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