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Content ArticleThe guideline identifies the symptoms of ME/CFS as debilitating fatigue that is worsened by activity, post-exertional malaise, unrefreshing sleep or sleep disturbance, and cognitive difficulties (‘brain fog’). It says that people with all four symptoms that have lasted 3 months or more should be directed to a ME/CFS specialist team (in the case of children this should be a paediatric specialist team) experienced and trained in the management of ME/CFS to confirm their diagnosis and develop a holistic personalised management plan in line with this guideline. People with ME/CFS should recei
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News Article
Government commits to public repository of consultant details “in principle”
Patient Safety Learning posted a news article in News
The government has committed “in principle” to creating a public repository of consultants’ practice details that sets out their practising privileges and key performance data, including how many times they have performed a particular procedure and how recently. The commitment was part of the response to an independent national inquiry, launched in 2017, following the malpractice of rogue surgeon Ian Paterson. Now serving a 20 year prison sentence, Paterson had undertaken numerous unnecessary breast operations in both private and NHS practice, causing harm to hundreds of patients. Th -
News Article
Government blocks ‘blanket’ rule to suspend all staff where safety is at risk
Patient Safety Learning posted a news article in News
The government has rejected advice from an independent inquiry into the actions of disgraced surgeon Ian Paterson to suspend all healthcare professionals who are suspected of posing a risk to patient safety. The Department of Health and Social Care today published its response to 15 recommendations from the inquiry, which found Mr Paterson, jailed for 20 years in 2017 for 17 offences of wounding with intent, may have conducted up to 1,000 botched and unnecessary operations over a 14-year period. Of its 15 recommendations, the DHSC accepts nine in full, five in principle, rejects one -
Content ArticleThe Independent Inquiry into the Issues raised by Paterson was prompted by the case of Ian Paterson, a breast surgeon who was convicted of wounding with intent some of the 11,000 patients he treated and jailed for 20 years in 2017. More than 200 patients and family members gave evidence as part of the Inquiry and it is estimated that he could have harmed more than 1000 patients. Its findings and recommendations were set out in a report published on the 4 February 2020. Summary of the Government response to each of the recommendations Recommendation 1 – We recommend that there sho
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Content ArticleThe evidence supports the continued availability of surgical mesh as an option for elective repair of primary ventral hernias, incisional hernias, and primary inguinal hernias, in adults in Scotland. Patient preference may be for a non-mesh (suture) hernia repair and access to alternative hernia management options should be available to accommodate this. All elective hernia repairs should be preceded by a detailed discussion between the patient and the surgeon as part of an informed consent process. Points for discussion include: the benefits and risks of surgical and non-sur
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Content ArticleMPs found that despite progress in numbers of young people receiving treatment, it was unacceptable that more than half with a diagnosable condition pre-pandemic do not receive the mental health support they need. The Report notes that half of mental health conditions become established before the age of 14, while data from NHS Digital showed that in 2020 potentially one in six young people had a diagnosable mental health disorder up from one in nine three years earlier, placing a huge additional strain on already stretched children and young people's mental health services. New Ment
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Event
Maternity decisions: Being induced survey – findings and recommendations
Patient Safety Learning posted a calendar event in Community Calendar
untilThis Patient Information Forum webinar will share the key findings of our survey on maternity decisions. Our expert panel will share recommendations to help empower women to make informed decisions about the induction of labour. Open to members and non-members. Register -
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Content ArticleThe UK government’s handling of the coronavirus pandemic was “grossly negligent” and amounted to misconduct in public office, an inquiry set up by the campaign group Keep our NHS Public has concluded. In a foreword to the inquiry’s report Mansfield said, “From lack of preparation and coherent policy, unconscionable delay through to preferred and wasteful procurement, to ministers themselves breaking the rules, the misconduct is earth-shattering. The public deserves the truth, recognition and admissions.” The report highlights the government’s failure to prepare for a pandemic despite
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Event
Priorities for NICE in health & social care
Patient Safety Learning posted a calendar event in Community Calendar
untilThis Westminister Forum conference will discuss the priorities for NICE within health and social care following the publication of the NICE Strategy 2021 to 2026: Dynamic, Collaborative, Excellent earlier this year, which sets out NICE’s vision and priorities for transformation over the next five years, including: rapid and responsive evaluation of technology, and increasing uptake and access to new treatments flexible and up-to-date guideline recommendations which integrate the latest evidence and innovative practices improving the effective uptake of guidance through coll -
Content ArticleBackground CPAP is often used to support a patient’s breathing in critical care or high dependency units, where there are high numbers of staff to patients. Staff in these units are trained and familiar with the use of non-invasive respiratory support. During the first and second waves of the COVID-19 pandemic, however, many more patients needed CPAP than there were beds in critical care and high-dependency units. Thus, hospitals had to create alternative areas and arrangements for delivering and caring for patients who needed CPAP. This investigation looked at the use of CPAP ou
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Content ArticleThe COVID-19 pandemic has further amplified the need for radical change in the provision of diagnostic services, but has also provided an opportunity for change. Many beneficial changes in relation to diagnostic pathways, such as increased use of virtual consultations and community services, have already been made. These changes must now be embedded. However, much more now needs to be done in the recovery period to establish new pathways to diagnosis, so that both patients and healthcare professionals can be assured that investigations will be done safely. To deliver the increase in diagn
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Content ArticleHealth and Care Bill On 6 July 2021 the UK Government published the Health and Care Bill, which sets out proposals to change to the delivery and organisation of health care services in England.[2] [3] This Bill includes: Plans to formally merge NHS England and NHS Improvement. Provisions to establish Integrated Care Systems on a statutory footing. New powers for the Secretary of State for Health and Social Care over the system. The Professional Standards Authority for Health and Social Care (PSA) report, Reshaping regulation for public protection, focuses on the p
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Thought piece on the Ockenden Report by Susan Stanford
Patient Safety Learning posted an article in Maternity
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Content Article
House of Commons Debate - NHS Allergy Services (29 October 2021)
Mark Hughes posted an article in Allergies
What is an Adjournment Debate? There is a 30-minute Adjournment Debate at the end of each day's sitting of the House of Commons. They provide an opportunity for an individual backbench MP to raise an issue and receive a response from the relevant Minister. Unlike many other debates, these take place without a question which the House of Commons must then make a decision on.[1] NHS Allergy Services In this debate Jon Cruddas MP raised a series of points about improving allergy services in the UK and in support of numerous recommendations made in a recent report by the All-Party Par -
Content ArticleThe investigation explored: Safety issues associated with the establishment of surgical services in independent hospitals to support the NHS and in particular the specialist services that are in place to deliver patient care. The assessment of patients prior to surgery to identify their risk and suitability for an operation and where it was to be undertaken; this included identification of patients with frail physical states. Key findings included: National and local NHS organisations had limited understanding of independent hospitals’ capabilities. This resulted in
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Content ArticleKey recommendations: Create more training posts in allergy. Train many more doctors to be allergy specialists. Increase the number of consultant allergists. Increase allergy knowledge in primary care through training and education. Bring allergy care into the 21st century, raise standards and the consistency of care across the UK. Further reading: Why allergies are the Cinderella service of the NHS – a blog by Tim McLachlan
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Content ArticleWhat is an Early Day Motion? Early Day Motions are motions submitted for debate in the House of Commons for which no day has been fixed - as such very few are debated. They are used to put on record the views of individual MPs or to draw attention to specific events or campaigns. By attracting the signatures of other MPs, they can be used to demonstrate the level of parliamentary support for a particular cause or point of view.[1] Early Day Motion 556 - Government response to the recommendations of the First Do No Harm report This Early Day Motion was sponsored by Emma Hardy MP, H
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News ArticleA third of stillbirths at two south Wales hospitals could have been prevented with better care or treatment, an investigation has concluded. It emerged two years ago that more than 60 women suffered the heartbreak of a stillbirth at at the Royal Glamorgan, Llantrisant, and Prince Charles Hospital, Merthyr Tydfil, and that many of these were never reported or investigated. An independent panel set up by the Welsh Government to oversee improvements in these maternity units has now concluded that many of these babies could have been saved. It looked at whether the care provided to
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Summary of findings 63 episodes of care were clinically reviewed in this phase of the programme; the independent clinical review teams concluded that in a third of those episodes, different treatment or care may have resulted in a different outcome; there were four recurrent themes which emerged from the reviews - failure to listen to women, failure to identify and escalate risk, inadequate clinical leadership and inappropriate treatment leading to adverse outcomes; although these findings are concerning and distressing for the women and families involved, they are no -
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