Help influence patient safety improvements through NHSE consultation
NHS England has launched a consultation seeking views on whether the existing Never events framework remains an effective mechanism to support patient safety improvement. Never Events are defined as patient safety events that are ‘wholly preventable’ because of the existence of strong systemic protective barriers …
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New maternity team reviews
As maternity services continue to feature in the news, our Practitioner Performance Advice function has launched its new maternity team review offering. The maternity team review is targeted specifically at maternity teams. It: recognises the key roles that members from the multidisciplinary team play in …
Case of note: Anna Callaghan v. South Tees Hospitals NHS Foundation Trust (High Court, 19 May 2023 – Ellenbogen J.)
Introduction This case involved the death of a week-old baby, following initial discharge from hospital, from Group B Streptococcus bacterial meningitis and septicaemia. Allegations centred on the midwifery care. The judgment is lengthy, amounting to 131 paragraphs and 53 pages, so this report is necessarily …
Primary Care Appeals offers support to integrated care boards, including upcoming workshops
As integrated care boards (ICBs) embed and assume primary care commissioning functions, our Primary Care Appeals service this month contacted primary care (commissioning) leads at ICBs to highlight the role that the service plays in the NHS, its relevance to the work of ICBs and …
New NHS Resolution podcast shines light on emergency department claims
NHS Resolution is pleased to launch a new podcast episode: ‘Learning from emergency department claims’. The episode brings together guests working in emergency medicine to discuss clinical negligence claims related to the emergency department, and how insights from claims data can be used to help …
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NHS Resolution Conference: ‘Implementing recommendations: shared insights to reduce claims in emergency medicine’
Thank you to everyone that attended our face-to-face national emergency medicine conference on Monday 9 October 2023, Implementing recommendations: shared insights to reduce claims in emergency medicine. The conference followed our highly successful maternity conference last year. We were delighted to be joined by 150 …
New Insights: Exclusion trends and evaluation of NHS Resolution resources to manage exclusions
Our Practitioner Performance Advice service has published its latest Insights paper: Exclusion trends and evaluation of NHS Resolution resources to manage exclusions. This looks at episodes of formal exclusion in England on which advice was requested in the four year period 2019/20 to 2022/23. It …
Case of note: McCulloch (deceased) v. Forth Valley Health Board (Supreme Court – 12 July 2023)
Introduction This is an important ruling on consent to medical treatment by the Supreme Court, which clarifies an aspect of their landmark ruling in Montgomery v. Lanarkshire Health Board in 2015. Details Mr. McCulloch was admitted to hospital with severe chest pains on 23 March …
