Healthcare Sector

COVID-19 – the implications for investigating

COVID-19, as the disease is known, has created a formidable workload for our healthcare system over the last couple of months, whether it is building the NHS Nightingale Hospitals, re-organising acute hospitals or building new apps to track the spread of the disease.  Many healthcare organisations have been on a ‘war’ footing.  Almost all healthcare …

COVID-19 – the implications for investigating Read More »

Clinical Negligence – Time to turn to the tide

A new year and a new decade find many NHS trusts facing the same problems. In January this year the BBC released an article addressing the huge legal fees the NHS faces. The fees are to settle outstanding claims of clinical negligence, once again highlighting the failure of many organisations around the UK to tackle …

Clinical Negligence – Time to turn to the tide Read More »

Should we be worried about the end of the National Confidential Inquiry into Suicide and Homicide?

Jonathan Zito and Christopher Clunis? Mary Povey and Raymond Sinclair? Lin and Megan Russell and Michael Stone? I wouldn’t be surprised if these names didn’t mean anything to you. Why should they? Well, Jonathan, Mary, Lin and Megan were all victims of homicides committed by patients in the care of NHS mental health services during …

Should we be worried about the end of the National Confidential Inquiry into Suicide and Homicide? Read More »

10 Important Things to Take Away from the New NHS Patient Safety Strategy

“We are not here to curse the darkness, but to light the candle that can guide us through that darkness to a safe and sane future.” (John F Kennedy, 1960) At its heart patient safety is all about making sure we are continuously learning – not only from the things that go wrong- but also …

10 Important Things to Take Away from the New NHS Patient Safety Strategy Read More »

Data protection – keeping on the right side of the law

Data protection is tricky … even for those with the deepest minds! The Information Commissioner’s ruling in 2017 that the Royal Free Foundation Trust failed to comply with the Data Protection Act when it gave Google access to its patient data must have sent shivers down the spines of many people involved in IT and …

Data protection – keeping on the right side of the law Read More »

The power of investigations – ending the loop of ‘lessons must be learned’

‘Lessons must be learned’ It is a sad fact that in many parts of the public sector the phrase ‘lessons will be learned’ has become seriously devalued. There is no doubt that senior leaders are genuine when they include this phrase high-up in their response to families, regulators or media following a public shaming. But …

The power of investigations – ending the loop of ‘lessons must be learned’ Read More »

Eva hits two key milestones – G-Cloud and AppSource

The Eva Investigation Application reached two important milestones this month as it has been accepted as a listing on the government’s G-Cloud 11 framework and on Microsoft’s AppSource platform. These listings will simplify and streamline the access to this important tool for serious incident investigations for healthcare organisations. G-Cloud Framework The G-Cloud framework is part …

Eva hits two key milestones – G-Cloud and AppSource Read More »

Eva: A change is gonna come to serious incident investigation practices

Verita, one of the founding companies of Eva, has carried out hundreds of investigations in healthcare over the last 17 years. From Leeds paediatric cardiac surgery to Myles Bradbury to the death of Elizabeth Rourke at Jersey General Hospital. We have also undertaken numerous serious incident investigations or supported healthcare organisations to carry out their …

Eva: A change is gonna come to serious incident investigation practices Read More »

Making healthcare the high reliability service it should be

“Making improvements to patient safety comes second place to sorting out problems with the investigative process” A director of nursing of a large teaching trust told me this late last year. The CCG and her own governance team were weighed down with questions about the quality of internal investigations and matters of deadline breaches. No …

Making healthcare the high reliability service it should be Read More »

Black Box Thinking for the Healthcare Sector

A few months back I wrote a blog that touched upon Mathew Syed’s book – ‘Black Box Thinking’. It discusses the “willingness and tenacity to investigate thelessons that often exist when we fail, but which we rarely exploit.” Furthermore, “It is about creatingsystems and cultures that enable organizations to learn from errors, ratherthan being threatened …

Black Box Thinking for the Healthcare Sector Read More »

Scroll to Top