Local authorities and NHS bodies should provide specialist community care for people with learning disabilities who behave in a way that challenges to avoid admissions to psychiatric wards or residential homes, new draft guidance from NICE says.
There have been improvements to the care provided to patients at Broadmoor Hospital - the Care Quality Commission has found.
CQC inspected the high security psychiatric hospital in Berkshire in July 2017 after inspectors previously found breaches in the care provided at Broadmoor by West London Mental Health NHS Trust.
During the previous comprehensive inspection in May 2016 the trust was told to make improvements in a number of areas. The two main areas of concern were the health based places of safety which were rated as inadequate, and wards for older people which was rated as requires improvement.
This year’s State of Care report – published today – shows that thanks to the efforts of staff and leaders, the quality of health and social care has been maintained despite very real challenges and the majority of people are receiving good, safe care.
The National Guardian's Office has published a report outlining the findings of their first Freedom to Speak Up (FTSU) guardian survey.
All NHS trusts are required by the NHS standard contract (2016/17) to nominate a Freedom to Speak Up (FTSU) guardian.
Open access. Quality and safety in healthcare, as an academic discipline, has made significant progress over recent decades, and there is now an active and established community of researchers and practitioners. However, work has predominantly focused on physical health, despite broader controversy regarding the attention paid to, and significance attributed to, mental health. Work from both communities is required in order to ensure that quality and safety is actively embedded within mental health research and practice and that the academic discipline of quality and safety accurately represents the scientific knowledge that has been accumulated within the mental health community.
Open access. Just over 50 years ago, Avedis Donabedian published his seminal paper, which sought to define and specify the ‘quality of health care’, articulating the now paradigmatic triad of structure, process and outcome for measuring healthcare quality.1 In recent years, we have seen the rapid expansion of increasingly inexpensive information technology capability and capacity, facilitating the collection and analysis of large healthcare data sets. These technological advances fuel the current proliferation of performance measurement in healthcare
just a phenomenon embraced by the young—31% of all seniors are on Facebook.2 With growing engagement across demographics, social media networks offer new platforms of digital interaction at a scale that is hard to comprehend—313 million active Twitter users sending half a billion tweets and 1.9 billion Facebook accounts uploading 350 million photos every day. SnapChat has created some of the country's youngest billionaires. All these activities, driven by the public's desire to curate and share life experiences, provide new opportunities to observe and understand lived reality in greater detail and closer to real time than ever before. To read the full article, log in using your NHS OpenAthens details.
This consultation is targeted at providers of health and social care services registered with CQC. It seeks your views as to whether it is appropriate for CQC to extend performance assessment and ratings to include independent community health services and independent doctors.
A safety organisation drawing on lessons from the airline industry will have new legal powers to investigate serious patient safety incidents in the NHS in England, under plans laid before parliament today (14 September 2017).
service is under intense pressure to innovate given the ever increasing demands placed upon it. Whilst many studies have looked at diffusion of innovation from an organisational perspective, few have sought to understand how individuals working in healthcare innovate successfully. We took a positive deviance approach to understand how innovations are achieved by individuals working in the NHS.
We conducted in depth interviews in 2015 with 15 individuals who had received a national award for being a successful UK innovator in healthcare. We invited only those people who were currently (or had recently) worked in the NHS and whose innovation focused on improving patient safety or quality. Thematic analysis was used.
The government needs to take a stronger and more integrated approach if it is to rein in the increasing cost of clinical negligence claims across the health and justice systems, according to the National Audit Office.
This article, part two, explores the wider involvement of individuals, organisations and nurse education in preventing care erosion, with a particular focus on reflection; mastery of nursing skills and care; supporting nursing values; and addressing denial and trivialisation of, and justifications for, substandard care. To read the full article, log in using your NHS OpenAthens details.
These Specialised Services Quality Dashboards (SSQD) are designed to provide assurance on the quality of care by collecting information about outcomes from healthcare providers. SSQDs are a key tool in monitoring the quality of services, enabling comparison between service providers and supporting improvements over time in the outcomes of services commissioned by NHS England.
The cause of adverse weekend clinical outcomes remains unknown. In 2013, the “NHS Services, Seven Days a Week” project was initiated to improve access to services across the seven-day week. Three years on, we sought to analyse the impact of such changes across the English NHS.