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.
Providers and people who use services told CQC:
People who use services do not always feel that they are kept safe from unwanted sexual behaviour
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
Many staff do not have the skills to promote sexual safety or to respond appropriately to incidents
The ward environment does not always promote the sexual safety of people using the service
Staff may under-report incidents and reports may not reflect the true impact on the person who is affected
Joint-working with other agencies such as the police does not always work well in
NHS Improvement | June 2018 | Resources 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 arehere
NHS Improvement has published A just culture guide. This guide encourages managers to treat staff involved in a patient safety incident in a consistent, constructive and fair way. It supports a conversation about whether a staff member involved in a patient safety incident requires specific individual support or intervention to work safely.
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.
The scheme had three key foci:
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 Never Events policy and framework sets out the NHS’s policy on Never Events. It explains what they are and how staff providing and commissioning NHS-funded services should identify, investigate and manage the response to them.
Never Events are serious incidents that are entirely preventable because guidance or safety recommendations providing strong systemic protective barriers are available at a national level, and should have been implemented by all healthcare providers.
The main changes to the revised policy and framework are:
the removal of the option for commissioners to impose financial sanctions on trusts reporting Never Events
to align the Never Events policy and framework with the Serious Incident framework, to achieve consistency across the two documents (a revised Serious Incident framework will be published later in 2018)
revisions to the list of Never Events, including two additional types of Never Event.
This CQC report offers practical examples of how leading emergency departments are meeting the challenges of managing capacity and demand, and managing risks to patient safety .
This report from the Care Quality Commission details the good practice identified following the Commission’s work with consultants, clinical leads, senior nursing staff and managers from leading emergency departments in 17 NHS acute trusts.
This resource identifies:
strategies staff use to meet the challenge of increased demand and manage risks to patient safety
positive actions to address potential safety risks and to manage increased demand better
how working with others can manage patient flow and ensure patients get the care they need
that rising demand pressures in emergency departments are an issue for the whole hospital and local health economy.