There is a fragility at the top of the health system, a lack of individual accountability. There is infantilisation of people who have been selected to be expert and dysfunction in the relationships between…
Uncategorised
‘Patients and families can be agents of improvement’
More than 20 years ago, my husband and I took our 15-year-old son Lewis to an American children’s hospital for elective thoracic surgery. Our 10-year-old daughter accompanied us. Four days later we made the lonely trip home with only our daughter. Our son left the hospital via another route: the morgue…
‘Principles provide the opportunity to do things differently’
Enormous emphasis has been placed on patient safety in the NHS in recent years and good progress has been made, for example, through the NHS Patient Safety Strategy, which at its core seeks to improve the way…
‘Patients inspired me to create a new service’
The national implementation of Martha’s Rule is a major step forward in the commitment to improve patient safety. It is a shame that it has come about following the unnecessary tragic death of 13-year-old Martha Mills. Unfortunately, Martha and her family are not the only ones to suffer…
‘A quiet revolution in patient safety’
Patient safety is at the heart of everything we do – how often have we heard this being stated by leaders of healthcare organisations? And yet, report after report on scandals which have happened in the…
Making change happen at scale
How do we make change happen at scale across a complex health system? It has been said that the best way to understand something is to try to change it. Through the sprint policy development meetings to devise the plan to make Martha’s Rule a success in England, we heard from…