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HSIB Investigation report – transition from child mental health services to adult

HSIB Investigation report – transition from child mental health services to adult

by admin | Jul 10, 2018 | Policy & Investigation, Primary & Social Care, Secondary Care

This investigation followed the Healthcare Safety Investigation Branch being notified of an 18-year-old who died by suicide shortly after transitioning from child and adolescent to adult mental health services. The investigation identified possible issues regarding...
HSIB first national investigation report – wrong prosthesis

HSIB first national investigation report – wrong prosthesis

by admin | Jun 28, 2018 | Policy & Investigation, Primary & Social Care, Secondary Care

The Healthcare Safety Investigation Branch (HSIB) has published its first investigation report relating to a surgical never event. The patient is a 63-year-old man who underwent hip replacement surgery. During this surgery, incompatible components were used. The error...
Draft Health Service Safety Investigations Bill

Draft Health Service Safety Investigations Bill

by admin | Jun 28, 2018 | Policy & Investigation, Primary & Social Care, Secondary Care

The draft bill proposes setting up the Health Service Safety Investigations Body (HSSIB). The HSSIB will conduct investigations which focus on learning from patient safety incidents in the NHS, to reduce health care harm and improve patient care. The draft bill allows...
Williams Review into gross negligence manslaughter in healthcare

Williams Review into gross negligence manslaughter in healthcare

by admin | Jun 28, 2018 | Culture, Policy & Investigation, Primary & Social Care, Secondary Care

The review makes recommendations to support a more just and learning culture in the healthcare system. It covers: the process for investigating gross negligence manslaughter reflective practice of healthcare professionals the regulation of healthcare professionals...
Revised Never events policy

Revised Never events policy

by admin | Jan 17, 2018 | Policy & Investigation, Primary & Social Care, Secondary Care

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. It is relevant to all NHS-funded...
NMC Consultation on standards of proficiency for registered nurses

NMC Consultation on standards of proficiency for registered nurses

by admin | Sep 4, 2017 | Policy & Investigation, Primary & Social Care, Secondary Care

The NMC have currently gone out to consultation on the draft standards in proficiency for registered nurses, the deadline for the consultation is the 12th September 2017. We believe that nurses’s of the future require not only great insight into their patients needs,...
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