Health Care Risk report Vol.15, Issue 6, May 2009

Patient safety continues to be a focus at the highest level, with Parliament’s health committee grilling the great and good over care failings at the Mid Staffordshire Foundation NHS Trust. The Healthcare Commission’s report on this trust – one of the last that it produced before becoming part of the Care Quality Commission – shows that the NHS still far to go to achieve a true patient safety culture.

Clinicians and managers throughout the NHS are putting a lot of hard work into patient safety and it is to be hoped that as time goes on this work will bring results. However, improved safety has been hard to demonstrate in the USA, as John Tingle points out in this issue, in spite of their having started work on this issue earlier than us.

Also in this issue of Health Care Risk Report (HCRR), investigation expert Maria Dineen provides some useful pointers on report writing while Josephine Ocloo talks about the expertise and knowledge that patients and relatives have to offer patient safety work in the NHS.

Also in the May issue of Health Care Risk Report :

– An analysis of the Healthcare Commission’s report on NHS boards and patient safety, by Stuart Emslie, editor of Healthcare Governance Review

– The success of the Speedy Resolution Pilot in Wales

– Professional evidence to the health committee

– Medication safety and pharmacists’ new professional body

– Expert comment on “failure to refer” in general practice, the care and treatment of mental health service user Daniel Gonzales, and a fatal fall from a hoist in a care home.

If your organisation does not currently subscribe to HCRR then please consider doing so. A subscription form can be downloaded here. You can also subscribe to the free ‘Health Care Risk Report e-zine’ newsletter.

Declaration of interest: Stuart Emslie, editor of Healthcare Governance Review, is on the editorial advisory board of, and is a regular contributor to, Health Care Risk Report.

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