC’s Employer Liaison Advisers (ELA), where available, or a responsible officer (RO). This allows for attention to be focussed on live concerns and presents an opportunity for matters to be resolved locally. On receipt of an employer referral, the GMC should ask whether efforts have been made to liaise with the RO and, if not, encourage the referrer to consult with them before taking any further action (excluding immediate patient safe
  18. Event
    The new NHS Patient Safety Syllabus has brought education and training to the fore to push patient safety in healthcare. Based on the syllabus this masterclass will focus on how induction and mandatory training can be improved for patient safety. It will look at the case for change and how we can develop a culture of learning. Key learning objectives: share learning culture person centred care lifelong learning. The course is facilitated by Perbinder Grewal. Register hub members receive a 20% discount. Email info@pslhub.org for a discount code.
  19. News Article
    A boss at a trust which was heavily criticised in a damning report says patients have lost confidence in the care they provide. Raymond Anakwe, executive director of East Kent Hospitals Trust, said regaining patient trust would be "possibly the largest challenge". He was speaking at a board meeting two weeks after a review found a "clear pattern" of "sub-optimal" care. Mr Anakwe said: "The reality is we have lost the confidence of our patients." He also said the trust has lost the confidence "of our local community and sadly also many staff". The trust's chief executiv
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    To begin the interview, we discussed the events leading up to Keith joining HSIB as its first Chief Investigator. He spoke about his background as a pilot and then joining the Air Accidents Investigation Branch, first as an investigator before later becoming its Chief Investigator. There has been much written about the safety lessons that healthcare can learn from the aviation industry. Keith reflected on how his investigation roles in aviation helped to develop his understanding of the importance of creating a safety culture and the role of investigations as part of this. Subsequently he
  24. Content Article
    This report sets out the findings of the Panel’s Investigation of maternity services at East Kent Hospitals University NHS Foundation Trust, by: Describing how those responsible for the provision of maternity services failed to ensure the safety of women and babies, leading to repeated suboptimal care and poor outcomes – in many cases disastrous. Highlighting an unacceptable lack of compassion and kindness, impacting heavily on women and families both as part of their care and afterwards, when they sought answers to understand what had gone wrong. Delineating grossly flawed
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