All Regulation/inspection articles
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CommentThe NHS risks going backwards on patient safety
NHS organisations are beginning to shift from blame-focused incident management to systems-based learning. But with old cultures still deeply embedded and operational pressures mounting, leaders and regulators must actively resist a return to defensive, compliance-driven thinking
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Expert BriefingPatient Safety Watch: Maternity safety reflections surface familiar concerns
HSJ hosts the Patient Safety Watch newsletter, written by Patient Safety Watch chair Jeremy Hunt
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NewsConfusion over ‘corridor care’ obscuring safety risks
The NHS has been told by a safety watchdog to agree a universal definition of “corridor care” following a row over the terminology used to describe the practice.
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NewsCEO turnover hits 25% as ‘scrutiny ratchets up’
One in four trusts saw their chief executive change last year, which senior figures say reflects “onerous” performance management being “ratcheted up” – and a problem retaining leaders.
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NewsNHSE to scrutinise provider’s management
One of the NHS’s biggest independent providers must review its executive team and regularly report on its cashflow, under special measures agreed with NHS England.
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NewsUnit’s bullying culture ‘allowed to persist and fester’
A culture of bullying and harassment has been allowed to “persist and fester” at a major hospital maternity department, showing two years’ improvement work had “failed”, a coroner has said.
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NewsTrust takes control of ‘toxic’ service at ‘under siege’ neighbour
A small hospital’s general surgery service is being taken over by a neighbour, after a review found “unacceptable” care standards and reported concerns about a “toxic culture”.
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NewsTwenty failing trusts need new ‘intervention’ approach, says Mackey
NHS England’s interventions for the trusts with the biggest problems “haven’t really worked” and will be reconsidered in the new year, Sir Jim Mackey has said.
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CommentChristmas means cyber attacks
The NHS’s annual December stress test reveals a fundamental flaw in cyber governance: when competing pressures from security teams, IT departments, clinical services and boards collide, critical vulnerabilities are identified but cannot be addressed, creating a predictable pattern of unresolved risk
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NewsNHSE orders daily reporting on maternity pressures
NHS England is requiring hospitals to report to it every morning on the state of their maternity and neonatal services, in what some leaders say is an echo of the “command and control under covid”.
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NewsMaternity review trusts delivered ‘better care than expected’, CQC finds
Only two of the 12 trusts involved in the government’s national investigation into maternity services delivered care that was “worse than expected”, according to a Care Quality Commission survey.
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CommentIn search of clarity about integrated health organisations
Integrated health organisations represent a fundamentally different way of commissioning care, but NHS oversight metrics and league tables are pulling in the opposite direction of the collaboration they require to succeed, analysis suggests
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NewsNational maternity review branded ‘light touch’
The “rapid national investigation” into maternity care failings launched by Wes Streeting will not formally evaluate the performance of the 12 trusts involved, it has emerged, as families criticised the government’s “light touch” approach.
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NewsResident doctor charged with sexual assaults of 38 patients
A former resident doctor has been charged with sexually assaulting 38 patients who were in his care.
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Expert BriefingPatient Safety Watch: Leeds failures highlight the tragic costs of ‘normal birth’ ideology
HSJ hosts the Patient Safety Watch newsletter, written by Patient Safety Watch chief executive James Titcombe
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CommentImproving performance means investing in managers
A new report argues that professionalising NHS management is essential for delivering the government’s 10-Year Health Plan, as public satisfaction hits record lows and workforce strain intensifies across the service
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Expert BriefingPatient Safety Watch: Jeremy Hunt: I was told we had moved on from ‘normal birth’ ideology – I was misinformed
HSJ hosts the Patient Safety Watch newsletter, written by Patient Safety Watch chair Jeremy Hunt
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CommentBoards must take their responsibility for cyber security more seriously
Cyberattacks keep crippling NHS services not due to missing technology, but predictable board-level governance failures that leave known vulnerabilities unaddressed
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NewsNational maternity probe ‘not apportioning blame’
The national maternity safety inquiry launched by Wes Streeting will “not investigate failing trusts or apportion blame”, its leader has said – drawing criticism from campaigning families.
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News‘Advanced FTs’ will be able to use revenue to fund capital projects
The new advanced foundation trusts will be allowed to save up and then reinvest their revenue surpluses into capital projects, according to guidance out for consultation.