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Content Article
The Patient Safety Management Network (PSMN) started on a Friday afternoon in June 2021 as three people in a Zoom meeting. In this interview, PSMN founder Claire Cox reflects on why the network has grown to have over 1600 members and what it has achieved over the past three years. She outlines how the network has fostered a safe space for staff to raise issues and shares feedback from members about what they love about the PSMN.- Posted
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Content Article
National Guardian Freedom to Speak Up: Case studies
Patient Safety Learning posted an article in Speak Up Guardians
Read the latest case studies from the National Guardian’s Office. -
News Article
Many overseas doctors feel ill-prepared to join NHS, survey finds
Patient Safety Learning posted a news article in News
Many doctors from overseas are left feeling lost, anxious and not ready to care for patients after joining the NHS because they are not properly looked after, research has found. Many international medical graduates (IMGs) feel the NHS does not help them prepare for life as a doctor in the UK and the practicalities of moving to a new country, according to a survey. Almost six in 10 (58%) of those questioned thought their induction was inadequate, and almost half (48%) felt anxious about starting to perform clinical duties in the UK. The Medical Protection Society (MPS), which surveyed 737 IMGs working in England, said the results showed that too many foreign-trained doctors were “still being let down” professionally and personally by the NHS. One doctor said: “I was very anxious and worried as working clinically without induction and [a] very brief period of shadowing … I was just lost.” Another said: “I asked several times about induction, to be told that I will just learn on the job and ‘it will be fine’.” Read full story Source: The Guardian, 28 June 2024 -
Content ArticleNurses, midwives and paramedics make up over half of the healthcare workforce in the UK National Health Service and have some of the highest prevalence of mental ill health. This study in BMJ Quality & Safety explored why mental ill health is a growing problem and how we might change this. The authors identified the following key themes:It is difficult to promote staff psychological wellness where there is a blame cultureThe needs of the system often over-ride staff psychological well-being at workThere are unintended personal costs of upholding and implementing values at workInterventions are fragmented, individual-focused and insufficiently recognise cumulative chronic stressorsIt is challenging to design, identify and implement interventions.They suggest that healthcare organisations need to rebalance the working environment to enable healthcare professionals to recover and thrive. This requires:high standards for patient care to be balanced with high standards for staff mental well-being.professional accountability to be balanced with having a listening, learning culture.reactive responsive interventions to be balanced by having proactive preventative interventionsthe individual focus balanced by an organisational focus.
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Content Article
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In this blog, Katy Fisher, Senior Nurse Quality & Improvement at NHS Professionals, explains how she became involved in Appreciative Inquiry and asks the question: what could Appreciative Governance start to look like in the NHS and what small steps can we all do to achieve that together? -
Content ArticleCaring Corner is a podcast hosted by Katy Fisher and Kayleigh Barnett sharing real stories of Appreciative inquiry in health and care.
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News Article
Thousands of agency workers set to leave NHS and care roles, poll suggests
Patient Safety Learning posted a news article in News
Thousands of agency staff could leave the NHS and social care services in the next two years, new research has suggested. More than 20,000 agency staff work across health and social care in the UK – but now a poll of 10,000 workers has revealed that nearly one in five could leave their job by 2026. In the poll, carried out by consultancy Acacium Group, 24% of those surveyed reported feeling overstretched at work. Key reasons for agency workers wanting to leave the NHS and social care included concerns over poor working conditions leading to staff burnout, and a lack of support from managers. Olivia Swain, 29, who has worked as an agency paediatric nurse in the North East since 2019 after moving from a permanent NHS role, told researchers: “While I love my job, the transition into a flexible role has its challenges. You have to learn to adapt quickly. Sometimes I don’t have a login or password for computer systems or swipe access cards, which can be incredibly obstructive and puts undue pressure on colleagues. “This can be a particular issue if I need quick access to patient records or to complete a referral.” Read full story Source: The Independent, 23 June 2024 -
Content ArticleIn healthcare, 'speaking up' refers to when healthcare workers raise concerns regarding patient safety through questions, sharing information, or expressing their opinion to prevent harmful incidents and ensure patient safety. Conversely, withholding voice is an act of not raising concerns, which could be beneficial in certain situations. Factors associated with speaking up and withholding voices are not fully understood, especially in strong authoritarian societies, such as Malaysia. This study aimed to examine the factors associated with speaking up and withholding the voices of healthcare workers in Malaysia, thus providing suggestions that can be used in other countries facing similar patient safety challenges.
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Content Article
I am one of many staff that undertake additional shifts as bank staff or agency staff. The reasons are varied and personal. This is a reflection on a shift that I undertook a few weeks ago. I have taken the decision to remain anonymous in this account. -
Content ArticleDeborah Filipek, author of this article for the Healthcare Financial Managment Assication (US), looks at research linking staff burnout to patient safety. Key points: Authors of two published studies reviewing clinician burnout found increased burnout affecting clinician mental and physical health and posing concerns for patient care and safety. One of the studies also looked at which interventions clinicians preferredImprovement in care delivery was rated by both physicians and nurses as more important to their mental health and well-being than interventions directed at improving clinicians’ mental health. On average, under single coverage, female employees have approximately $266 more in out-of-pocket spending per year than male employees, excluding pregnancy-related services. Only 227 American Indian/Alaska Native students entered U.S. medical schools during the 2021-22 academic year. Click on the link below to see the full article.
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Content ArticleIn this editorial for BMJ Quality and Safety, Kate Kirk explains why staff well-being is the foundation to improving patient safety.
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Content Article
In the past, long before Covid, doctors used to openly discuss complex cases and unexpected deaths on an anonymous basis either in the doctors' mess or in medical grand rounds hosted by their hospital’s clinical education department. What's happened to these forums for learning? Are these clinical conversations alive and well, and helping doctors and nurses alike to learn from safety incidents? Or have medical grand rounds disappeared from practice?- Posted
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Content Article
The Daily T: Whistleblowers hounded out of the NHS (16 May 2024)
Mark Hughes posted an article in Whistle blowing
NHS bosses are destroying the careers of whistleblowers who stand up to protect patients’ lives, according to an exclusive investigation by The Telegraph. More than 50 doctors and nurses told us they have been targeted after raising concerns about upwards of 170 patient deaths and nearly 700 cases of poor care. In this episode of The Daily T podcast, Kamal Ahmed and Camilla Tominey are joined by the journalists behind the story, Janet Eastham and Gordon Rayner. This discussion takes in the video from 2 minutes 52 seconds to 16 minutes 40 seconds. -
Content ArticleIn this interview, Patrick Christys from GB News speaks to former Consultant Urological Surgeon, Peter Duffy, about the treatment of whistleblowers in the NHS who raise patient safety concerns. You can find out more about Peter’s experiences in his books Whistle in the Wind and Smoke and Mirrors. To watch the interview, click on the link below.
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Content Article
NHS England Safe Learning Environment Charter
Patient-Safety-Learning posted an article in Culture
The Safe Learning Environment Charter supports the development of positive safety cultures and continuous learning across all learning environments in the NHS. It is underpinned by principles of equality, diversity and inclusion. It has been developed by over 2482 learners, educators and key stakeholders in health education. The Charter was created by NHS England in response to healthcare learners’ feedback on their clinical experiences in maternity services, set out in the Kirkup (2015 and 2022) and Ockenden (2020 and 2022) reports. The Charter is designed for learners and those responsible for supporting placement learning across all learning environments and all professions within them. It is aligned to the NHS People Promise in recognition that learners are vital to the workforce and are included in the promises NHS staff and leaders must all make to each other, to improve everyone’s experience of working in the NHS. The Charter sets out the supportive learning environment required to allow learners to become well-rounded professionals with the right skills and knowledge to provide safe and compassionate care of the highest quality. -
EventThis Hospital at Night Summit focuses on out of hours care in hospitals delivering high quality safe care at night and supporting the wellbeing of those working at night. Through national updates, networking opportunities and case studies this conference provides a practical guide to delivering a high-quality hospital at night service and transforming out of hours services and roles to improve patient safety. The 2024 conference will focus on developing an effective Hospital at Night service and focus on the practicalities of supporting staff at night, improving wellbeing, and fighting fatigue. For further information and to book your place visit https://www.healthcareconferencesuk.co.uk/virtual-online-courses/hospital-at-night-summit or email aman@hc-uk.org.uk We have a limited number of free places for this event for members of the hub. Email content@pslhub.org if you are interested. Follow on Twitter @HCUK_Clare #HospitalAtNight
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Content ArticleThis video provides an introduction to Sheffield Health and Social Care NHS Foundation Trust's (SHSCFT's) Patient and Carer Race Equality Framework (PCREF). The PCREF aims to help the Trust's staff and communities understand how to have sensitive conversations with patients and carers and to get better information from them. This will mean the Trust is more culturally aware and able to offer culturally appropriate care by understanding the barriers ethnic minority communities face in getting healthcare services for diagnosis and treatment.
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Content Article
Vicarious trauma: The invisible epidemic
Patient Safety Learning posted an article in Staff safety
In healthcare, an insidious epidemic lurks beneath the surface, affecting the very individuals tasked with providing care: vicarious trauma by empathy. Despite its profound impact, this phenomenon remains largely unrecognised and under-discussed within the sector. As leaders, it is imperative that we shed light on this invisible trauma and acknowledge it as one of the greatest challenges facing our industry, as Margarida Pacheco explains in her blog. -
News Article
Surgeon at NHS hospital promoted despite allegedly assaulting staff
Patient Safety Learning posted a news article in News
Managers at a hospital where police are investigating dozens of deaths promoted a consultant surgeon months after they allegedly assaulted junior doctors during surgery, the Guardian can reveal. Two female registrars at the University Hospitals Sussex NHS trust in Brighton sent written statements to the trust’s chief medical officer in March 2022 detailing how they were allegedly assaulted by the surgeon in separate incidents as they helped to operate on patients, leaked documents reveal. The incidents were not reported to the police and are not part of a separate Sussex police investigation into allegations of medical negligence and cover-up at the trust’s surgery and neurosurgery departments, involving at least 40 deaths and more than 60 incidents of patient harm. The consultant surgeon was alleged to have slapped one of the registrars across her face with the back of a hand. The other registrar claimed she was slapped on the hand and had surgical instruments snatched from her by the same person. The trust said its investigation found the surgeon’s actions were inappropriate but did not constitute assault and were taken in the interest of patient safety. The surgeon apologised to the registrars. The investigation concluded that, in the first incident, the registrar’s visor was blocking the consultant’s field of vision during surgery, causing them to instinctively push the visor away. In the second incident, it concluded that an instrument was taken from the registrar’s hand during a procedure for patient safety purposes. After these events, other registrars threatened to refuse to go into theatre with the consultant and pointed to other alleged examples of their bullying, sources claim. They had expected the consultant to be disciplined, given time off work and supported in changing their behaviour, the sources added. Instead, within a year of the complaints, the consultant was given a leadership role in the surgery department, despite the trust’s stated policy of zero tolerance for violence and aggression. Read full story Source: The Guardian, 22 April 2024 -
Content ArticleThis cohort study in JAMA Network Open aimed to assess whether therapist burnout is associated with reduced effectiveness of guideline-recommended psychotherapies for posttraumatic stress disorder (PTSD). The findings suggest that interventions to reduce therapist burnout might also result in more patients experiencing clinically meaningful improvement in PTSD symptoms from evidence-based psychotherapies.
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News ArticleThree in four NHS staff have struggled with a mental health condition in the last year, according to a new poll. A survey of workers carried out by NHS Charities Together over medics’ mental health comes as healthcare leaders were forced to reverse cuts to NHS Practitioner Health, a service for medics. A backlash from NHS staff over the proposed cuts forced health secretary Victoria Atkins to intervene. In the new poll of more than 1,000 NHS staff, 76% said they have experienced a health condition in the last year with 52% reporting anxiety, 51% reporting low mood, while 42% of respondents also said they’d experienced exhaustion. Meanwhile, the most recent NHS data shows the most common reasons for staff sickness are anxiety, stress, depression or other psychiatric conditions, with more than 586,600 working days lost over this in November 2023. NHS Practitioner Health began as a mental health service for GPs but has since expanded to other specialities following funding from NHS England. However, last week the provider announced this national funding was due to end, so its service would be reduced. NHS England said the decision was so it could review the services available for all NHS staff. However, it was forced to u-turn on the decision and agreed to provide funding for an additional year. Read full story Source: The Independent, 17 April 2024
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Content ArticleIn this article for the Lancet, Richard Horton reflects on the failure of medical education systems around to look after their students. He highlights reports of large proportions of medical students reporting burnout and feeling unappreciated and calls for an overhaul of the medical education system.
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News ArticleThe boss of the NHS has made a dramatic intervention in The Independent highlighting the shocking amount of sexual abuse against staff in the health service, arguing that a #MeToo moment is needed to safeguard staff. Amanda Pritchard hit out at the “unacceptable” levels of abuse faced by doctors and nurses, demanding that health trusts be judged on their progress in tackling sexual harassment. She has called for sexual harassment against NHS staff to be “stamped out” after it emerged that one in eight workers – 58,000 – had reported experiencing unwanted sexual behaviour last year. Writing exclusively for The Independent, Ms Pritchard said the abuse now levelled at doctors and nurses is unacceptable – with some staff being raped at work, groped, and shown pornography. “The #MeToo movement has powerfully called out this unacceptable behaviour and fuelled important discussions right across society, and the NHS must not be exempt,” Ms Pritchard wrote. Around 58,000 NHS workers reported being subjected to unwanted sexual behaviour last year (PA) “But we can’t just call out unacceptable behaviour and move on: we need to stamp it out across all parts of the NHS.” Read full story Source: The Independent, 13 April 2024
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News Article
Staff mental health support axed by NHSE
Patient Safety Learning posted a news article in News
A dedicated mental health and addiction support service for secondary care staff is shutting to new patients, as NHS England is set to cut its funding. The NHS Practitioner Health programme, which was rolled out nationally in October 2019, is halting new registrations for secondary care staff from 15 April. NHS England has informed the provider its funding will be cut for secondary care staff, subject to a review it is carrying out of wider services. The Practitioner Health programme for GPs and dentists is expected to continue for another year, although its future beyond that is also unclear, HSJ was told. An announcement published on X, formerly known as Twitter, said: “New secondary care patients will be signposted to alternative sources of support, including your GP, occupational health departments and organisational employee assistance programmes.” Its axing comes amid severe pressure on NHS budgets nationally and locally, with overall funding barely keeping up with anticipated inflation in 2024-25, and many integrated care systems forecasting large deficits. Medical unions and senior doctors have criticised the axing of the service. Read full story (paywalled) Source: HSJ, 12 April 2024 -
News Article
One in three health workers suffering ‘burnout’ amid NHS staffing crisis
Patient Safety Learning posted a news article in News
Almost one in three NHS employees have had to take time off work suffering poor mental health in the past year, new research suggests. The Unison union said its survey of 12,000 health workers shows the impact of a staffing crisis, with many suffering “burnout”. Panic attacks, high blood pressure, chest pains and headaches are among the physical signs of stress reported by nurses, porters, 999 call handlers and other NHS staff who completed the survey. The news comes as more than half of the mental health hubs launched for NHS workers after the pandemic have closed since last year, according to the British Psychological Society. Unison said workforce pressures are taking a huge toll as staff tackle a waiting list backlog, with many struggling to look after their wellbeing. Of those who were off with mental health problems, one in five said they did not tell their employer the real cause of their absence, mainly because they did not feel their manager or employer would be supportive. The union said staff feel undervalued and frustrated, with many quitting for less stressful jobs that pay more. Read full story Source: The Independent, 8 April 2024
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