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NHS patient safety 'must improve' | NHS patient safety 'must improve' |
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More needs to be done to improve standards of safety in the NHS and independent sector, a watchdog says. | More needs to be done to improve standards of safety in the NHS and independent sector, a watchdog says. |
The Healthcare Commission said that while most patients received safe care, standards were inconsistent in England and Wales. | The Healthcare Commission said that while most patients received safe care, standards were inconsistent in England and Wales. |
The watchdog said there was no clear indication on the number of deaths that could be avoided. | The watchdog said there was no clear indication on the number of deaths that could be avoided. |
It also raised concerns about a range of other areas, including mental health care and health inequalities. | It also raised concerns about a range of other areas, including mental health care and health inequalities. |
The annual State of Healthcare report draws on data from surveys, focus groups and inspections. | The annual State of Healthcare report draws on data from surveys, focus groups and inspections. |
It's frustrating that in 2006 we do not have a clearer idea of how many people die or are harmed when this could have been avoided Sir Ian Kennedy, of the Healthcare Commission | It's frustrating that in 2006 we do not have a clearer idea of how many people die or are harmed when this could have been avoided Sir Ian Kennedy, of the Healthcare Commission |
The report said patient satisfaction levels remained high, and waiting lists had fallen in the last five years. | The report said patient satisfaction levels remained high, and waiting lists had fallen in the last five years. |
But it said attention had to be focussed on four areas: safety; designing services around patients; reducing inequalities in health; and tackling services for people with mental health problems, learning disabilities, older people and children. | But it said attention had to be focussed on four areas: safety; designing services around patients; reducing inequalities in health; and tackling services for people with mental health problems, learning disabilities, older people and children. |
Healthcare Commission Chairman Sir Ian Kennedy said: "There are real improvements to applaud and celebrate. These are having a genuine impact on people's lives with many waiting less time for care and experiencing better treatment." | Healthcare Commission Chairman Sir Ian Kennedy said: "There are real improvements to applaud and celebrate. These are having a genuine impact on people's lives with many waiting less time for care and experiencing better treatment." |
But he added: "It's frustrating that in 2006 we do not have a clearer idea of how many people die or are harmed when this could have been avoided." | But he added: "It's frustrating that in 2006 we do not have a clearer idea of how many people die or are harmed when this could have been avoided." |
Safety | Safety |
To illustrate his point, he said the National Audit Office could only estimate the number of deaths as a result of patient safety incidents ranged from 840 to 34,000. | To illustrate his point, he said the National Audit Office could only estimate the number of deaths as a result of patient safety incidents ranged from 840 to 34,000. |
The report revealed in the NHS, one in 10 trusts could not confirm that they fully met core standards on safety. | The report revealed in the NHS, one in 10 trusts could not confirm that they fully met core standards on safety. |
In the independent sector, one in 10 providers were ordered to improve the management of risks last year. | In the independent sector, one in 10 providers were ordered to improve the management of risks last year. |
And the Healthcare Commission said 22% of the complaints it handles related to safety. | And the Healthcare Commission said 22% of the complaints it handles related to safety. |
Safety includes areas such as infection control and drug administration. | Safety includes areas such as infection control and drug administration. |
The report also marks the first publication of an overview of standards in the independent sector in England, which includes both private and voluntary providers. | The report also marks the first publication of an overview of standards in the independent sector in England, which includes both private and voluntary providers. |
Some 50% of providers met all 32 minimum standards, but one in 10 failed five or more - broadly in-line with NHS organisations. | Some 50% of providers met all 32 minimum standards, but one in 10 failed five or more - broadly in-line with NHS organisations. |
Jo Webber, deputy director of policy at the NHS Confederation, said some things were improving with many trusts now actively encouraging their staff to report incidents. | Jo Webber, deputy director of policy at the NHS Confederation, said some things were improving with many trusts now actively encouraging their staff to report incidents. |
"Communication to staff and patients is key here, but can often be a challenge in large and complex organisations." | "Communication to staff and patients is key here, but can often be a challenge in large and complex organisations." |
And shadow health secretary Andrew Lansley added: "It is a shame that this willingness to improve patient safety is not shared by the Department of Health. | And shadow health secretary Andrew Lansley added: "It is a shame that this willingness to improve patient safety is not shared by the Department of Health. |
"In December 2003, the Chief Medical Officer ordered a national audit of deaths caused by hospital-acquired infections. We are still waiting for it to be published." | "In December 2003, the Chief Medical Officer ordered a national audit of deaths caused by hospital-acquired infections. We are still waiting for it to be published." |