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Foreword

The NHS touches all of our lives at times of basic human need when care and compassion are what matter most. At the very heart of this compassion is our fantastic workforce. Made up of a rich community of professions, experiences and backgrounds, our people truly are our most precious asset. People professionals – those […]

Guidance on ‘pausing’ LVS, HH/HH+ and VC sites

Classification: Official Publication approval reference: C1640 Background From April to September 2022 we consider that vaccination sites will be either: Site type Definition Action required Active sites Sites continuing to vaccinate even at low levels of activity.   Active sites may subsequently close/pause to meet system needs.   By exception, requests for new sites can […]

Diagnosis and management of supraglottitis

Through its core work to review recorded patient safety events, the National Patient Safety Team were made aware of issues around the diagnosis and management of epiglottitis. Following the death of an adult from acute epiglottitis, the Chief Medical Officer alerted the team to concerns regarding a potential lack of knowledge and awareness of the […]

Unintended bolus of medication if infused at speed from residual space in giving set

Through its core work to review recorded patient safety events, the National Patient Safety Team identified a report outlining the possibility for delivery of an unintended bolus of intravenous medication. A patient was given a fluid infusion at the end of their surgical procedure using the same intravenous (IV) line that had been used earlier […]

Assessment of risk of venous thromboembolism (VTE) when prescribing combined hormonal contraceptives

Through its review of recorded patient safety events, the National Patient Safety Team identified an issue where a patient sadly died after no assessment of lifestyle factors was made during a remote consultation, before being prescribed combined hormonal contraception (CHC). When taking CHC there is a small risk of VTE. This risk is increased in […]

Testing ammonia levels in children

Through its review of recorded patient safety events, the National Patient Safety Team identified issues where the diagnosis of hyperammonaemia (raised ammonia levels in the blood) in children was delayed due to issues preventing the timely analysis of blood samples. The team’s analysis of incidents reported to the National Reporting and Learning System (NRLS) found […]

Widening the range of people thinking about wellbeing

Torbay and South Devon NHS Foundation Trust used the Health and Wellbeing Framework to encourage more people to consider workforce wellbeing in their day to day roles What we’ve done Who we are Torbay and South Devon NHS Foundation Trust is an integrated organisation providing acute hospital services, community health services and adult social care. […]

Framework shaped new wellbeing role

University Hospitals Plymouth NHS Trust used the Health and Wellbeing Framework to shape a new Head of Wellbeing role What we’ve done Who we are University Hospitals Plymouth NHS Trust is the largest teaching hospital trust in South West England. We employ almost 10,000 staff working in 350 different roles and have hundreds of volunteers. […]

Choosing 2 elements of wellbeing to focus on first

Chelsea and Westminster Hospital NHS Foundation Trust focused on 2 components of the Health and Wellbeing Framework to help prioritise activities What we’ve done Who we are Chelsea and Westminster Hospital NHS Foundation Trust employs more than 6,000 staff in two hospital sites and 12 community-based clinics in London. We have over 1,000 beds and […]