Making hospitals safe for people with diabetes

Diabetes UK | October 2018 | Making hospitals safe for people with diabetes

The report from Diabetes UK has been created by an alliance of groups and individuals striving to improve hospital care for people with diabetes. Thorough engagement with diabetes inpatient teams, ward staff, people with diabetes and hospital management means we now understand the depth of the challenges facing the NHS in improving diabetes inpatient care. For their report, Diabetes UK visited
hospitals across the country to find out what works.

Making hospitals safe Diabetes UK

Image source: Diabetes.org.uk

The report outlines six points that the UK needs to make hospitals safer for people with diabetes.

  • multidisciplinary diabetes inpatient teams in all hospitals
  • strong clinical leadership from diabetes inpatient teams
  • knowledgeable healthcare professionals who understand diabetes
  • better support in hospitals for people to take ownership of their diabetes
  • better access to systems and technology
  • more support to help hospitals learn from mistakes.

The report outlines these points in more detail and highlights what needs to be in place in all acute hospitals across England to make sure every stay for someone with diabetes is safe.

The report’s recommendations are based on models from across the UK which have been shown to improve patient care (Source: Diabetes UK).

Transforming care- Is it working?

BBC Radio 4| October 2018 | Transforming care is it working?

According to figures obtained and reported by BBC Radio 4, patients with learning disabilities are 50 per cent more likely to be physically restrained, despite ministers condemning their use.  File on 4 finds that a key milestone to reduce inpatient beds by by March 2019 and to transform the lives of people who have been previously been ‘stuck’ in institutional settings is in danger of being missed (BBC Radio 4). 

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Radio 4 Transforming Care- Is it working? The full episode is vailable on the BBCiPlayer Radio 

BBC News Shameful’ use of restraints on disabled patients

The Independent Restraint on adults with learning disabilities soars by nearly 50% in a year, figures show

See also: The Guardian Physical restraint used on 50% more NHS patients with learning disabilities

CQC calls for new national guidance to improve sexual safety on mental health wards

Care Quality Commission | September 2018 | Sexual safety on mental health wards

The Care Quality Commission (CQC) report -Sexual Safety on Mental Health Wards report- shares  findings and recommendations after reviewing incidents related to sexual safety on mental health wards. 

Their analysis of almost 60,000 reports found 1,120 sexual incidents involving patients, staff, visitors and others described in 919 reports – some of which included multiple incidents. More than a third of the incidents (457) could be categorised as sexual assault or sexual harassment of patients or staff.

Safety
Image source: cqc.org.uk

 

Providers and people who use services told CQC:

  1. People who use services do not always feel that they are kept safe from unwanted sexual behaviour
  2. Clinical leaders of mental health services do not always know what is good practice in promoting the sexual safety of people using the service and of their staff
  3. Many staff do not have the skills to promote sexual safety or to respond appropriately to incidents
  4. The ward environment does not always promote the sexual safety of people using the service
  5. Staff may under-report incidents and reports may not reflect the true impact on the person who is affected
  6. Joint-working with other agencies such as the police does not always work well in
  7. practice (Source: CQC)

Read the press release in full from CQC 

The report is available as a summary, easy to read format or in full from CQC

Of interest:

The BMJ  CQC: Trusts must do more to protect mental health patients from sexual abuse

Nursing Times CQC warning on sexual incidents in mental health settings

In the media:

The Guardian NHS care regulator says sexual incidents ‘commonplace’ in mental health units

Resources to support safer bowel care for patients at risk of autonomic dysreflexia

NHS Improvement | July 2018 | Resources to support safer bowel care for patients at risk of autonomic dysreflexia


A Patient Safety Alert has been issued signposting resources to support safer provision of bowel care for patients at risk of autonomic dysreflexia (AD).

The Patient Safety Alert can be read here 

NHS Improvement has also signposted a number of resources on their website 

Resources to support safer modification of food and drink

NHS Improvement | June 2018Resources to support safer modification of food and drink

NHS Improvement has  issued a resource alert to eliminate use of the imprecise term ‘soft diet’ and assist providers with safe transition to the International Dysphagia Diet Standardisation Initiative (IDDSI) framework, which introduces standard terminology to describe texture modification for food and drink.


Resources to support safer modification of food and drink are here

In the media:

BBC News Patients ‘choked on hospital soft food’

The Telegraph  Safety alert after hospital patients choke on hash browns and peas

Mail Online Hundreds of NHS patients have choked, with two DYING, after being fed solid food when it should have been minced or puréed because they had difficulty swallowing, reveals damning report

Community pharmacies in England providing improved asthma and dementia care, NHS England figures show

NHS England | Improved asthma and dementia care from community pharmacists under new quality scheme |

Since April 2017, over 97 per cent of pharmacies – 11,410 out of approximately 11,700 – took part in the The Quality Payments Scheme, this  provides an incentive to deliver new clinical services, to encourage more people to use their local pharmacist.

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The scheme had three key foci:

  •  patient safety
  • patient experience
  • clinical effectiveness

Over 12,500 asthma patients at high risk of suffering a severe asthma attack have been identified and referred for a full asthma review, whilst 70,000 pharmacy staff have become ‘Dementia Friends’ in order to offer greater awareness regarding the needs of people with dementia. ​
The scheme ran between December 2016 and March 2018,  NHS England is currently considering how best to implement the successes of this scheme over the long-term.

The full details are available from NHS England