Background Poor translation of clinical practice guidelines (CPGs) into clinical practice is a barrier to the provision of consistent and high-quality evidence-based care. The objective was to systematically review the roles and effectiveness of knowledge brokers (KBs) for translating CPGs in health-related settings.
Northamptonshire Healthcare NHS Foundation Trust (NHFT) have made significant improvements to their Workforce Race Equality Standard (WRES) indicators. They have done some great work to improve equality within their workforce. This is making a real difference in the working environment and the quality of care they provide.
South London and Maudsley NHS Foundation Trust has been rated Good overall by the Care Quality Commission.
The trust was rated Good for being effective, caring, responsive and well-led. It was rated Requires Improvement for being safe, following the inspection in April and May 2019. At a previous inspection the trust was also rated Good overall.
England's Chief Inspector of Hospitals has praised Shropshire Community Health NHS Trust following an inspection by the Care Quality Commission.
Shropshire Community Health NHS Trust was rated as Good overall following an inspection which took place between January and March this year.
This is an important judgement as it further clarifies what is an acceptable care setting. The appearance of the proposed service did not match with the residential area it was located within and was too big - there was a supported living service on the same site. This did not promote integration with the local community.
The child and adolescent mental health wards were rated Inadequate overall and for safe, responsive and well-led services, and Requires Improvement for caring and effective services.
The concerns primarily focused on West Lane Hospital, it was not delivering safe care. There were substantial and frequent staff shortages and staff did not adequately assess, monitor or manage risks to patients. When patients demonstrated higher levels of risk, staff did not follow processes and procedures to mitigate these through appropriate observation and engagement.
The Care Quality Commission (CQC) has rated the services provided by South West Yorkshire Partnership NHS Foundation Trust as Good following an inspection in May and June. This represents an improvement on their last inspection in March and April 2018 when the trust was rated as Requires Improvement.
The Care Quality Commission (CQC) has told North East London NHS Foundation Trust that it must make immediate improvements following its latest inspection.
The Care Quality Commission has rated the services provided by Lancashire Care NHS Foundation Trust as Requires Improvement following an inspection in May and June.
At this latest inspection, the trust was rated Requires Improvement for safe, effective, responsive and well-led and Good for caring. Overall the trust remains at Requires Improvement, no change from their last inspection in 2018.
Barnet, Enfield and Haringey Mental Health NHS Trust has been rated Good overall by the Care Quality Commission. Previously it was rated Requires Improvement.
The trust was rated Good for being effective, responsive, caring and well-led. It was rated Requires Improvement for being safe, following the inspection in June and July 2019.
The Care Quality Commission (CQC) has today published a report on Cumbria Partnership NHS Foundation Trust. The trust has been rated Requires Improvement following an inspection in May and June 2019.
A Pre-admission Suite (PAS) at a south London mental and community health trust has now closed, following a Care Quality Commission focused inspection in August 2019.
CQC undertook the inspection following concerns received about the length of
time patients stayed in Oxleas NHS Foundation Trust’s PAS and complaints from patients and relatives.
Driving improvement through technology’ includes examples from across health and social care. These range from apps that help people to take more control of their care, to digital systems for sharing care records.
Each has made positive changes to drive improvements for patients. In each case study we highlight how staff describe the journey of improvement as they experienced it.
Together their stories share some common themes. They show that one of the biggest aspects to supporting improvement across all hospitals was robust leadership. Another is meaningful engagement with staff.
In this update for 2018, we report on:
the increase in opioid prescribing across the UK
measures put in place following the Gosport Independent Panel report
our continuing concerns regarding lower schedule controlled drugs
the introduction of legislation for cannabis based medicinal products.
Our update shares the key issues raised by NHS England controlled drug accountable officers and their unaccounted-for losses of controlled drugs by NHS England area. We also give examples of issues raised and followed up through the local area networks.
The Care Quality Commission’s annual assessment of the state of health and social care in England shows that quality ratings have been maintained overall – but people’s experience of care is determined by whether they can access good care when they need it.
The report Providers deliver: better care for patients considers both the leadership approaches and frontline initiatives that underpin improvements in quality. Through 11 case study conversations, it considers some of the frontline work that has contributed to trusts’ improvements in CQC ratings, as well as exploring the role of trust leaders in providing an enabling, supportive environment in which this work has been possible.
Free access. Despite consensus that preventing patient safety events is important, measurement of safety events remains challenging. This is, in part, because they occur relatively infrequently and are not always preventable. There is also no consensus on the ‘best way‘ or the ‘best measure’ of patient safety. The purpose of all safety measures is to improve care and prevent safety events; this can be achieved by different means. If the overall goal of measuring patient safety is to capture the universe of safety events that occur, then broader measures encompassing large populations, such as those based on administrative data, may be preferable. Acknowledging the trade-off between comprehensiveness and accuracy, such measures may be better suited for surveillance and quality improvement (QI), rather than public reporting/reimbursement. Conversely, using measures for public reporting and pay-for-performance requires more narrowly focused measures that favour accuracy over comprehensiveness, such as those with restricted denominators or those based on medical record review.