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Claire Cox

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Everything posted by Claire Cox

  1. Content Article
    East Lancashire Hospitals NHS Trust's agency spend on healthcare support workers (HCSW) was high and rising. This caused not only financial pressures but concerns about care quality. The trust set itself the ambitious aim of eliminating agency spend on HCSWs entirely.
  2. Content Article
    This case study shows how Gloucestershire Hospitals NHS Foundation Trust sought to reduce their staff turnover by adopting a development opportunity created by Nottingham University Hospitals NHS Trust for newly qualified recruits – the Chief Nurse Junior Fellowship.
  3. Content Article
    Connor Sparrowhawk died in July 2013 while he was in the care of Southern Health NHS Foundation Trust. An independent report concluded that Connor’s death was preventable and that there were significant failings in his care and treatment. Following publication of this report in February 2014, Oxfordshire Safeguarding Adults Board and NHS England (South) commissioned a second report in June 2014 to find out whether there were wider commissioning, leadership or management issues that could have contributed to the inadequate care that Connor received.
  4. Content Article
    The preventable death of Connor Sparrowhawk in July 2013 led to a number of investigations and enquiries into practice at Southern Health NHS Foundation Trust in whose care he died.
  5. Content Article
    NHS at 70: The Story Of Our Lives is a national programme of work supported by The National Lottery Heritage Fund and led by The University of Manchester recording stories from people who worked and were cared for by the NHS since its creation in 1948. These stories will be available on the public Digital Archive and will provide a lasting resource for audiences to discover NHS history through the voices of the people who have worked and were cared for by the NHS since 1948.
  6. Content Article Comment
    Hi @Dan Cohen, great reflections, thank you. I would love to know where this Dr is now who said the opening statement. I wonder if his view has now changed? I remember when I spoke at a meeting - full of doctors. One of them, who was chairing said ' Yes, it's all very well learning from mistakes - I have never made a mistake in my entire career, but I suppose others have, we could learn from them' So there are people like you describe around, however I am hoping they are a very small minority. Arrogance and ego is a huge barrier to cross...be great to hear from others any techniques for overcoming this in clinical practice.............
  7. Content Article
    Sepsis is the immune system’s overreaction to an infection. Normally, our immune system helps fight infections – but sometimes it attacks our body’s own organs and tissues. We do not yet know why the body reacts this way, which is what makes sepsis so dangerous; if Sepsis isn’t treated immediately, it can result in organ failure and death. Yet with early diagnosis, it can be treated with antibiotics.
  8. Content Article
    Every year, around the world 8 million people die from sepsis. This infographic, by Laerdal, displays clearly the signs and symptoms to spot sepsis early.
  9. Content Article

    What is NHSX?

    Claire Cox

    Claire Cox posted an article in NHS X

    NHSX brings teams from the Department of Health and Social Care, NHS England and NHS Improvement together into one unit to drive digital transformation and lead policy, implementation and change. NHSX is leading the largest digital health and social care transformation programme in the world. With investment of more than £1 billion pounds a year nationally and a significant additional spend locally, NHSX has been created to give staff and citizens the technology they need.
  10. Content Article
    The Medicines and Healthcare products Regulatory Agency (MHRA) regulates medicines, medical devices and blood components for transfusion in the UK. MHRA is an executive agency, sponsored by the Department of Health and Social Care. Recognised globally as an authority in its field, the agency plays a leading role in protecting and improving public health and supports innovation through scientific research and development. The agency has 3 centres: Clinical Practice Research Datalink (CPRD), a data research service that aims to improve public health by using anonymised NHS clinical data the National Institute for Biological Standards and Control (NIBSC), a global leader in the standardisation and control of biological medicines the Medicines and Healthcare products Regulatory Agency (MHRA), the UK’s regulator of medicines, medical devices and blood components for transfusion, responsible for ensuring their safety, quality and effectiveness.
  11. Content Article
    The National Guardian’s Office is an independent, non-statutory body with the remit to lead culture change in the NHS so that speaking up becomes business as usual. The office is not a regulator, but is sponsored by the CQC, NHS England and NHS Improvement. 
  12. Content Article
    The Healthcare Safety Investigation Branch (HSIB) became operational on 1 April 2017. Their purpose is to improve safety through effective and independent investigations that don't apportion blame or liability. Although funded by the Department of Health & Social Care and hosted by NHS England and NHS Improvement, HSIB operates independently. It is also independent from regulatory bodies like the Care Quality Commission (CQC). By offering a new perspective and developing meaningful and influential recommendations, they aim to drive positive change at a wider level.
  13. Content Article
    The digital transformation of medicine is perhaps best exemplified by computerised provider order entry (CPOE), which refers to any system in which clinicians directly place orders electronically, with the orders transmitted directly to the recipient. As recently as 10 years ago, most clinician orders were handwritten. Spurred by the 2009 federal HITECH Act and the accompanying Meaningful Use program, CPOE usage rapidly increased in inpatient and outpatient settings. The vast majority of hospitals in the US and most outpatient practices now use some form of CPOE. CPOE systems were originally developed to improve the safety of medication orders, but modern systems now allow electronic ordering of tests, procedures, and consultations as well.
  14. Content Article
    Professor Anne Marie Rafferty, Royal College of Nursing (RCN) President, has been involved in two decades of vital nursing workforce research. She explains in this interview for the RCN how the evidence could help us achieve safe staffing.
  15. Content Article
    This is a report by the Healthcare Safety Investigation Branch (HSIB) around testicular torsion. Testicular torsion is a condition where the testicle twists, cuts off the blood supply and results in significant pain. If not treated in time it can result in the loss of a testicle. Testicular torsion can affect males at any age, but young adults aged between 12 and 18 years are at greater risk of torsion than other age groups. Since 2016, across England there have been more 3500 admissions each year with suspected testicular torsion and a proportion of these suffered complications due to misdiagnosis and delay.
  16. Content Article
    Motivation and how to use it is a complex science, motivating yourself is hard, motivating others is even harder. When trying to make improvements in the NHS we need to think carefully about how we motivate our staff to bring about change and improve patient outcomes. This blog by Adam Burrell,  Improvement Lead for Imperial College Healthcare NHS Trust, discusses staff motivation and incentives. 
  17. Content Article
    The venous thromboembolism (VTE) risk assessment data collection is used to inform a national quality requirement, which sets an operational standard of 95% of inpatients (aged 16 and over at the time of admission) undergoing risk assessments each month.
  18. Content Article
    Sepsis is a deadly reaction to infection. If your child is unwell with a bug or infection, keep an eye on them. This short video by NHS England shows signs to look out for in the under fives.
  19. Content Article
    A new medical examiner system is being rolled-out across England and Wales to provide greater scrutiny of deaths. The system will also offer a point of contact for bereaved families to raise concerns about the care provided prior to the death of a loved one.  Acute trusts in England and local health boards in Wales have been asked to begin setting up medical examiner offices to initially focus on the certification of all deaths that occur in their own organisation.  The purpose of the medical examiner system is to: provide greater safeguards for the public by ensuring proper scrutiny of all non-coronial deaths  ensure the appropriate direction of deaths to the coroner provide a better service for the bereaved and an opportunity for them to raise any concerns to a doctor not involved in the care of the deceased improve the quality of death certification improve the quality of mortality data.
  20. Content Article
    Everyone should be treated with dignity and respect at work. Bullying and harassment is unacceptable and constitutes a violation of human and legal rights that can lead to criminal prosecution and civil law claims. Employers have a duty of care to provide a safe and healthy working environment for their staff, and this is an implied term of every contract of employment. Bullying and harassment undermines physical and mental health, frequently resulting in poor work performance. Possible consequences include: insomnia and inability to relax loss of confidence and self-doubt loss of appetite hypervigilance and excessive double-checking of all actions inability to switch off from work.
  21. Content Article
    In this article published in JAN Interactive, Catherine Best critiques the importance of understanding Human Factors in ensuring the delivery of safe and effective care.
  22. Content Article
    In his blog, Dr A Hughes, Anaesthetic Consultant & Educationalist, writes about why he wears a named hat in theatre, the controversy behind this initiative and the difficulties of changing behaviour.
  23. Content Article
    This poster from Birmingham University Hospitals Trust is aimed at staff leaving to go home after their shift.
  24. Content Article
    Find out more about the work of hospital pharmacists and the wide variety of roles they play in the life of Guy's and St Thomas's Hospital in London. Pharmacists explain the complexities of their work on the ward, the part they play in formulating medicines and in medicines administration as well as dispensaries, highlighting how integral they are to the health of patients and the success of the multi-disciplinary healthcare team.
  25. Content Article
    This video by theatre staff from  East Lancashire Hospitals NHS Trust explains how the 10,000 feet initiative promotes patient safety within the operating theatre.
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