Issue 33 – January 2011

National news

Focus on outcomes to improve quality of patient care
The NHS Outcomes Framework, recently published by the DoH sets the direction of travel for improving quality outcomes in five areas: preventing people from dying prematurely; enhancing the quality of life for people with long-term conditions; helping people to recover from episodes of ill health or following injury; ensuring that people have a positive experience of care; and ensuring people are treated in a safe environment and protecting them from avoidable harm.

Action required: To be read by all clinicians and managers.

2011/12 NHSLA Risk Management Standards
The following manuals, containing the risk management standards for assessment from 1 April 2011, have been released:

·
NHSLA Acute, Community, MH & LD and Independent Sector Standards - 2011/12
· NHSLA Ambulance Standards - 2011/12
· CNST Maternity Standards - 2011/12

For 2011/12, the standards for NHS acute, community and mental health & learning disability trusts have been combined in one manual, together with those for independent providers of NHS care, to reflect the ongoing reconfiguration of services as part of the transforming community services initiative.


Action required: To be read by all governance and risk managers.

Patients to be at the heart of A and E and ambulance careFrom April 2011, Accident and emergency departments and ambulance trusts will in future assess their performance against a set of eight new clinical quality indicators that promote quality and patient safety.

Action required: To be read by all A&E clinicians and managers.

The Back on Track Framework for Further Training: Restoring practitioners to safe and valued practice
This guide sets out how the National Clinical Assessment Service (NCAS) approaches work with practitioners for whom further training is proposed as a means of resolving concerns about practice or supporting a return to work programme. The concerns might relate to knowledge or skill gaps or behaviours and might have been identified in a variety of ways, from formal NCAS or regulator assessment to local investigation or other governance activity.

Action required: To be read by all workforce development managers.

NPSA awards Clinical Outcome Review Programme contracts
The Clinical Outcome Review Programme will assess quality of care and promote improvements in patient safety by enabling clinicians, managers and policy makers to learn from adverse events and from examples of good practice. The programme contains four elements: Medical and Surgical, Mental Health, Maternal and Newborn and Child Health. The contract for Child Health has been awarded to the Royal College of Paediatrics and Child Health. They will retrospectively examine all cases of severe harm or death in children aged 1-18 to establish whether appropriate standards of care were met and if the severe harm or death was avoidable.


Action required: To be read by all clinicians and managers.

NICE publishes first-ever guideline to improve safety standards for child sedation
This publication considers important issues in this area of practice, including the psychological preparation of children and detailed pharmacology of drugs used for different clinical scenarios where sedation may prove beneficial; both are important parts of what is a multi-faceted continuum of care.

Action required: To be read by all paediatric clinicians and managers.

Patients deserve better out of hours care, says RCP President
A new survey from the Royal College of Physicians recommends that hospitals need to increase the availability of senior doctors in acute admissions units, particularly at weekends. Only 3% of hospitals provided weekend cover from consultant physicians specialising in acute medicine for 9 – 12 hours and none for over 12 hours. Nearly three-quarters of hospitals in the survey had no cover from consultant physicians specialising in acute medicine over the weekend.

Action required: To be read by all A&E clinicians and managers.

Survey shows half of NHS hospitals cannot provide emergency surgery for sick children
A survey conducted by the Royal College of Surgeons’ Children’s Surgical Forum found that children who need common, general or urological operations face delays or long journeys to specialist centres for routine elective and emergency surgical care, and suggests that a shortfall in safe, sustainable and accessible General Paediatric Surgery (GPS) in District General Hospitals will continue unless local hospitals adopt measures to share resources, services and expertise ...

Action required: To be read by all A&E and paediatric clinicians and managers.


This bulletin is brought to you by Library and Knowledge Services. It aims to keep you up-to-date with infection control issues. At the beginning of each month, a librarian will update the bulletin with relevant information published in the preceding month. If there are areas you think we also need to cover,
please let us know.

Issue 33 – January 2011

Issue 33 – January 2011 of the Clinical Governance Current Awareness Bulletin has just been published by Library and Knowledge Services

National news

Focus on outcomes to improve quality of patient care
The NHS Outcomes Framework, recently published by the DoH sets the direction of travel for improving quality outcomes in five areas: preventing people from dying prematurely; enhancing the quality of life for people with long-term conditions; helping people to recover from episodes of ill health or following injury; ensuring that people have a positive experience of care; and ensuring people are treated in a safe environment and protecting them from avoidable harm.

2011/12 NHSLA Risk Management Standards
The following manuals, containing the risk management standards for assessment from 1 April 2011, have been released:

·
NHSLA Acute, Community, MH & LD and Independent Sector Standards - 2011/12
· NHSLA Ambulance Standards - 2011/12
· CNST Maternity Standards - 2011/12

For 2011/12, the standards for NHS acute, community and mental health & learning disability trusts have been combined in one manual, together with those for independent providers of NHS care, to reflect the ongoing reconfiguration of services as part of the transforming community services initiative.


Patients to be at the heart of A and E and ambulance careFrom April 2011, Accident and emergency departments and ambulance trusts will in future assess their performance against a set of eight new clinical quality indicators that promote quality and patient safety.


The Back on Track Framework for Further Training: Restoring practitioners to safe and valued practice
This guide sets out how the National Clinical Assessment Service (NCAS) approaches work with practitioners for whom further training is proposed as a means of resolving concerns about practice or supporting a return to work programme. The concerns might relate to knowledge or skill gaps or behaviours and might have been identified in a variety of ways, from formal NCAS or regulator assessment to local investigation or other governance activity.

NPSA awards Clinical Outcome Review Programme contracts
The Clinical Outcome Review Programme will assess quality of care and promote improvements in patient safety by enabling clinicians, managers and policy makers to learn from adverse events and from examples of good practice. The programme contains four elements: Medical and Surgical, Mental Health, Maternal and Newborn and Child Health. The contract for Child Health has been awarded to the Royal College of Paediatrics and Child Health. They will retrospectively examine all cases of severe harm or death in children aged 1-18 to establish whether appropriate standards of care were met and if the severe harm or death was avoidable.


NICE publishes first-ever guideline to improve safety standards for child sedation
This publication considers important issues in this area of practice, including the psychological preparation of children and detailed pharmacology of drugs used for different clinical scenarios where sedation may prove beneficial; both are important parts of what is a multi-faceted continuum of care.

Patients deserve better out of hours care, says RCP President
A new survey from the Royal College of Physicians recommends that hospitals need to increase the availability of senior doctors in acute admissions units, particularly at weekends. Only 3% of hospitals provided weekend cover from consultant physicians specialising in acute medicine for 9 – 12 hours and none for over 12 hours. Nearly three-quarters of hospitals in the survey had no cover from consultant physicians specialising in acute medicine over the weekend.

Survey shows half of NHS hospitals cannot provide emergency surgery for sick children
A survey conducted by the Royal College of Surgeons’ Children’s Surgical Forum found that children who need common, general or urological operations face delays or long journeys to specialist centres for routine elective and emergency surgical care, and suggests that a shortfall in safe, sustainable and accessible General Paediatric Surgery (GPS) in District General Hospitals will continue unless local hospitals adopt measures to share resources, services and expertise ...


This bulletin is brought to you by Library and Knowledge Services. It aims to keep you up-to-date with infection control issues. At the beginning of each month, a librarian will update the bulletin with relevant information published in the preceding month. If there are areas you think we also need to cover,
please let us know.

This bulletin is brought to you by Library and Knowledge Services. It aims to keep you up-to-date with clinical governance issues. At the beginning of each month, a librarian will update the bulletin with relevant information published in the preceding month. If there are areas you think we also need to cover, please let us know.