One of the advantages of Wales being a small nation is that rapid improvement on a national scale is manageable within a short time. And yet, like almost every other nation on an improvement journey, ...
I had a conversation recently with two midwives. Both had been trained in shared decision making and had the ‘light bulb’ moment when they realised that, although they thought they’d been providing pe...
The Francis report reminded us that we have a long history of trying to improve the way complaints about health services are handled. Yet we still have a long way to go to make sure patients and famil...
Imagine you will no longer be allowed to live your life the way you have been used to. Instead you are to live in the jungle where you will remain for the rest of your days. You face an unfamiliar ...
Over the last few weeks – just as people are still trying to understand what Francis means and when the NHS is dealing with it’s own structural changes – we’ve seen safety very publicly rear its head ...
Data should play a fundamental role in assessing the performance of healthcare organisations. Yet NHS ‘culture’ – a theme so central to the Francis report – fundamentally mistrusts, undervalues and mi...
Following the Francis Inquiry, we need to look at the roles of Hospital Standardised Mortality Rates (HSMR) and Summary Hospital-level Mortality Indicators (SHMI). It may seem obvious – given that Mid...
In the 12 years since the establishment of the National Patient Safety Agency, there’s been concerted effort to improve patient safety, largely through the reporting of harm incurred during healthcare...
Spanning system boundaries is part and parcel of what charities aiming to improve healthcare do – we work with healthcare professionals, leaders, policy makers, people living with health conditions an...
Since the publication of Organisation with a Memory in 2000 there has been much progress on improving patient safety. The introduction of systematic incident reporting has raised awareness about the l...
