A promise to learn – a commitment to act: improving the safety of patients in England
Recommendations to improve patient safety in the NHS in England. PDF, 359KB, 46 pages
We are recommending four guiding principles, among others, to help the English NHS get better faster, and I urge you to think about these and ask how you can help incorporate them into your own daily work.
- Place the quality and safety of patient care above all other aims for the NHS. (This, by the way, is your safest and best route to lower cost.)
- Engage, empower, and hear patients and carers throughout the entire system, and at all times
- Foster wholeheartedly the growth and development of all staff, especially with regard to their ability and opportunity to improve the processes within which they work.
- Insist upon, and model in your own work, thorough and unequivocal transparency, in the service of accountability, trust, and the growth of knowledge.
Don Berwick’s letter to the people of England PDF, 40.2KB, 2 pages
Is there a role for routine chest X-ray in diagnosing metastatic disease in invasive breast cancer patients?
This article was published in the European Journal of Surgical Oncology by Yogesh Jain, Jalal Kokan of Macclesfield District General Hospital, Macclesfield, UK
For staff and students of East Cheshire Trust
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A higher index of multiple socioeconomic deprivation predisposes to development of painful peripheral neuropathy in Type 1 diabetes.
Anderson S.G., Roberts H., Malipatil N., Dunn G., Heald A.H.
Diabetic Medicine. Conference: Diabetes UK Professional Conference 2013 Manchester United Kingdom. Conference Start: 20130313 Conference End: 20130315. Conference Publication: (var.pagings). 30 (pp 70), 2013. Date of Publication: March 2013.
Extract from NHS Employers
This short survey aims to gather views on the disciplinary framework for doctors and dentists employed by the NHS. The changes to the structure of the NHS and the introduction of medical revalidation have influenced the way in which the framework operates. Comments are being welcomed until 6th September 2013
Extract from PULSE
GP practices are being asked to report huge reams of data to NHS England so that their performance can be monitored and any ‘unwarranted variation’ can be investigated, it has emerged.
Practices are being asked to log onto an NHS England website to complete details on their surgery’s practice staff, suitability, premises and equipment, access to and availability of practice services, information about the practice and its procedures and its governance.
The ‘assurance management’ website, www.primarycare.nhs.uk, replaces the annual reports that were historically collected by PCTs, will allow for NHS England to spot any outliers and hold GPs to account in a ‘robust and fair’ way.
A public consultation on the future of Stafford Hospital opens later.
Administrators have said Mid Staffordshire NHS Trust should be dissolved, with many services at Stafford Hospital taken on by nearby hospitals. Under the plans, maternity services and seriously ill children would no longer be treated at Stafford.
The proposals, announced last Wednesday, were initially met with criticism by people in the area.
Extract from BBC Health news
Also in the news: Doctors in Stoke-on-Trent are insisting the city’s hospital will be able to cope if services are moved there from Stafford Hospital.
If you have visited the library since its move to New Alderley House, we would love to know what you think about the layout, the new drop-in space, journals, facilities, furniture, light, stock, accessibility, staff – in short, anything and everything you have an opinion on.
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Here’s a selection of content from this month’s BMJ – click on this link if you want to read the full issue.
In this module Best Practice begins with an overview, then goes on to emergencies, diagnosis and finally resources relating to this increasingly common syndrome.
Assessment of dementia
Dementia is a syndrome characterised by an appreciable deterioration in cognition resulting in behavioural problems and impairment in the activities of daily living. Decline in cognition is extensive, often affecting multiple domains of intellectual functioning.
The prevalence of dementia is approximately 1% at the age of 60 years, and doubles every 5 years, to reach 30% to 50% by the age of 85 years.
Continue reading at BMJ Best Best Practice
Finally: make sure you keep checking Google Play for the new Android version of the Best Practice App, and the app store for the updated version of the IOS Best Practice App.
SYMPTOM ASSESSMENT OF PATIENTS IN THE CHESHIRE BOWEL CANCER SCREENING PROGRAMME WITH A FINDING OF CANCER
1,*A Bond, 2J Everall, 2I London, K Koss. Gastroenterology, East Cheshire NHS Trust, Macclesfield; 2Gastroenterology/BCSP, Mid Cheshire Hospitals NHS Foundation Trust, Crewe, UK
When attending the bowel cancer screening (BSC) programme patients undergo pre-colonoscopy assessment of their symptoms. This is conducted by the specialist screening practitioner for the BCS programme. Following a diagnosis of bowel cancer at colonoscopy the questions were asked again, after a 3–6 month period. Comparison could then be made to assess the validity of the pre-assessment questionnaire. It would also allow us to look at whether patients reported all symptoms during pre-assessment.