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Found 378 results
  1. News Article
    A new report has revealed patients have died as a result of cancelled appointments to remove objects from their bodies that had been left inside them. Research looking at 23 coroners reports in England and Wales has found the deaths were largely preventable. Read full story (paywalled). Source: The Telegraph, 27 July 2021
  2. News Article
    A public inquiry into the infected blood scandal has heard that the government was right to say there was "no conclusive proof" that Aids could be transmitted by blood products in 1983. According to Lord Clarke, the phrase was entirely accurate at the time it was said. However, evidence in documents reveal senior health officials believed HIV could be carried through blood. "Somebody, somewhere, decided that that was the best most accurate line to take. It was repeatedly used by every minister. We kept repeating that because that was the scientific advice we had until it was perfectl
  3. Community Post
    What is your experience of having a hysterscopy? We would like to hear - good or bad so that we can help campaign for safer, harm free care. You can read Patient Safety Learning's blog about improving hysteroscopy safety here. You'll need to be a hub member to comment below, it's quick and easy to do. You can sign up here.
  4. Content Article
  5. News Article
    Breast surgeon Ian Paterson, was convicted and jailed for 20 years for performing unnecessary and dangerous surgery on women over the span of 14 years, being found guilty of 17 counts of wounding with intent and three counts of unlawful wounding. Thousands of his patients are only now just learning that they experienced unnecessary tests and surgery when there was no clinical need, having never been properly reviewed after his conduct had been revealed. Now, Spire Healthcare may be facing up to £50 million in compensation costs with the NHS and insurers having also paid £10 million.
  6. Content Article
    A year on from the publication of First Do No Harm, the report by the Independent Medicines and Medical Devices Safety (IMMDS) Review, the Government released its full response to the Review's recommendations.[1] [2] Published alongside this was the report from the independent Patient Reference Group, established to provide advice, challenge and scrutiny to the work developing the Government’s response.[3] The IMMDS Review examined the response of the healthcare system in England to the harmful side effects of three medical interventions: Hormone pregnancy tests, Sodium valproate and Pelv
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    The IMMDS Review examined how the healthcare system in England responded to reports about harmful side effects of medicines and medical devices, focusing on three specific interventions: Hormone pregnancy tests, Sodium valproate and Pelvic mesh implants. Its findings and recommendations were published in the First Do No Harm report on 8 July 2020. The Department of Health and Social Care established a Patient Reference Group to provide advice, challenge and scrutiny to work to develop the government response to the First Do No Harm report. Its independent end-of-project report sets out th
  10. Content Article
    The impact of delayed medication “ I had to go into hospital after my knee gave way and I fell at home. Often you go into hospital with something unrelated to your Parkinson’s but then your Parkinson’s gets worse due to it not being managed properly. “While in the hospital I missed repeated doses of my medication due to a lack of knowledge and understanding of my condition-specific needs. This threw me out of sync completely – it brought on more severe depression, unsteadiness on my feet, more severe tremors. It affected me in so many ways. It’s impossible for me to control these sy
  11. Content Article
    The IMMDS Review examined how the healthcare system in England responded to reports about harmful side effects of medicines and medical devices, focusing on three specific interventions: Hormone pregnancy tests, Sodium valproate and Pelvic mesh implants. Its findings and recommendations were published in the First Do No Harm report on 8 July 2020. Summary of the government response to each of the recommendations Recommendation 1: The government should immediately issue a fulsome apology on behalf of the healthcare system to the families affected by Primodos, sodium valproate and
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  15. News Article
    A year on from the vaginal mesh scandal and ministers have failed to take action. The new health secretary Sajid Javid has been called on to intervene by families, lawyers and campaigners and has been asked to implement recommendations made by the Cumberlege Inquiry. Emma Hardy, chair of the All-Party Parliamentary Group on Surgical Mesh Implants has said “Women deserve better than the government’s refusal to implement the Baroness Cumberlege recommendations. The recommendations will not only make life better for those living with mesh complications, but they will also improve patient sa
  16. News Article
    999 calls soar as patients experience record waiting times in the back of ambulances. The Independent has seen a leaked brief from the West Midlands Ambulance Service and has found patients have been waiting for hours outside hospitals, meaning ambulances could not respond to any emergency 999 calls. Ambulance staff have also faced hours of delays resulting in at least four hours or more at the end of their 12 hour shift. The briefing in June said "“This current situation is unacceptable and leads to fatigue, poor morale, has impacts on patient safety and potentially non-comp
  17. Content Article
    The debate centred on a motion put forward by Emma Hardy, MP for Kingston upon Hull West and Hessle, which read as follows: That this House notes the publication of the Independent Medicines and Medical Devices Safety Review, First Do No Harm; further notes the Government’s failure to respond to the recommendations of that review in full; notes the significant discrepancy between the incidence of complication following mesh surgery in the Hospital Episode Statistics and the British Society of Urogynaecology databases, as highlighted in the Royal College of Obstetricians and Gynaecologists
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    The Health and Social Care Select Committee’s report sets out conclusions and recommendations in three parts: Supporting maternity services and staff to deliver safe maternity care – considering the essential building blocks of safe care - first and foremost staffing numbers and funding, underpinned by leadership and training. Learning from patient safety incidents – considers the role of the Healthcare Safety Investigation Branch (HSIB); examines the current clinical negligence system and how to reform it to allow a more positive learning culture to take root. Providing safe
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    In the UK, Epilim is currently used to treat patients at risk of epilepsy due to its anti-convulsive properties, however it was found that as it is also a teratogen, it can cause an increased risk of developmental, physical and neurological harms to the human embryo or fetus. For decades, the regulator and manufacturer of Epilim did not disclose to patients how harmful the drug can be and as a result, patients were unable to make appropriate and informed decisions regarding their healthcare. Read the full article Further recommended reading: Analysing the Cumberlege Review
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    The following guideline will help to support a consistent and fair approach to the management of staff following events involving healthcare associated harm. It is based on the following premises: Healthcare is a complex and high risk activity prone to healthcare associated harm. Weak systems create the conditions for and the inevitability of human error. Latent conditions preceding adverse events include poor decisions, poor designs, poor supervision, inadequate tools and equipment, and the cumulative actions of individuals. Capturing, tracking and learning from health
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