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Content Article
At Patient Safety Learning we believe that sharing insights and learning is vital to improving outcomes and reducing harm. That's why we created the hub; providing a space for people to come together and share their experiences, resources and good practice examples. Dementia is an umbrella term for a number of diseases that affect the brain, with Alzheimer’s disease its most common cause. We have picked a range of resources and reflections about keeping people with dementia safe in health and care settings, and when considering medication choices. 1 Alzheimer's Society: Checklist for possible dementia symptoms This checklist has been developed by the Alzheimer’s Society to allow patients to check symptoms that could be a possible sign of dementia. Endorsed by the Royal College of General Practitioners (RCGP), it is a simple tool to help patients and their families clearly communicate their symptoms and concerns to a GP or other healthcare professional. 2 Seeing the unseen: Rethinking dementia diagnosis Across 2024 and 2025, Alzheimer’s Research UK surveyed more than 500 people affected by dementia and over 160 healthcare professionals to understand the realities of diagnosis. This report shares findings from this process and considers what works, what gets in the way, and what needs to change. 3 Health and social care support for people with dementia The Care Quality Commission (CQC) looked at people's experiences of living with dementia when using health and adult social care services, including the experiences of families and carers. It sets out the main themes that influence whether an experience is good or poor, and what health and care services are doing to improve these experiences. CQC will use the findings in this report to help shape their work to define what good care looks like for people with dementia and inform the next phase of CQC’s Dementia Strategy. 4 Keeping patients with dementia safe: an interview with Alison Keizer and Fran Hamilton When people with dementia enter a new healthcare setting, the environment may be confusing and difficult to navigate. They may be unable to use their usual coping strategies and have difficulty communicating their needs and concerns to staff. This can present a wide range of risks to their safety while accessing care. In this interview, Alison Keizer, trust-wide Dementia Lead, and Fran Hamilton, Occupational Therapist and Deputy Dementia Lead at Sussex Community NHS Foundation Trust, describe the patient safety issues affecting patients with dementia and suggest how they can be supported to reduce these risks. 5 World Alzheimer Report 2025: Reimagining life with dementia – the power of rehabilitation This report from Alzheimer's Disease International explores the important topic of dementia rehabilitation, combining expert essays and real-world case studies from multiple countries globally to examine how the concept is defined and implemented, as well as practical considerations of how to best adapt rehabilitation practices for people living with dementia in different contexts. 6 National Audit of Dementia: Spotlight Audit in Memory Assessment Services 2023/24 This report examines waiting times, access to assessments, treatment, and post-diagnostic support for people with dementia in memory assessment services. The results indicate that there is still a great deal of variation between services in key results such as average waiting time for patients, the proportion of patients diagnosed with dementia, and the provision of post diagnostic support and therapy. 7 The role of integrated care systems in improving dementia diagnosis The Alzheimer’s Society commissioned The King’s Fund to explore the development of Integrated Care Systems (ICSs) through the lens of dementia diagnosis—to consider what opportunities ICSs present to approach dementia differently and to improve diagnosis rates by doing so. The research team explored enablers and barriers to improving dementia diagnosis through interviews with stakeholders and people affected by dementia in three case study ICSs. 8 Alzheimer's Society: 'This is me' leaflet This simple leaflet was developed by the Alzheimer's Society for anyone living with dementia, or experiencing delirium or other communication difficulties. It provides a central place where those closest to the person can fill in key information about them, such as their preferred name, cultural background, routines and likes and dislikes. The leaflet can then be shown to health and social care professionals in new and unknown settings to help them better understand the person and deliver care that is tailored to their individual needs. 9 Dementia UK: Making the home safe and comfortable for a person with dementia Dementia can have a significant impact on a person’s daily life, including how well they function within their home. Memory issues or problems recognising and interpreting the objects around them can cause the person frustration or create safety issues. Dementia UK have produced a leaflet with tips and guidance on how to make the home more safe for someone with dementia. 10 Alzheimer's Society: Tips for carers - questions to ask the doctor about antipsychotics Antipsychotic drugs may be prescribed for people with dementia who develop symptoms such as aggression and psychosis. This webpage from the Alzheimer's Society provides information on the prescription of antipsychotic medications for people living with dementia. It describes their potential side effects and includes a list of helpful questions that carers should ask healthcare professionals before the person they care for is prescribed antipsychotic medication. 11 Assessment, diagnosis, care and support for people with dementia and their carers: A national clinical guideline These national clinical guidelines from Health Improvement Scotland, the first to be published in nearly 20 years, provide recommendations on the assessment, treatment and support of adults living with dementia. It calls for greater awareness of pre-death grief for people with dementia, their carers and their loved ones, as they fear the loss of the person they know. To accompany the guidelines, a podcast has been produced by Health Improvement Scotland speaking to professionals, including Dr Adam Daly, Chair of Healthcare Improvement Scotland’s Guideline Development Group and a Consultant in old age psychiatry, and Jacqueline Thompson, a nurse consultant and the lead on pre-grief death for the guideline. 12 Alzheimer’s Society: Improving access to a timely and accurate diagnosis of dementia in England, Wales and Northern Ireland A formal diagnosis of dementia can help people living with the condition and their families gain a better understanding of what to expect and help to inform important decisions about treatment, support and care. This report from the Alzheimer's Society highlights the barriers to accessing a timely and accurate dementia diagnosis and advocate for practical changes and tangible solutions to overcome them. 13 The current state of dementia diagnosis and care in England The current dementia care system remains fragmented, underfunded, and difficult to navigate, leaving many individuals and families unsupported. In response to these systemic challenges, Care England, in partnership with Dementia Forward and care providers, conducted a national survey in January 2025. This initiative aimed to capture the experiences of people living with dementia, their families, and care staff. The findings highlight significant gaps and inequalities in the dementia care pathway and inform a set of urgent policy recommendations. 14 Raising awareness of normal pressure hydrocephalus: an often misdiagnosed condition Normal pressure hydrocephalus (NPH) is a progressive neurological condition that comes under the dementia umbrella. In NPH, the cerebrospinal fluid-filled ventricles within the brain expand and distort the surrounding tissues. This process causes the neurological symptoms of NPH. Unlike other forms of hydrocephalus, NPH does not result in significantly raised intracranial pressure. NPH is often misdiagnosed as it is similar to neurodegenerative conditions such as Parkinson’s disease and other causes of dementia, such as Alzheimer's disease. However, unlike these other conditions, if diagnosed early there is an effective treatment that can significantly slow disease progression and potentially improve, or even reverse, symptoms in some people. 15 The training gap: a hidden injustice in dementia care and how to fix it This report from Alzheimer's UK reveals huge gaps in dementia training across social care: half of staff receive just one to two hours of dementia learning despite 70% of care home residents living with the condition. It argues that these shortfalls in training are leaving social care staff unprepared, unsupported, and putting people with dementia at risk of inadequate care. It calls on the government to build a bold and ambitious dementia plan, which includes mandatory dementia training for care staff. 16 Alzheimer's Society: Unlocking the door to dementia diagnosis and treatments Systems designed to diagnose and support people with dementia are struggling to keep pace, with delays, inequalities and missed opportunities far too common. Too many people have a poor experience, wait too long for a diagnosis and receive less treatment and support than clinical guidance says they should. Everyone with dementia has the right to an early and accurate diagnosis and the best available treatments. Alzheimer's Society’s two 'Unlocking the door' reports lay out a stark reality – and a clear programme of reform for England, Wales and Northern Ireland. For more resources, take a look at our Dementia area of the hub. Do you have a resource or story to share about dementia or a related condition? Could your insights or experiences help improve patient safety? Leave a comment below (join the hub for free first) or contact us at [email protected].- Posted
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untilUKAuthority’s flagship virtual conference returns in May 2026 to unite NHS, local government, social care and trusted suppliers around the practical delivery of integrated, neighbourhood based care. The NHS 10 year plan is now in its delivery phase, with new planning and commissioning frameworks that explicitly depend on partnership with local authorities and joined up data across health and social care. This conference is designed to support the people doing the work: adult social care, public health, NHS and ICB leaders, digital and transformation leaders, commissioners and information governance leads, and the innovators building capability on the ground. We will focus on the three end-to-end shifts: From hospital to community: what does 'neighbourhood health at pace' mean in practice, and how do integrated neighbourhood teams, intermediate care, reablement, virtual wards and housing linked pathways work as one system, not separate programmes? From analogue to digital: the NHS App is being positioned as a digital by default operating model for access, triage, planned care pathways and prevention. How do we make the digital front door work for citizens, professionals and carers, while avoiding digital exclusion and creating real capacity release rather than extra demand? From sickness to prevention: strategic commissioning is being reframed around linked, re identifiable person level data and neighbourhood level insight. How will systems target proactive support to the cohorts most likely to need it, and how do we measure impact in ways that are meaningful to both NHS and local government? And the enabling reality: Social care digitisation is accelerating, alongside work on the bridging Social Care Interoperability Platform. Meanwhile the Better Care Fund and shared records programmes are moving into cross organisational boundary sharing. What can be delivered credibly in 2026, and what must be put in place now to make single record ambitions achievable later? Join policy makers, technology leaders, and innovators driving the delivery of the NHS 10 year plan to deliver the three key, end-to-end shifts, and explore where AI, digital, data and technology has a vital role to play in the integration of health and social care. Register- Posted
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The NHS has seen a 6 percentage point increase in public satisfaction, the first rise since 2019, according to the latest findings from the gold-standard survey of public attitudes to the NHS and social care, analysed by the Nuffield Trust and The King’s Fund and surveyed by NatCen. Key findings Satisfaction with the NHS In 2025, 26% of British adults were ‘very’ or ‘quite’ satisfied with the way in which the NHS runs – a statistically significant 6 percentage point increase from 2024. Around half of respondents (51%) were dissatisfied with the NHS in 2025, a statistically significant fall of 8 percentage points compared to 2024 when it was 59%. This is the first increase in satisfaction since 2019, and the largest fall in dissatisfaction in more than 25 years. People under 35 (20%), supporters of Reform (20%) and people in Wales (18%) were significantly less satisfied with the NHS than the survey average. Despite the increase in satisfaction only 16% of respondents thought the standard of NHS care would improve in the next 5 years compared to 53% who said they expected care to get worse. Satisfaction with different NHS services Satisfaction with GP services was 35% and dissatisfaction was 45%. Neither was a statistically significant change on the previous year. Just over 1 in 5 respondents (22%) said they were satisfied with NHS dentistry, with 54% saying they were dissatisfied. These are similar results to the previous year. 22% of respondents said they were satisfied with A&E services. Dissatisfaction was 53%. In 2024, 19% said they were satisfied with A&E services, although the change is not statistically significant. 37% of respondents were satisfied with inpatient and outpatient hospital care, an increase of 5 percentage points since 2024, although not statistically significant. 29% were dissatisfied – no change on last year. Attitudes to NHS standards, access and staffing Half of respondents (50%) were satisfied with the quality of NHS care in 2025, and 28% were dissatisfied. There was no statistically significant change since 2024. Only a minority of respondents were satisfied with waiting times for GP appointments (27%), hospital appointments (16%) and in A&E (14%). There were no statistically significant changes compared to last year. Only 12% agreed that ‘there are enough staff in the NHS these days’. 71% disagreed. There was no significant change compared to 2024. Attitudes to NHS financing and efficiency 9% of respondents said that the government spent too much or far too much money on the NHS, 22% said that it spent about the right amount and 66% said that it spent too little or far too little. There were no statistically significant changes compared to 2024. Only 13% of respondents agreed that the NHS spends the money it has efficiently. 55% disagreed with this statement. There was no change compared to 2024. When asked about government choices on tax and spending on the NHS, the public remain closely divided between raising taxes and spending more on the NHS (45%) and keeping taxation and spending at the same level (43%). Only 8% would choose to cut taxes and spend less on the NHS. There was no statistically significant change since 2024. Supporters of the Green party (70%) and the Labour party (57%) were significantly more likely to support higher taxes and higher NHS spending than supporters of Reform (32%) and the Conservative party (30%). NHS priorities and principles On being asked what the top three most important priorities for the NHS should be, both making it easier to get a GP appointment and improving A&E waiting times were selected as top priorities by 46% of respondents, followed by 45% for waiting times for planned operations and 43% for increasing the number of NHS staff. People aged 18–64 were more likely than those aged 65 and over to prioritise A&E waiting times (48% vs 38%) and increasing NHS staff (46% vs 35%) whereas those aged 65 and over prioritised prevention and staying healthy (48% vs 36%). As in previous years, a large majority of respondents agreed that the founding principles of the NHS should ‘definitely’ or ‘probably’ apply in 2025: that the NHS should be free of charge when you need to use it (89%), the NHS should primarily be funded through taxes (81%) and the NHS should be available to everyone (74%). There has been some decrease across the past five years in the proportion who think these principles should ‘definitely’ or ‘probably’ apply since the questions were first asked in 2021. The greatest decrease over time has been support for the principle that ‘the NHS should be available to everyone’. Support for the principle that the NHS should be available to everyone varied significantly by supporters of different political parties, with 68% of Labour supporters agreeing this principle should ‘definitely’ apply compared to 45% of Conservative supporters and 30% of Reform supporters. Social care In 2025, 14% of respondents said they were satisfied with social care. 49% were dissatisfied with social care – a statistically significant decrease from 2024 when this figure was 53%. The top three priorities for social care were helping people stay independent at home for as long as possible (46%), making social care more affordable to those who need it (45%) and improving the quality of social care services (44%). When asked about government choices on tax and spending on social care, 51% said the government should keep taxes and spending on social care at the same level as now. 38% said the government should increase taxes and spend more on social care. 6% said the government should reduce taxes and spend less on social care. Support for increasing taxes and spending more on social care was lower than for the NHS – it was 45% for the NHS. The difference was statistically significant. -
Event
untilThis event will bring together partners from across health and care, local government and the VCSE sector to share learning, highlight what is working and explore what is possible when people and place‑based approaches come first. Attendees will hear real examples of action, discuss challenges and consider the opportunities to go further in reducing inequalities and improving outcomes for all. Register -
News Article
Dying Australians approved for government-funded aged care home support are struggling to access it, with carers describing a system plagued by delays and lack of control around how funding is spent. The accounts of carers and aged care assessors spoken to by Guardian Australia show that beyond the controversial, algorithm-driven assessment process for home care funding, many are left without adequate and timely support even after funding has been approved. Emma Nicolle was caring for her dad, Alan, in his Canberra home for several months until he died on Wednesday with cancer. She said “the negligence is staggering”. “My dad was clearly dying, so the need was urgent and acute,” Nicolle said. “From late October I was begging Aged Care at Home to allow me to order the mechanised bed and wheelchair Dad desperately needed, as he was developing bed sores due to the unsuitable bed and chairs he had no choice [but] to use. “He couldn’t shower without the modifications to his bathroom, and getting him in and out of bed, on and off the toilet, and into the car for hospital trips was exhausting, painful and inhumane for both of us.” But Nicolle was told there was a mandatory waiting period to spend any budget on certain items. Four months after funding was approved, a mechanised bed was delivered. Alan died less than two weeks later. Moving her father in and out of bed has left her with injuries. “I have herniated discs myself so this has destroyed my health and caused Dad and I intolerable pain, discomfort, grief and shame.” Read full story Source: The Guardian, 28 February 2026- Posted
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Hospices warn of cuts after 'difficult' 2025
Patient_Safety_Learning posted a news article in News
Some hospices in the West are warning they will have to reduce their services, if the government-agreed funding they receive from the NHS does not increase. Hospices have differing funding arrangements, but many receive around a third of their money from the NHS and the rest through donations. Jessie May Hospice in Bristol, which provides palliative care for children at home, told the BBC its costs had risen 17% in 2025, with donations and statutory funding failing to match this. Read full story Source: BBC News, 5 January 2026 -
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Young care leavers in England to get free prescriptions, dental and eye services
Patient_Safety_Learning posted a news article in News
Young people leaving care in England will receive free prescriptions, and dental and eye services up to their 25th birthday, the government has said. A pilot to trial paid internships for care leavers in the NHS and a guaranteed interview scheme for NHS roles also forms part of a package of measures announced by the Department of Health and Social Care. A separate three-year pilot aims to improve access to mental health support for children in care, the DHSC said. Read full story Source: Guardian, 23 December 2025 -
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Doing nothing on social care 'untenable', MPs warn
Patient Safety Learning posted a news article in News
A failure to fix England's social care system is costing the country in financial and human terms, cross-party MPs have warned. Doing nothing to reform social care for older and disabled adults is an "active" and "untenable" decision, according to a report from Health and Social Care Select Committee. It says successive governments have put too much emphasis on the cost of reforming the system, and future plans will be doomed to fail unless the government understands and measures the "cost of inaction". The government, which has set up an independent commission which has just started work, said it had "hit the ground running" but acknowledged there was "much more to do". "Taxpayers are currently paying £32 billion a year for a broken system" propped up by contributions from unpaid carers "equivalent to a second NHS", the report said. The committee found that social care is consuming an increasing proportion of councils' budgets, crowding out spending on other services. It added that social care makes up an integral part of the government's NHS reforms and cannot be a separate process. Read full story Source: BBC News, 5 May 2025 -
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Wes Streeting has rejected the notion of merging the delivery or funding of social care with the NHS, arguing it is better “delivered and commissioned through local government”. Speaking at the Commons health and social care committee today on the reorganisation of NHS England, the health and social care secretary was definitive that health and adult social care are best as “distinct services”. Wes Streeting told MPs: “I am now even more strongly of the view as secretary of state for health and social care that social care has different roles and responsibilities than the NHS… “[Social care is] not all about treating or preventing ill health. It’s about promoting dignity, independence, quality of life, and a range of caring functions, which I think not only are not delivered by the NHS today, but are better delivered and commissioned through local government than they would be through the NHS.” His comments come despite an ongoing government commission on social care policy by Baroness Louise Casey, reporting to the prime minister, and the hopes of some in the Labour Party for its proposed “National Care Service” to result in a “free at the point of delivery” service combined with the NHS. Combining funding pots, accountability, and delivery across the two has also been a long-standing recommendation of experts and integration projects. Read full story (paywalled) Source: HSJ, 8 April 2025 -
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Patient satisfaction with NHS has hit record low of 21%, survey finds
Patient Safety Learning posted a news article in News
Public satisfaction with the NHS is at a record low and dissatisfaction is at its highest, with the deepest discontent about A&E, GP and dental care. Just 21% of adults in Britain are satisfied with how the health service runs, down from 24% a year before, while 59% are dissatisfied, up from 52%, the latest annual survey of patients found. Satisfaction has fallen dramatically from the 70% recorded in 2010, the year the last Labour government left office, and the 60% found in 2019, the year before the Covid-19 pandemic. Mark Dayan, a policy analyst at the Nuffield Trust thinktank, which analysed the data alongside the King’s Fund, said the years since 2019 have seen “a startling collapse in NHS satisfaction. “It is by far the most dramatic loss of confidence in how the NHS runs that we have seen in 40 years of this survey.” A&E is the NHS service the public is least happy about. Satisfaction fell from 31% in 2023 to just 19% last year – the lowest proportion in the 41 years the British Social Attitudes (BSA) survey of the views of patients in England, Scotland and Wales has been carried out. Satisfaction with NHS dentistry has collapsed, too, from 60% as recently as 2019 to just 20% last year. More people (55%) are dissatisfied with dental care than with any other service. Similarly, fewer than a third (31%) of adults are satisfied with GP services. “The latest results lay bare the extent of the problems faced by the NHS and the size of the challenge for the government”, said Dan Wellings, a senior fellow at the King’s Fund. “For too many people, the NHS has become too difficult to access. How can you be satisfied with a service you can’t get into?” Read full story Source: The Guardian, 2 April 2025 -
News Article
NHS England has for the first time put a figure on the potential impact on A&E performance of eliminating discharge delays for patients going into adult social care packages. Amanda Pritchard told MPs NHSE’s analysis suggested eliminating discharge delays for patients who receive adult social care (ASC) packages when they leave hospital could “theoretically” improve the A&E four-hour target by 6 per cent points. She said the figures suggest “around two-thirds of bed days lost to delayed discharges are associated with individuals accessing adult social care, community care and/or care home services on discharge. A third of these delays – around a fifth overall - are for individuals accessing adult social care packages on discharge.” The outgoing NHSE CEO added: “Eliminating the lost bed days for just the third of delays for individuals accessing adult social care packages on discharge… if all other things were equal, including the rate of admissions and rate of flow through hospitals, theoretically… could potentially improve performance by up to 6 per cent.” Read full story (paywalled) Source: HSJ, 5 March 2025- Posted
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Mental health patients with nowhere to go cost NHS £71m in England, report finds
Patient Safety Learning posted a news article in News
A lack of supported housing was the biggest reason for delayed discharges from mental health hospitals in England last year, costing the NHS about £71m, according to a report. Analysis from the National Housing Federation (NHF) found that in 2023-24 there were 109,029 days of delayed discharge because mental health patients were waiting for supported housing, and the number of people stuck in hospital as a result of housing-related issues had more than tripled since 2021. In September 2024, waiting for supported housing was the single biggest reason mental health patients, fit for discharge, were unable to leave, accounting for 17% of all delays. This lack led to a strain on NHS capacity and a rise in patients being sent out of area for hospital admission, the report found. Rhys Moore, director of public impact at the NHF, said: “Not only are tens of thousands of people, who deserve the opportunity to live a healthy, happy and independent life, being failed, but the shortage of these homes is increasing pressure on public services, increasing homelessness, and costing the NHS and ultimately the taxpayer more in the long run.” A man in his 30s, who asked to remain anonymous, had struggled with drug addiction issues and was evicted shortly before he was admitted to a mental health hospital ward where he spent a number of weeks. “I feel like I’m much better off in here than in hospital,” he said. “[The hospital] felt like I was all right. The way we were talking, I could tell they thought, you’re wasting my bed, you don’t need to be here. But I had been evicted, I had nowhere to go. “I was really struggling in there, it was noisy and stressful at times. Living here, I feel like I can breathe and start getting myself back together again.” Read full story Source: The Guardian, 11 February 2025- Posted
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Woman stuck for 18 months on an NHS ward evicted from her hospital bed
Patient Safety Learning posted a news article in News
"I feel very angry, upset, worthless, and like my mental health and my life does not matter," says Jessie, propped up in a hospital bed. She is recording this in a video diary. Blue NHS curtains are drawn around the bed and all her possessions are stacked up in the tiny chaotic space this creates. Among the piles of boxes and bags sit the dolls she holds to keep her calm. Thirty-five-year-old Jessie spent 550 days in Northampton General Hospital. For nearly all that time, she was medically fit to leave but finding her a suitable place to go to was difficult. The BBC has followed her story for more than five months as the NHS trust took costly High Court action against her, to have her evicted from the hospital bed she was occupying. Jessie was eventually arrested and taken to a care home where she says she feels anxious. Her story is an extreme example, but it demonstrates the acute pressures faced by a care system coping with more complex cases, the knock-on effect to the NHS, and how the person at the heart of it can feel lost. North Northamptonshire Council, which is responsible for her housing and care, says it cannot comment because of an ongoing police investigation into Jessie's behaviour. The hospital says it "is not the best environment for patients who are not in need of acute medical care". The Department of Health and Social Care has told the BBC: "This is a troubling case which shows how our broken NHS discharge system is failing vulnerable people." Read full story Source: BBC News, 8 February 2025- Posted
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ICBs missing checks on vulnerable children
Patient Safety Learning posted a news article in News
Integrated care boards are warning they are failing to carry out health checks for vulnerable children in care because of a lack of paediatricians and rising demand, HSJ has found. ICBs are required to commission initial health assessments within 20 working days of a child entering care, arranged by a local authority, then a review six to 12 months later. HSJ has identified several ICBs warning they are not or may not meet the requirement – citing workforce pressures, complex cases and rising demand. Missing the checks for children in care risks harming their physical and mental health, school attainment and future wellbeing, according to paediatricians. A community paediatrician working in the South East told HSJ delayed assessments could have significant long-term impact — delaying intervention in developmental concerns, alcohol and drug use, oral health, immunisation and medications. “These children are incredibly vulnerable,” they said. “The quicker we get issues addressed, often putting them on SEN [special educational needs] or other support, the better they often do in school and in life.” Read full story (paywalled) Source: HSJ, 5 February 2025- Posted
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Do With: making the movement happen
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untilIf you’ve been inspired by the Do With vision and want to work with others to shift the public sector away from its current ‘do to’ mindset and practices towards a ‘do with’ approach, please join this King's Fund online meeting. The event is free and open to anyone working in or with the public sector who wants to move towards a more humane, democratic and impactful way of working. Do With is not a new organisation or formal campaign. Instead, it hopes to be a grassroots movement for change led by the people who are part of it. As such, the event will be a space for attendees to share ideas on how they would like to deliver change and to connect people together who want to work on specific ideas. Those ideas could operate within public sector teams and organisations or within communities or both; and could operate at local, regional or national level. It is up to you and all those inspired by the Do With vision to take it forward. Register- Posted
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The health and care system in England is undergoing significant change. With a new government setting its priorities, an ambitious 10-year health plan in development, and ongoing challenges such as workforce shortages and health inequalities, understanding these complexities is more important than ever. This is a two-day event led by The King’s Fund’s policy and leadership experts. Whether you’re navigating integrated care systems, grappling with social care reforms or seeking clarity on the pressures facing health and care, this event offers essential knowledge and balanced insights. Register- Posted
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untilThis session aims to bring together a range of Caldicott Guardians to learn, share and explore the growing role of a Caldicott Guardian in adult social care. CGs from both local authorities and care provider organisations are invited to join. The purpose is to provide support to all those across the care sector who have the Caldicott Guardian role as part of their jobs, offer a networking, sharing and learning space for them all as well as promote the role as best practice and the importance of having one/ access to one in social care services. To encourage and explore innovation in relation to the role and influence future ways of working. Principles of CG Networks & Collaboration Collaborate and cooperate, to strengthen the Caldicott Guardian's role in data governance across social care Be open. Communicate openly about concerns, issues, or opportunities relating to Caldicott Guardians and information governance in social care. Learn, develop, and seek to achieve full potential. Share information, experience, materials, and skills to learn from each other and develop effective collaboration. Adopt a positive outlook. Behave in a positive, proactive, and timely manner. Keep the group up to date on data governance developments to Caldicott Guardians in the sector, feeding back key information and potential of new approaches/ practice Who should attend? These sessions have been designed for Caldicott Guardians working in adult social care. This can include staff in care organisations who undertake the role of Caldicott Guardian or have a Caldicott function in their job role, for example: Owners Registered Managers Nurses Senior Care Staff Administrators IT Professionals Quality & Compliance Leads Register- Posted
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untilThe webinar will be covering: Busting the myths around DSCR’s Pitfalls, tips and tricks Guidance and support for moving suppliers Incorporate changing assured supplier list. Who should attend? These sessions have been designed for adult social care providers in England and are aimed at people who make decisions about the use of technology in care services. This might include: Owners Registered Managers Nurses Senior Care Staff Administrators IT Professionals Quality & Compliance Leads. Register- Posted
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untilThe health and care system continues to face profound challenges, whether it’s staff shortages, financial pressures, all-time low public satisfaction, or record high waiting times for elective care. At this free online event, our expert panel will provide insight and context into the wider health and care landscape, the challenges the sector is facing, and the big issues they want to see progress on in 2024. In the run-up to the anticipated general election, our panel will also explore how recent trends, political parties’ policy proposals and future developments could affect those working in the sector, as well as people, patients and communities. Join the discussion and share your comments and questions about the wider challenges and opportunities facing the health and care sector. Register- Posted
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A strategy for the care workforce (TUC, August 2023)
Patient-Safety-Learning posted an article in Social care
The Trade Unions Congress (TUC) is proposing a new care workforce strategy for England, developed with trade unions and informed by the voice and experiences of care workers. This strategy document sets out the critical building blocks to ensure care workers are valued and supported, as a key means of addressing the current staffing crisis and improving access to and quality of social and childcare services. The strategy proposes four key focus areas for the national care workforce strategy: Worker voices heard and valued including through sectoral collective bargaining arrangements and through the creation of National Partnership Forums in social care and childcare. Decent pay and conditions for all care workers through a collectively bargained sectoral agreement on fair pay and decent working conditions, a new sectoral minimum wage of £15 per hour, sick pay, secure contracts and full payment for all time worked, as well as access to efficient labour market enforcement mechanisms. Skills, training, and progression pathways with nationally negotiated training frameworks to ensure consistency and quality. These should be aligned with national pay structures to make sure staff are fairly renumerated and can progress as they acquire new skills and knowledge. Training must be accredited and qualifications recognised and transferrable to new employers. Protect health, safety, and wellbeing including ensuring that staffing levels are based on care and education needs and not arbitrary ratios. And a zero-tolerance approach to workplace abuse with comprehensive safeguarding and support, notably for staff who may be at increased risk of experiencing abuse and harassment including Black and migrant workers.- Posted
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This is one of a series of 'Learning from safety incidents' resources published by the Care Quality Commission (CQC). Each one briefly describes a critical issue—what happened, what the CQC and the provider have done about it, and the steps you can take to avoid it happening in your service. This edition is about ensuring the safety of people using wheelchairs in health and social care. The CQC recently prosecuted a care home provider for exposing someone using their service to a significant risk of avoidable harm, which resulted in a life-changing injury. Incident Before the incident, the person had been experiencing difficulties with mobility and had sometimes been confused and agitated. They had been provided with an adapted wheelchair with extended footplates for their own use, and staff helped them get around in it. However, staff mainly used a standard wheelchair for communal use within the care home. On several occasions, the person's foot had come away from the footplate when using a standard wheelchair, resulting in a risk of it getting trapped. On the day of the incident, while pushing the person down a slope in a standard wheelchair, the staff member noticed resistance and found the person's foot caught underneath. The staff member replaced the person's foot on the footplate and continued the journey. Afterwards, the person complained about pain in the affected leg and was taken to hospital for further assessment. The person was found to have significant, life-changing fractures to their leg and, at one stage, it was thought it may have to be amputated. The person spent 16 weeks in bed with their leg in a cast, before being discharged from hospital to a different service. Unfortunately, they did not make a full recovery and their physical health was permanently affected by the incident. The CQC's investigation found that, although the provider knew the risks associated with the use of a communal wheelchair, the care home failed to take adequate steps to assess and mitigate those risks. Recommendations To manage the risk of injuries to people from wheelchairs, health and social care providers need to: develop and implement adequate moving and handling plans develop and implement a risk assessment specific to a person's use of a wheelchair have adequate policies and procedures to support staff in managing these risks assess a person's mental capacity to decide about using a wheelchair, especially one not provided specifically for them provide staff with the training, skills and knowledge required to safely use a wheelchair seek the support of other professionals, such as occupational therapists, where required.- Posted
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Constipation can be a life–threatening issue for people with a learning disability who are at heightened risk from complications if it is left untreated. This campaign has been developed by NHS England to support people with a learning disability, their carers and people who work in primary care to recognise the signs of constipation. Resources have been co–created with input from the Down’s Syndrome Association, Mencap and Pathways Associates to ensure that they are fit for purpose. The resources aim to: Drive awareness of the seriousness of constipation Help people recognise the signs of constipation at an early stage Empower people to take action and ensure that people with a learning disability experiencing constipation get the right health support straight away Raise awareness of the steps which can be taken to prevent constipation.- Posted
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As reported recently, the Scottish Healthcare Workers Coalition called upon the Scottish Government to reinstate 'universal masking' in health and social care settings. In this statement written in support of their campaign, an occupational safety and health practitioner, David Osborn, explains the legal requirements for risk assessments that the Government ought to have undertaken before reaching such a decision that exposes healthcare staff to the life-changing consequences associated with repeat Covid-19 infections. He also explains the legal duty of the Government to consult with workers before implementing changes that may affect their health and safety. Neither duty (risk assessment nor prior consultation with workers) appears to have been well met, putting the Scottish Government and Health Boards in breach of UK-wide health and safety law. The decision by the Scottish Government to withdraw the coronavirus guidance for extended use of facemasks across health and social care is clearly a matter that has significant implications for the safety of health and social care workers. It is a legal requirement under the Health and Safety at Work Act etc 1974 that employers (including Governments and their Health Boards) must do at least two things before implementing a change that may materially and substantially impact workers’ health and safety at work: They must conduct a suitable and sufficient risk assessment of the proposed actions; and They must consult with all employees or their elected representatives concerning the proposed change. 1. Risk assessment To be “suitable and sufficient” the risk assessment for the abandonment of universal masking should have considered several factors such as: The fact that variants of the SARS-CoV-2 virus continue to evolve which are becoming more immune resistant and subject to vaccine escape. The opportunity for viruses to mutate in this way depends upon the sheer number of viruses in circulation within the population. The greater the number, then statistically the more likely it is that a variant could evolve with potential to partially or wholly defeat our current vaccines and greatly impair the nation’s recovery from the pandemic. It just takes for one single virus to mutate in a certain catastrophic way for this to happen – as will have been the case in Wuhan in 2019. Any responsible Government and Health Board should take all reasonably practicable steps to reduce the number of viruses circulating in the population, particularly in health and social care premises. The Scottish Government appears blind to this simple but important duty that it owes to the Scottish people and its healthcare workers in particular. Evidence is emerging that cases of SARS-CoV-2 reinfection and associated hospitalisations and deaths have increased in relative frequency as new Omicron lineages have emerged with enhanced transmissibility or immune escape characteristics. The evidence also suggests that the time interval between repeat infections is decreasing, particularly (and rather peculiarly) amongst individuals who have previously been infected with the Alpha (‘Kent’) variant which arose during the second wave (winter 2020-21). Many healthcare workers will have been infected during that period. The consequence is that these workers are (a) that these infections may recur more frequently and (b) are at greater risk from these repeat infections. It has long been established that each time a person is infected or reinfected with the SARS-CoV-2 virus they have a risk of developing Long Covid, which can have severe detrimental effect on their health and quality of life – sometimes causing debilitating, irreversible, long-term health conditions. The more times they become reinfected, the worse these conditions may be and the longer they may last. By law, the risk assessment must be recorded (on paper or electronically) and be made available to employees and their representatives immediately upon request. I therefore call upon the Scottish Government to confirm whether or not such a risk assessment was undertaken before the decision was taken to abandon universal masking. If one was done, then the Government and the Health Boards should publish it so that interested parties, such as the Coalition, can determine whether it has properly considered all relevant factors that have a direct bearing on the increased risk of healthcare worker infection and how they plan to mitigate that risk. If no such risk assessment was done, either by the Government centrally or by its Health Boards, then they have acted recklessly and unlawfully. 2. Consultation For clarity, the “consultation”, which is required by the Safety Representatives and Safety Committees Regulations 1977 and the Health and Safety (Consultation with Employees) Regulations 1996, has a very clear meaning. It means: a) providing employees, or their safety representatives, with all relevant information relating to any proposed change in health and safety arrangements (including giving them sight of any risk assessments) before that change is implemented; b) allowing the employees and their representatives sufficient time to discuss amongst themselves and seek any further advice they may need to inform an opinion about the change; c) the employer must then take account any the feedback that it receives. These are serious matters. The UK Government and the devolved administrations, through inept planning for pandemics and the issue of seriously flawed guidance, failed to provide health and social care workers with the necessary PPE to prevent them inhaling airborne virus whilst they cared for highly infectious patients. It is quite understandable that our brave healthcare workers are now so aggrieved by the Government’s decision. These are the same people for whom we, the public, stood and clapped so proudly at our doorsteps during those dark days. The chaotic state of the UK’s planning and preparedness for pandemics has been laid bare at the UK Covid-19 Public Inquiry. During future sessions, the Inquiry will receive evidence concerning the deception which was wrought upon healthcare workers that the flimsy paper masks they were given would keep them safe from the disease when health and safety law requires proper tested and certified respirators to be used (such as FFP3 and equivalent) when workers are exposed to dangerous microbiological hazards in their workplace. Current World Health Organization guidance still advocates that universal masking policies in health and social care premises do still have their place in Governments’ armoury of defence measures to keep healthcare workers safe. Given all that they have already been through, combined with the ongoing suffering that many of them are experiencing from the disease they have contracted whilst caring for us, surely it is now time for the Scottish Government to pay greater consideration and respect for their health and safety. Some commentators may view the abandonment of universal masking as the Government playing “Russian Roulette” with their health by "letting the virus rip" – as sadly it is likely to do as the autumn and winter seasons approach. -
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The Safe Care at Home Review is an important reminder that people with care and support needs may experience abuse and neglect, sometimes under the guise of ‘care’. Older people, or people with disabilities, may be particularly vulnerable to harm because of their dependence on others and the complexity of their care needs. They might rely on other people for physical, mental or financial support, and may face difficulties recognising or reporting harm. The review draws on a range of evidence, including the Home Office funded Vulnerability Knowledge and Practice Programme, which has highlighted that one in six domestic homicides involved people who were cared for by, or caring for, the suspect.- Posted
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Personalised Care will benefit up to 2.5 million people by 2024. It aims to give people the same choice and control over their mental and physical health that they have come to expect in every other aspect of their life. Personalised care is based on ‘what matters’ to people and their individual strengths and needs. This webpage by NHS England contains information about the following aspects of personalised care: Patient choice Shared decision making Patient activation and supported self-management Social Prescribing and community based support Personalised care and support planning Personal health budgets- Posted
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