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Found 485 results
  1. News Article
    The UK nursing regulator’s new interim chief executive has stepped down just four days into the job after facing widespread staff backlash over her links to a high-profile race discrimination case. Multiple staff working at the Nursing and Midwifery Council (NMC) raised concerns to its directors over the appointment of interim CEO Dawn Broderick, who was head of HR at another trust when it was found to have discriminated against a Black employee. The Independent can now reveal Ms Broderick resigned from the NMC on Monday evening. It is the latest in a succession of controversies to hit the nursing regulator, following reports uncovered by The Independent last year. These include allegations from whistleblowers that racism within the NMC was allowing complaints against nurses to go unchecked. Staff have come forward to The Independent, warning they do not have confidence the NMC’s board will take the issue of racism seriously. Read full story Source: The Independent, 2 July 2024
  2. News Article
    Doctors are warning the UK medical regulator that wider use of physician associates in the NHS may risk patient safety and lead to greater inequalities in care in deprived areas that struggle to recruit GPs. The government’s plan to recruit 10,000 physician associates – healthcare professionals supervised by doctors – has angered many clinicians who consider the roles ill-defined and a potential threat to patient safety. The General Medical Council (GMC) is to regulate physician and anaesthesia associates, who also work under doctors’ supervision, from December. The doctors’ union, the British Medical Association, last week announced it was seeking a judicial review of the GMC over the “dangerous blurring of lines” between doctors and medical associate professions. It argues physician and anaesthesia associates need regulating, but not by the GMC. Other professional membership organisations want clarification of associates’ roles. The Royal College of General Practitioners (RCGP) told the GMC that regulation is a “significant step forward”, but the scope of practice needs to be urgently developed. Read full story The Guardian, 30 June 2024
  3. Content Article
    In a new video masterclass, Lisa Annaly, Head of Analytic Content at the Care Quality Commission, talks through how scoring features in their new assessment model. Lisa also answers some frequently asked questions to help your understanding of our scoring methodology.
  4. News Article
    The Care Quality Commission has admitted it is failing to keep patients “safe” and is losing the confidence of ministers and the NHS, HSJ has discovered. HSJ has seen part of an internal “problem statement” produced by interim chief executive Kate Terroni. It says that “stakeholders and the Department of Health and Social Care are losing confidence in our ability to deliver our purpose”. The statement adds: “The way we work is not working and we are not consistently keeping people who use services safe. “Our people are not able to effectively identify and manage risk and encourage improvement and innovation. “Our organisational structure, flow of decision making, roles, internal and external relationships do not promote a productive and credible way of working.” Read full story (paywalled) Source: HSJ, 26 June 2024
  5. News Article
    The NHS is having to provide emergency care to rising numbers of patients suffering serious complications following weight loss surgery and hair transplants abroad amid a “boom” in medical tourism, doctors have warned. Medics said they were being left to “pick up the pieces” as more Britons seeking cheap operations overseas return with infections and other issues. In some cases, patients are dying as a result of botched surgeries performed in other countries. Hospitals have even had to cancel elective procedures for patients because beds were being taken up by someone who needed an overseas procedure fixed. There were also concerns over patients buying weight loss drugs, including Wegovy, abroad without receiving the necessary “wraparound” care, doctors said. The British Medical Association’s annual meeting in Belfast heard there had been a “boom” in surgical tourism, which was “leading to a rise in serious post-surgery complications and deaths”. Read full story Source: The Guardian, 25 June 2024
  6. Content Article
    This editorial in The Lancet Infectious Diseases reflects on the consequences of the infected blood scandal, in which more than 30,000 people in the UK were infected after receiving contaminated blood products in the 1970s and 1980s. It examines the systems in place for blood donation and transfusion in low and middle income countries (LMICs) and argues that the chance of a blood scandal coming to light in LMICs is much higher. This is because blood donations in many LMICs go against the WHO recommendation of national blood systems being based on blood supply from voluntary donors. Instead, they rely heavily on paid-for donations and family or replacement donations, which are unsafe due to the higher prevalence of bloodborne infections.
  7. Content Article
    Over 65% of all new drugs undergo expedited drug approval in the USA, and these drugs have been linked to a higher prevalence of adverse drug reactions, raising concerns about safety. It is well documented that women generally report a higher frequency of adverse drug reactions than men, but whether women have more adverse drug reactions than men from drugs approved via expedited pathways is unknown. This brief Lancet article outlines the findings of a systematic review that assessed sex differences in data reporting and highlighted a knowledge gap as to whether women face a higher risk of harm through expedited approval pathways than men.
  8. Content Article
    In 2011, trainee paediatrician Hadiza Bawa-Garba was convicted of manslaughter over the death of six-year-old Jack Adcock. In this blog for the BMJ, medical law campaigner Jenny Vaughan looks at how the case has raised the issue of legal responsibility for care within a stretched medical system, for a whole generation of doctors.
  9. Content Article
    This June marks nine years of Sling The Mesh, the campaign group set up by Kath Sansom after she was harmed by pelvic mesh surgery. In this blog, Kath reflects on the valuable support the group has offered thousands of people harmed by surgical mesh. She highlights the successes the group has achieved by coming together to raise public awareness and advocate for better regulation and support for patients. She also outlines the many issues still faced by people harmed by mesh surgery and describes how Sling The Mesh will continue to press for better informed consent, greater transparency and an effective redress system for harmed patients.
  10. Content Article
    In 1990, 10-year-old Robbie Powell died due to undiagnosed Addison’s disease. Tragically, his death was preventable. Concerns that Robbie may have had Addison’s disease had been raised following a previous hospital admission and a diagnostic test requested, but this was not followed up or shared with his parents, Will and Diane. In the two weeks before Robbie died, Robbie was seen by five GPs on seven occasions, but his parents were consistently told that there was nothing seriously wrong with their son. Robbie’s father Will has worked for decades to uncover why his son died and how the doctors and organisations involved responded following Robbie’s death. In this long-read interview, Will describes the events that led to Robbie’s death and his subsequent fight for justice, including his role in the successful campaign which resulted in organisational legal duty of candour. He talks about the devastating impact that having the truth withheld continues to have on his family and other families. Will then outlines what needs to be done to better protect families and ensure they get the full truth when a child dies due to avoidable harm. Please note: readers may find the following content distressing.
  11. Content Article
    In this article, Sharon Hartles looks at the ongoing fight for justice by families affected by the hormone pregnancy test (HPT) Primodos. She discusses the impact of new evidence and advocacy efforts, highlighting the resilience of those involved in the quest for accountability. She also considers the absence of consideration of patients and family members affected by HPTs from the recent Hughes Report, which looked at redress options for the other two medical interventions covered by the Independent Medicines and Medical Devices Safety Review. Sharon Hartles is a member of the Harm and Evidence Research Collaborative at the Open University. Additionally, she is affiliated with the Risky Hormones research project, an international collaboration in partnership with patient groups. You can read the blog here. Related reading First Do No Harm. The report of the Independent Medicines and Medical Devices Safety Review (8 July 2020) The Hughes Report: Options for redress for those harmed by valproate and pelvic mesh (Patient Safety Commissioner for England, 7 February 2024) Reflections on The Hughes Report: Pelvic mesh, sodium valproate, hormone pregnancy tests and options for redress (a blog from Patient Safety Learning) A Bitter Pill: Primodos, The Forgotten Thalidomide (APPG on Hormone Pregnancy Tests, 27 February 2024) Patient Safety Spotlight interview with Marie Lyon, chair of the Association for Children Damaged by Hormone Pregnancy Tests
  12. Content Article
    In 2021, the Independent Medicines and Medical Devices Safety review, led by Baroness Cumberlege, conducted a comprehensive review of historic documents and found that Hormone Pregnancy Tests had caused avoidable harm, that they should have been withdrawn by the regulator after the first warnings in 1967 and that this failure to act meant that women were exposed unnecessarily to a potential risk. This report by the All-Party Parliamentary Group on Hormone Pregnancy Tests sets out the background to this and considers the findings in 2017 of an expert working group that was relied upon by the Government and manufacturers to strike out a claim for compensation in 2023. The report recommends that the Government sets up an independent review to examine the findings of this working group.
  13. News Article
    The last acute trust deemed “inadequate” by the Care Quality Commission has had its rating improved to “requires improvement”, the regulator has announced today. Shrewsbury and Telford Hospitals Trust has been rated “inadequate” since November 2021. Until today, it was the only acute trust in England to have the lowest possible combined CQC rating. Inspectors said leaders were visible and approachable, but kept the trust’s leadership rating as “requires improvement.” This was unchanged from the previous inspection. Meanwhile, maternity services at Princess Royal Hospital in Telford, which for years have been under intense scrutiny over multiple instances of poor care and scores of baby deaths, have also been upgraded, this time from “requires improvement” to “good”. Inspectors visiting in October and November 2023 said there had been a “positive shift” in culture with staff saying they felt safer to speak up. The CQC’s report said that overall, people were receiving a higher standard of care with “staff now proud to work for the trust” and SaTH was “working hard to help rebuild people’s confidence” in its services. Read full story (paywalled) Source: HSJ, 15 May 2024
  14. Content Article
    In this opinion piece for BMJ, David Oliver, consultant in geriatrics and acute general medicine, looks at how the professional duty of candour operates in the NHS. In doing so he considers the effectiveness of actions taken in the last five years by the Care Quality Commissioner, General Medical Council and Nursing and Midwifery Council over failure to exercise the duty of candour.
  15. Content Article
    This policy paper provides on update on the Medicines and Healthcare products Regulatory Agency's (MHRA’s) use of AI as a regulator of AI products, as a public service organisation delivering time-critical decisions and as an organisation making evidence-based decisions that impact public safety.
  16. News Article
    The government is launching a review of the Care Quality Commission and has appointed a senior NHS figure to lead it, HSJ understands. The Department of Health and Social Care has commissioned the work, along with other departments, and selected Penny Dash, current North West London Integrated Care Board chair and formerly a senior McKinsey & Company consultant, to lead it. HSJ understands the review will examine how the CQC’s recently updated assessment framework is working, and how it links to NHS England’s national oversight framework. It will also consider whether the CQC’s ratings were properly rewarding and incentivising the improvement of care, and how the regulator is taking into account service user and patient voices, sources told HSJ. One source involved said they hoped the work would also respond to providers’ complaints that CQC inspections are making it more difficult for them to redesign services, for example by enforcing minimum staffing requirements, and are skewing their priorities. Read full story (paywalled) Source: HSJ, 8 May 2024
  17. News Article
    A 15-year-old child was prescribed dangerous levels of hormones by an unregulated online clinic without speaking to a doctor, a court ruling has revealed. Now 16, the teenager, known as J, was born female but identifies as a boy and has an autism diagnosis. J got a prescription for testosterone and puberty blockers from Singapore-registered GenderGP in late 2022. He had previously been unable to get the treatment through the NHS. Judge Sir Andrew McFarlane said: "There must be very significant concern about the prospect of a young person such as J accessing cross-hormone treatment from any off-shore, online, unregulated private clinic." The judgement highlights the lack of NHS gender services for children and young people in England and Wales, after the closure of the Tavistock Gender Identity and Development Service (Gids) in April. Gids, rated as "inadequate" by inspectors in 2021, was the only specialist gender clinic for children and young people in the two countries. The judgement says that, as a result: "There is no relevant NHS service available for J." Although the prescription was from a private doctor, J was given injections of testosterone by his local NHS GP every six weeks between January and August 2023. An expert witness in the case, Australia-based consultant paediatric endocrinologist Dr Jacqueline Hewitt, was critical of the lack of physical and psychological checks carried out by GenderGP on J. Dr Hewitt also raised concerns about the size of the doses of testosterone given to J, describing the level of the hormone in his blood during his treatment as "dangerously high". Read full story Source: BBC News, 2 May 2024
  18. Content Article
    In March 2024, the Professional Standards Authority (PSA) convened a roundtable discussion entitled ‘Accountability, fear and public safety’ to explore some of the recent NHS safety culture initiatives in England and their relationship with professional health regulation. In this blog, Anna van der Gaag, Visiting Professor in Ethics & Regulation at the University of Surrey, reflects on this discussion and how to bring the best of safety culture initiatives and the best of regulatory processes together to do more for patient safety.
  19. Content Article
    Making care safer for all - a manifesto for change 2024 outlines the Professional Standards Authority (PSA) recommendations to government to help tackle some of the big challenges within health and social care. It also outlines what professional regulation is doing to make care safer and calls for government to support regulators to allow them to do more to help. Key recommendations include for government to: Prioritise work to modernise the powers of the healthcare professionals regulators Ensure that public inquiries and reviews result in lessons learned and acted upon Develop a regulatory strategy to support delivery of the NHS Long-Term Workforce Plan and manage risks to safety and public confidence Take steps to enhance professional development and accountability of senior managers in the NHS Support robust action within health and care to address discrimination in the workplace.  
  20. News Article
    The Government is inviting views on how well GP practices and other NHS organisations are complying with their legal duty of candour when things go wrong. Patients and health professionals are being asked whether the statutory duty is well understood and adequately regulated by the CQC. Under the statutory duty of candour, introduced for all CQC-registered providers in 2015, GP practices must be open and honest with their patients when something goes wrong and has caused harm. In December, the Department of Health and Social Care (DHSC) announced a review into whether healthcare providers are following the duty of candour rules. This was in response to concerns that the duty is not always being met and that there is variation in how the rules are being applied. The DHSC has published its ‘call for evidence’ to gather views on how well the duty of candour obligation is working for both patients and health professionals. Patients have been asked whether GP practices and other providers ‘demonstrate meaningful and compassionate engagement’ with patients who have been affected by an incident. The call for evidence also asks for views on whether the criteria for triggering the duty are appropriate and well understood by staff. Read full story Source: Pulse, 16 April 2024
  21. News Article
    The UK’s data protection regulator has published new guidance for health and social care organisations it says will help them be more transparent about how personal information is being used. The Information Commissioner’s Office (ICO) said the new guidance would provide regulatory certainty to organisations on how they should keep people properly informed as technology is increasingly used to deliver care and carry out research. The regulator said focus on the issue was needed as the health and social care sector routinely handles sensitive information about the most intimate aspects of peoples’ health, and that under data protection law, people have a right to know what is happening to their personal information. Being transparent is essential to building public trust in health and social care services Anne Russell, head of regulatory policy projects at the ICO, said the ever-increasing use of technology meant personal data was more important than ever, and so therefore was more transparency. “Being transparent is essential to building public trust in health and social care services,” she said. “If people clearly understand how and why their personal information is being used, they are likely to feel empowered to share their health information to both access care and support initiatives such as medical research. “As new technologies are developed and deployed in the health sector, our personal information is becoming more important than ever to boost the efficiency and public benefit of these systems. “With this bespoke guidance, we want to support health and social care organisations by improving their understanding of effective transparency, ensuring that they are clear, open and honest with everyone whose personal information is being used.” Read full story Source: The Independent, 15 April 2024
  22. News Article
    A regulator overseeing 340,000 professionals breached a psychologist’s human rights by letting their fitness-to-practise case go on for a decade, amid widespread very long delays, it has emerged. A judgment from the Health and Care Professions Tribunal said the “lamentable” situation for the registrant was down to the “disgraceful… manner in which the Healthcare Professions Council dealt with their case”. The HCPC oversees professional standards for several groups including radiographers, paramedics, physiotherapists, occupational therapists, and operating department practitioners. If a complaint is made about a registrant, it can investigate and refer them to the tribunal, which can strike them off. The Society of Radiographers said the current speed of cases was “simply unacceptable” and its director of industrial strategy Dean Rogers added: “Our members spend too long working — and living — under the intense scrutiny of their regulator, often under the control of an interim order restricting or even preventing their practise while investigations drag on.” Read full story (paywalled) Source: HSJ, 17 April 2024
  23. Content Article
    Richard von Abendorff, an outgoing member of the Advisory Panel of the Healthcare Safety Investigation Branch (HSIB), has written an open letter to incoming Directors on what the new Health Services Safety Investigations Body (HSSIB) needs to address urgently and openly to become an exemplary investigatory safety learning service and, more vitally, how it must not contribute to compounded harm to patients and families. The full letter is attached at the end of this page.
  24. Content Article
    In this opinion piece, Partha Kar describes patient safety issues relating to a planned increase in the number of Physician Associates (PAs) working in the NHS in England. Highlighting safety concerns being raised by healthcare professionals and members of the public, he calls for a pause to the planned expansion to allow these issues to be investigated. He outlines the need for a clear scope of practice, standardised training, full regulation and clear communication with all stakeholders, including the public.
  25. Content Article
    Batches of some products made by Legency Remedies Pvt Ltd have been found to contain a bacteria called Ralstonia pickettii (R. pickettii). All potentially affected batches are being recalled following an MHRA investigation.
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