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Healthcare Quality & Governance
Quality, governance and compliance in healthcare; patient safety, clinical effectiveness and experience of services. Particular focus on remotely delivered services
Curated by David Foord
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Inspecting and regulating GPs and out of hours services | Care Quality Commission

12 December 2013 Professor Steve Field, our Chief Inspector of General Practice, has set out his new approach of inspecting and regulating all GPs and out-of-hours services.
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This document provides an outline of the principles, process & timeline for the CQC's inspection of General Practices and GP Out Of Hours services.

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Patient safety timeline - Health Foundation

Patient safety timeline - Health Foundation | Healthcare Quality & Governance | Scoop.it
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This interactive timeline from the Health Foundation takes you through some of the key patient safety events, both in the UK and internationally, over the past 150 years.

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Meeting needs and reducing distress – Guidance on the prevention and management of clinically related challenging behaviour in NHS settings

Meeting needs and reducing distress – Guidance on the prevention and management of clinically related challenging behaviour in NHS settings | Healthcare Quality & Governance | Scoop.it
Guidance on the prevention and management of clinically related challenging behaviour in NHS settings
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Meeting needs and reducing distress: Guidance for the prevention and management of clinically related challenging behaviour in NHS settings New NHS guidance on how to prevent and manage challenging behaviour related to clinical conditions is launched today, Thursday 5th December, 2013. It is for the use of clinical and non-clinical NHS staff and managers and may also be of interest to patients and service users, carers and families. Clinically related challenging behaviour by patients and service users makes it difficult for staff to deliver good care safely. It takes many forms, from mildly uncooperative to highly disruptive and …

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NHS Commissioning Support – Role of Voluntary Sector | The Nuffield Trust

NHS Commissioning Support – Role of Voluntary Sector | The Nuffield Trust | Healthcare Quality & Governance | Scoop.it
Read our report on what role the voluntary sector can play in providing commissioning support to clinical commissioning groups and commissioning support units.
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NHS support organisations – new infographic published

NHS support organisations – new infographic published | Healthcare Quality & Governance | Scoop.it
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NHS Employers has produced a new infographic showing the organisations that support the new NHS and what they do.

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GP Patient Survey Results – National Reports and Data - The GP Patient Survey Results 2010

David Foord's insight:

The latest GP Patient Survey reports and survey data tables are available online for the most recently run between July 2012 and March 2013. You can also access all archived reports.

 

If you want to analyse the results, you can do so by accessing the ‘Further Analysis’ tools.

 

Reports at the CCG and PCT level

Due to recent changes in the structure of the NHS, there is now a Clinical Commissioning Group (CCG) report, and CCG details on the practice report.

 

PCT level results are still produced for the 2012-2013 survey.

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NHS England » Six-monthly patient safety incident data published

NHS England » Six-monthly patient safety incident data published | Healthcare Quality & Governance | Scoop.it
High quality care for all, now and for future generations
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The science of human factors: separating fact from fiction -- Russ et al. 22 (10): 802 -- BMJ Quality and Safety

The science of human factors: separating fact from fiction -- Russ et al. 22 (10): 802 -- BMJ Quality and Safety | Healthcare Quality & Governance | Scoop.it
David Foord's insight:
Abstract

Background:

Interest in human factors has increased across healthcare communities and institutions as the value of human centred design in healthcare becomes increasingly clear. However, as human factors is becoming more prominent, there is growing evidence of confusion about human factors science, both anecdotally and in scientific literature. Some of the misconceptions about human factors may inadvertently create missed opportunities for healthcare improvement.

 

Methods:

The objective of this article is to describe the scientific discipline of human factors and provide common ground for partnerships between healthcare and human factors communities.

 

Results:

The primary goal of human factors science is to promote efficiency, safety and effectiveness by improving the design of technologies, processes and work systems. As described in this article, human factors also provides insight on when training is likely (or unlikely) to be effective for improving patient safety. Finally, we outline human factors specialty areas that may be particularly relevant for improving healthcare delivery and provide examples to demonstrate their value.

 

Conclusions:

The human factors concepts presented in this article may foster interdisciplinary collaborations to yield new, sustainable solutions for healthcare quality and patient safety.

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Designing Good Together: Transforming Hospital Complaints Handling. Report from Parliamentary & Health Services Ombudsman

Designing Good Together: Transforming Hospital Complaints Handling. Report from Parliamentary & Health Services Ombudsman | Healthcare Quality & Governance | Scoop.it

For the overwhelming majority of people, their experience of care in the NHS is very positive and greatly valued. But things can go wrong. When this happens, how people and organisations deal with it determines whether the individual receives justice, and whether the organisation learns from what went wrong.

David Foord's insight:

The Parliamentary & Health Services Ombudsman has supported the review, led by Ann Clwyd MP & Professior Tricia Hart into complaints handling in the NHS following Sir Robert Francis's Inquiry into Mid Staffs, by carrying out three pieces of research. The first, The NHS hospital complaints system: A case for urgent treatment, analysed the evidence from our cases and explored the themes underlying patient’s experience of complaint handling. The second gathered evidence of how NHS trust boards use information from complaints to put things right and to learn. The third piece of research brought together patients, complainants, carers and NHS staff to participate in a two-day workshop on the NHS hospital complaints system.

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Code of Conduct and National Minimum Training Standards for healthcare support workers; from Skills for Health

The Code of Conduct describes the standards of conduct, behaviour and attitudes that the public and the people who need healthcare, care and support should expect of workers providing this care and support.

 

The National Minimum Training Standards define the minimum knowledge workers must have, irrespective of individual job role. Both the Code and the Standards were created after extensive consultation with employers and workers across both sectors to make sure they were fit for purpose.

David Foord's insight:

Developing a better skilled,more productive workforce. Skills for Health is the Sector Skills Council for health. We help the whole UK health sector develop a more skilled and flexible workforce.

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David Foord's curator insight, July 17, 2013 6:41 AM

Developing a better skilled,more productive workforce. Skills for Health is the Sector Skills Council for health. We help the whole UK health sector develop a more skilled and flexible workforce.

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NHS clinical commissioning groups draft code of governance & consultation

NHS clinical commissioning groups draft code of governance & consultation | Healthcare Quality & Governance | Scoop.it

Recognising the governance challenges facing CCGs as they become established, the Institute of Chartered Secretaries and Administrators (ICSA) has created a draft governance code to support clinicians in developing good governance arrangements, and to help build and maintain public trust in CCGs and the NHS as a whole.

 

ICSA has worked with an expert panel, chaired by Lord Hunt of Wirral (Chair of the Press Complaints Commission and the Lending Standard Board) who was formerly a regulatory law specialist from DAC Beachcroft, to shape the draft code. The panel represents all the specialities required within the governing body of a CCG and draws upon their experience of the NHS and effective governance.

 

To make sure the draft code is as practical and relevant as possible, ICSA is now seeking feedback through an expert review process from those working in the NHS and those with considerable knowledge of its governance challenges. ICSA’s aim is to produce a final code that has been developed for the health service by the health service, and CCGs’ input will be central to this.

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Monthly Research scan - Health Foundation

Monthly Research scan - Health Foundation | Healthcare Quality & Governance | Scoop.it
Each month we search more than 40,000 journals to pick out what we hope are the most important studies about improving quality in healthcare.
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The silent scandal of patient safety - Speeches - Inside Government - GOV.UK

The silent scandal of patient safety - Speeches - Inside Government - GOV.UK | Healthcare Quality & Governance | Scoop.it
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Speech by Jeremy Hunt on what the NHS must do to improve patient safety

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NHS England Excellence in Participation Awards 2014

NHS England Excellence in Participation Awards 2014 | Healthcare Quality & Governance | Scoop.it
David Foord's insight:

The NHS England Excellence in Participation Awards celebrate the outstanding contributions of people and organisations across the country who are transforming people’s lives, improving health and care services and putting patients, service users, carers and communities at the very heart of health and care. The awards will contribute to a culture of excellence and achievement across individual and public participation in health which can then be celebrated and shared...

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Governance of quality of care: a qualitative study of health service boards in Victoria, Australia -- Bismark and Studdert -- BMJ Quality and Safety

David Foord's insight:

"Conclusion: Although health service boards are eager to establish quality of care as a governance priority, several obstacles are blocking progress. The result is a gap between the rhetoric of quality governance and the reality of month-to-month activities at the board level. The imperative for effective board-level engagement in this area cannot be met until these barriers are addressed."

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The Healthcare Leadership Model NHS Leadership Academy| NHS Leadership Academy

The Healthcare Leadership Model NHS Leadership Academy| NHS Leadership Academy | Healthcare Quality & Governance | Scoop.it
Information on the new Healthcare Leadership Model being developed by the NHS Leadership Academy.
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Victoria Harris's curator insight, February 3, 2014 3:55 PM

The new NHS Model for leadership examines what good leadership looks like...and what it doesn't.

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Friends and Family Test extended across public services - Press releases - GOV.UK

Friends and Family Test extended across public services - Press releases - GOV.UK | Healthcare Quality & Governance | Scoop.it
Francis Maude has announced the extension of the Friends and Family Test across the NHS and other public services.
David Foord's insight:

Friends & Famil Test to be rolled out to all NHS Services and other public services, including further education, Jobcentre Plus and the National Citizen Service (NCS) by March 2015.

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NHS England » Transforming Participation in Health and Care, Guidance for Commissioners

NHS England » Transforming Participation in Health and Care, Guidance for Commissioners | Healthcare Quality & Governance | Scoop.it
High quality care for all, now and for future generations
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Nationwide study brings NHS 'dark spots' to light

Nationwide study brings NHS 'dark spots' to light | Healthcare Quality & Governance | Scoop.it
The quality of care in the English NHS is too often compromised by a lack of clearly defined goals, over-regulation, and highly variable staff support, according to the largest ever study of NHS culture and behaviours.
David Foord's insight:

Key issues to emerge from the research were:

Unclear/disjointed goals leading to 'priority thickets', which eat up resources but provide little in the way of clarity or coherent strategyExcessive box ticking to comply with external requirements rather than improve servicesMultiple regulatory bodies and other external agencies serving different but overlapping functions, leading to ambiguity, fragmentation, and competing pressuresPoor intelligence on which to base decisions/improvementsHighly variable staff support and a lack of respect and appreciation'Comfort-seeking’ behaviours', which focus on making a good external impression and view staff who raise concerns as trouble-makers and whinersA lack of integration, leading to time-wasting, frustrating barriers, and gaps in careIndiscriminate or inappropriate use of quality improvement management techniques and a belief in 'magical thinking' - that the initiative will solve many problems quickly and easilyVariable quality management 
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Community mental health care services need to improve | Care Quality Commission

The independent regulator of all health and social care services in England.
David Foord's insight:

Too many people who use community mental health services are not being involved in decisions about their own care.

A national survey of people who received Community mental health services in 58 NHS trusts shows that services need to improve.

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Home care: more than just a visiting nurse -- Romagnoli et al. -- BMJ Quality and Safety

Home care: more than just a visiting nurse -- Romagnoli et al. -- BMJ Quality and Safety | Healthcare Quality & Governance | Scoop.it
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Commentary and literature on patient safety in the home environment.

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Two decades in healthcare improvement

Two decades in healthcare improvement | Healthcare Quality & Governance | Scoop.it

Helen Bevan (@HelenBevan on Twitter) works with NHS Improving Quality, the national improvement team for the NHS in England. Here she introduces herself & writes her first blog for BMJ Quality & Safety.

David Foord's insight:

Helen Bevan will be writing a regular blog for the BMJ Quality Blog.  This is  her introductory blog about her work passions which give some hints about what she might write about in future blogs.

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The NHS at 65: a guide to the new health and social care system

The NHS at 65: a guide to the new health and social care system | Healthcare Quality & Governance | Scoop.it
The NHS is 65 on 5 July 2013. With the Health and Social Care Act bringing fundamental changes, the health and social care system in England has been transformed. We have picked 10 resources to help guide you through the changes.
David Foord's insight:

The Kings Fund has collated ten really useful learning resources to help understand the NHS.  Some are more interactive than others, but all are well presented and have good content to help learn about how the NHS is structured, funded and a bit about its history at 65 years of age.

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The Healthy NHS Board | NHS Leadership Academy

The strong relationship between leadership capability and performance is well demonstrated in the evidence. The Healthy NHS Board 2013 will serve as a cornerstone for your board development.

David Foord's insight:

“We recognise the crucial importance of effective, engaged, accountable board leadership and are therefore very pleased to have commissioned this refreshed edition of ‘The Healthy NHS Board 2013 – Principles for Good Governance’”

 

- Karen Lynas, Deputy Managing Director, NHS Leadership Academy.

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