After Francis: making a difference
In this report the Committee gives its view on the principal recommendations of the report of the public inquiry into the Mid Staffordshire NHS Foundation Trust undertaken by Robert Francis QC. Report House of Commons Health Select Committee - news (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - September 18, 2013 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: Patient involvement, experience and feedback Patient safety Quality of care and clinical outcomes Regulation, governance and accountability Source Type: blogs

Umesh Prabhu, The Changemaker
…. mistakes are made by us all, but what causes one man to decide to change the culture of medicine? LITFL Editor’s note: This is part three of a three-part series of posts on medical error that tie in with article by Tessa Davis in the Medical Journal of Australia Insight. Use these links to read the first two parts: The doctor who exposed his own error and The victim of medical mistakes. When Umesh Prabhu moved from India to work as a paediatrician in the UK he had no reason to be a patient safety advocate; until his own mistake resulted in a terrible outcome for his patient. Here, I talk to him about how he has ...
Source: Life in the Fast Lane - September 13, 2013 Category: Emergency Medicine Doctors Authors: Tessa Davis Tags: Emergency Medicine Featured change medical error medical journal of australia mistakes MJA insight umesh prabhu Source Type: blogs

The Francis report (report of the Mid-Staffordshire NHS foundation trust public inquiry) and the government’s response
House of Commons library - This briefing sets out the main issues arising from the public inquiry led by Robert Francis QC, and other preceding reports, into serious failings in care at Mid-Staffordshire NHS Foundation Trust. It also provides some information on the Government’s response to the Francis report, which was published on 6th February 2013. Briefing House of Commons library - publications (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - July 18, 2013 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: Patient involvement, experience and feedback Patient safety Quality of care and clinical outcomes Regulation, governance and accountability Source Type: blogs

Independent review of the Liverpool Care Pathway (LCP)
Department of Health - This letter from Norman Lamb, MP was sent to all chairs and chief executives of NHS trusts and NHS foundation trusts. It outlines the action to be taken following the review of the LCP. Letter Department of Health - news (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - July 17, 2013 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: Patient involvement, experience and feedback Patient safety Quality of care and clinical outcomes Source Type: blogs

Pay framework for very senior managers in strategic and special health authorities, primary care trusts and ambulance trusts
Department of Health - This revised framework reflects the 1% increase in pay from 1 April 2013. It will continue to apply to very senior managers in ambulance trusts until they become NHS foundation trusts and to those in special health authorities who have not been appointed on the terms of the pay framework published in May 2012. Community trusts that have not become foundation trusts should also be guided by reference to it. Guidance Department of Health - news (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - July 12, 2013 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: NHS finances and productivity Workforce and employment Source Type: blogs

Working together to deliver the Mandate: strengthening partnerships between the NHS and the voluntary sector
This report, commissioned by the Foundation Trust Network (FTN) and the Association of Chief Executives of Voluntary Organisations (ACEVO), pulls together a wide range of innovative partnerships and projects between health trusts and voluntary sector providers across the country to consider how the barriers to effective partnership working can be overcome. It draws on these innovations as well as discussions at a roundtable event hosted by The King’s Fund to present recommendations addressed to different parts of the health and care system so that each can play their part in supporting trusts and voluntary sector...
Source: Health Management Specialist Library - July 3, 2013 Category: UK Health Authors: The King's Fund Information & Library Service Tags: Integrated care Source Type: blogs

Consultation: a new start
This consultation asks for feedback by the 12th August 2013 on the CQC plans for: inspecting all care services, NHS trusts and foundation trusts and independent acute hospitals; developing clear standards of care; making better use of information and evidence received; introducing Chief Inspectors to lead national teams of expert inspectors; developing a ratings system to help people choose between services and to encourage services to make improvements; and making sure that directors or leaders of organisations have made legal commitments to provide safe and high-quality care, and are personally held to account f...
Source: Health Management Specialist Library - June 27, 2013 Category: UK Health Authors: The King's Fund Information & Library Service Tags: Consultations Regulation, governance and accountability Source Type: blogs

Confidentiality clauses and special severance payments
This report suggests that there is a lack of transparency, consistency and accountability in the use of compromise agreements in the public sector, and that little is being done to change this situation. It cites the whistleblowing over emergency care in the Mid-Staffordshire NHS Foundation Trust and other NHS bodies as examples. Report Executive summary NAO - publications (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - June 24, 2013 Category: UK Health Authors: The King's Fund Information & Library Service Tags: Regulation, governance and accountability Source Type: blogs

Monetary losses and layoffs from EHR expenses and EHR mismanagement
More on monetary losses and layoffs from EHR expenses and EHR mismanagement:1.  Layoffs to balance the budget...http://www.news-record.com/news/local_news/article_da765340-d912-11e2-9eac-001a4bcf6878.html... Wake Forest University Baptist Medical Center [Winston-Salem, NC] said in November 2012, that it would cut 950 jobs — 6 percent of its total staff.Electronic records programs continue to push costs higher. The Winston-Salem Journal reported that Wake Forest’s Epic [EHR] program caused $8 million in work interruptions during the 2012-2013 year alone. Wake Forest is cutting costs at least through June 30 to make...
Source: Health Care Renewal - June 21, 2013 Category: Health Medicine and Bioethics Commentators Tags: Healthcare IT failure cerner millenium UPMC Ed Donald NPfIT Royal Berkshire Foundation Trust Wake Forest University Baptist Medical Center layoffs healthcare IT cost Source Type: blogs

NHS foundation trusts: review of 2012/13 performance
These presentation slides provide an overview of the key trends drawn from the individual reports of NHS foundation trusts in England. It provides topline information on governance risk ratings; A&E performance; financial performance; and hospital acquired infection control. Slideshow (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - June 10, 2013 Category: UK Health Authors: The King's Fund Information & Library Service Tags: NHS measurement and performance Regulation, governance and accountability Source Type: blogs

MVNHS© Back in the News
Thanks to alert IB reader Peter K, we have two new items to add to our Much Vaunted National Health System© database. Last month, we noted that "[MVNHS©] doctors are prematurely ending the lives of thousands of elderly hospital patients because they are difficult to manage or to free up beds;" this was one side of the coin. It only gets worse, though, when one considers the other side of it:"Patients undergoing planned operations on the NHS are far more likely to die if they have their operations towards the end of the week ... those who had surgery on a Friday were 44 per cent more likely to die following the procedure ...
Source: InsureBlog - May 29, 2013 Category: Medical Lawyers and Insurers Source Type: blogs

The NHS Friends and Family Test (FFT): guidance for maternity services
This guidance outlines the background and requirements for implementing, reporting and publishing the national FFT within NHS-funded maternity services from the 1st October 2013. It aims to support those who will be establishing and implementing the test, and is relevant to NHS trusts, foundation trusts and independent sector organisations that provide NHS-funded maternity services. Guidance NHS England - publications (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - May 29, 2013 Category: UK Health Authors: The King's Fund Information & Library Service Tags: Patient involvement, experience and feedback Source Type: blogs

NHS foundation trust model core constitution
This updated constitution reflects provisions of the Health and Social Care Act 2012 which are relevant to NHS foundation trusts' constitutions and which are now in force. Updated constitution Monitor - publications (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - May 21, 2013 Category: UK Health Authors: The King's Fund Information & Library Service Tags: Quality of care and clinical outcomes Regulation, governance and accountability Source Type: blogs

Providing value: the economic value generated by the foundation trust model
This report examines the economic benefits generated by NHS foundation trusts and finds that they deliver £30 billion in economic value annually. The analysis looked at foundation trusts broader contributions to communities, arguing that trusts deliver social value in a variety of ways through trust governance arrangements, sourcing local goods, environmental reduction schemes, and employee and patient health promotion initiatives and through international work. Report Foundation Trust Network - news (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - May 21, 2013 Category: UK Health Authors: The King's Fund Information & Library Service Tags: NHS finances and productivity Source Type: blogs

Bringing trial data out of the shadows
All sectors have their own mood music, unobtrusive much of the time, but occasionally brought to startling effect into the foreground, dominating all else. The pharmaceutical industry is no different, and at present there is one insistent theme: transparency.And if there is one area of this debate behind which chords are starting to swell loudly it is the availability of clinical trial data. Unflattering or disappointing trial outcomes have been routinely unpublished, pharma's critics claim, which means patients taking part in trials can be exposed to ineffective or even dangerous products because previous negative researc...
Source: PharmaGossip - May 13, 2013 Category: Pharma Commentators Authors: insider Source Type: blogs