Launch of Patients First

Wednesday December 14th 2012 saw the launch of Patients First. Angie Nisbet from Care by Design was privileged to be invited to the launch event. The purpose of Patients First is ‘to reduce death and harm in the NHS by campaigning for the UK Government to create policies and laws that ensure the NHS becomes open and accountable and we will actively support all those who raise concerns about patient safety’.

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Establish SEPSIS as a medical emergency and a clinical priority for the NHS

Sepsis is under-appreciated and under-recognized. It is a disease process which can affect people of any age, including people who are normally well. It claims more lives than lung cancer, and more lives than breast cancer, bowel cancer and prostate cancer combined. There is no reliable way to prevent sepsis, and no vaccine. The key to saving lives lies in early recognition and immediate treatment. The Global Sepsis Alliance and United Kingdom Sepsis Group are calling for sepsis to be recognized as the medical emergency it is.

Please Sign the E Petition Today – we need to take action now!

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The Compass for Transformation

The Compass for Transformation is an Organisational Development Framework for Organisations to help them understand where they need to balance their improvement energies to effect true transformation. The Compass represents the need to have a sense of direction – ‘true north’ in respect of healthcare this has to be giving the best patient experience at the greatest value for money.

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Nurse Present During Consultant Led Ward Rounds Only 59% of the Time

Gordon Caldwell; Consultant Physician’s team has published an article in Nursing Management showing that in the last 2 years during 1921 patient reviews on 146 Consultant led ward rounds, a nurse was present at the bedside on only 59% of case reviews. (Nursing Management July 2011 Volume 18 pages 32 to 35). These were General Medical rounds in a DGH, and a mixture of routine and post take rounds.

So 41% of the time there was no nurse to contribute to the decisions making, understand the management plan, implement care, understand the need for observation, able to explain their decisions to patients etc. On 16% of reviews the team were unable to find a nurse to talk with about the patient at all, during the time we were on the ward.

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All Change for the new NHS

I feel like saying – ‘oh no; here we go again! Rearranging the deck chairs’. What is it that Petronius famously said? “We trained hard, but it seemed that every time we were beginning to form up into teams, we would be reorganised. I was to learn later in life that we tend to meet any new situation by reorganising; and a wonderful method it can be for creating the illusion of progress while producing confusion, inefficiency, and demoralisation.

On the positive side of things I liked David Nicholson’s letter to the NHS even if it was a little long (15 pages). I liked his commitment to seeing the NHS as a system and not as an organisation; his commitment to managing the transition this time as well. We forget that

humans + change = transition.

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