‘I have discovered that we need a seismic shift in the way that patients' and families' voices are heard. This requires changes in legislation, regulation, policy, commissioning, education,...
‘Trusts receive too many safety-related messages from too many different sources. The trusts we spoke to said there needed to be better communication and coordination between national bodies, and...
Despite being a relatively new professional role, the Registered Nursing Associate (RNA) has a key part to play, working alongside registered nurses and other healthcare staff, to ensure patient...
Rob Behrens, the Parliamentary and Health Service Ombudsman (PHSO), gave evidence to the Times Health Commission (Sylvester, 2023a; 2023b). This was a controversial session during which the PHSO...
The recent conviction of a woman for assisting another person to undertake female genital mutilation (FGM) on a three-year-old British girl during a trip to Kenya, has been hailed as evidence of the...
‘SO1: Make zero avoidable harm to patients a state of mind and a rule of engagement in the planning and delivery of health care everywhere.’ .
In terms of patient safety improvement practices and culture development, a recent report published by Healthcare Excellence Canada (Gilbert et al, 2023) provides some interesting and valuable...
When we use concepts such as patient empowerment, we need to be as specific as we can about what we mean and understand about the term. We don't want the words to be just seen as a convenient ‘clarion...
‘Act without delay if you believe that there is a risk to patient safety or public protection.’
One issue she discusses are the professional silos and hierarchies, for example:.
In a clinical negligence case, for example, the court must carefully unpack and analyse the level of care given to determine whether there was any negligence. Lawyers discuss with clinical experts the...
‘It would be quite wrong to conclude that the NHS as an organisation is incapable of learning and improving, but the evidence suggests that learning generally takes a long time and that...
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