NHS safety culture: reducing never events The Care Quality Commission has published Opening the door to change: NHS safety culture and the need for transformation.  This report examines the underlying issues in NHS trusts that contribute to the occurrence of Never Events and the learning that can be applied…

Maternal and neonatal health safety collaborative – NHS Improvement Updated: Update to support offer section to include driver diagrams and change package resources. A three-year programme to support improvement in the quality and safety of maternity and neonatal units across England. Risk of harm from inappropriate placement of pulse oximeter probes – NHSI…

Bereavement care in neonatal units Sands and Bliss have published Audit of bereavement care provision in UK neonatal units 2018.  This joint audit of bereavement care provision finds that despite instances of good practice by individual nurses and doctors across the country, many neonatal services are not set up to…

  Integrating care: systematic review The National Institute for Health Research has published Ways of integrating care that better coordinate services may benefit patients.  This systematic review, part of the NIHR Signal series, looks at international literature to understand how new care models may affect patients, providers and systems.    It…

Improving staff retention: key conversations to have with your staff – NHS Employers  Understanding what matters to staff can help overcome retention challenges. Aimed at employers, this guide explores when and how to have these conversations and includes practical tips and examples from a number of NHS organisations. Never too busy…

Voluntary scheme for branded medicines The Department of Health and Social Care has published The 2019 voluntary scheme for branded medicines pricing and access.  This paper sets out an agreement between DHSC and the Association of the British Pharmaceutical Industry on getting the best value and most effective medicines into…