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As of 10/02/2025, we will no longer be posting on X. To keep up to date with our work, follow me on Bluesky and on LinkedIn, and bookmark our website.
ALT Patient Safety Commissioner: Listening to Patients Bluesky: https://bsky.app/profile/pscommissioner.bsky.social LinkedIn: https://www.linkedin.com/in/henrietta-hughes-psc/ Email: pscenquiries@patientsafetycommissioner.org.uk Website: patientsafetycommissioner.org.uk
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Wouldn’t it be better if the link to the Yellow Card was on the first page of all patient information leaflets? #MedSafetyWeek @MHRAgovuk
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Chief executives need to shift their focus from finances to patient safety - I'm addressing the #hsjpatientsafety conference in Manchester today in a keynote panel with @r_benneyworth @aidanfowler1000
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Get your voice heard! If you have suspected side effects or adverse incidents from medicines or medical devices, please use the Yellow Card reporting system #MedSafetyWeek @MHRAgovuk
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Devastated to hear of the tragic death of a second victim of pelvic mesh complications. It's not acceptable that women are dying waiting for mesh removal and redress
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Patient voice must be included in the independent investigation into NHS performance to be led by Lord Darzi, announced by the new Health Secretary Wes Streeting patientsafetycommissioner.or…
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I welcome today's news of the Martha's Rule rollout and pay tribute to Merope and Paul, Martha’s parents, for their incredible campaigning - I am delighted to have been asked by the Secretary of State to chair a stakeholder oversight group with NHS England and DHSC
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Patients should not have to join the dots of patient safety but when they do, they deserve to be listened to with respect – one of the key messages from my presentation to the Patient Safety Congress now @HSJptsafety
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Very helpful and informative meeting with Sir Christopher Chope MP who has set up the Covid-19 Vaccine Damage APPG #patientvoice #patientsafety
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Pleased that the Health Secretary Steve Barclay has asked me to convene NHS leaders with NHS England to look at introducing Martha’s Rule, to provide families with a second opinion on their child’s condition in hospital, building on existing schemes #MarthasRule
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Please can we stop using language that blames patients? Reading the National Commissioning Guidance for Specialist Mesh centres I am appalled to read this sentence. Surely the treatment fails the patient not the other way round? #patientvoice #patientsafety
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Why commission an independent review and not accept the recommendations in full? Nearly half of all correspondence I’ve received is from women still suffering from pelvic mesh implants. I will address this tomorrow at the Patient Safety Congress @HSJptsafety #meshredress
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Today is #WorldPatientSafetyDay. This year's theme is #ImprovingDiagnosis.
We want to reduce delayed, missed, and incorrect diagnoses.
Our principles for better patient safety, launching in October, could help address this issue.
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This morning's launch in Parliament of my report into redress options for those harmed by pelvic mesh and valproate heard how women were deceived, kept in the dark, and fobbed off and let down by the health system - read the report at patientsafetycommissioner.or…
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Following an engagement process with system leaders the recommendations on implementing Martha’s Rule have been sent to the Secretary of State - I hope the momentum will be maintained to enable implementation - see patientsafetycommissioner.or…
@meropemills
@pollycurtis
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Great to continue the conversation this evening about #RedressNow for patients and families harmed by #PelvicMesh and #Valproate
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Launch today of @NHS_RHO review of neonatal assessment in Black, Asian and minority ethnic newborns with @DrHNaqvi at @HouseofCommons Listening to patients & families, improving equity in medical devices & diagnosis to make maternal & neonatal healthcare safer & more inclusive.
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What people want is for medicine to be humanised, what we have is medicine that is industrialised - my message to the First Do No Harm APPG this morning @SarahGreenLD @natalieben @FeryalClark @EmmaHardyMP @SharonHodgson
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"Martha’s rule having ‘transformative effect’, NHS England data shows" - A great article by @denis_campbell shows the impact that Martha's Rule has had. theguardian.com/society/2024…
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Delighted to meet with @LaylaMoran, the new head of @CommonsHealth, and to hear she wants patient voice and experience at the centre of the Health and Social Care Committee's work
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I’ve met with politicians who don’t get the right information to keep people safe - information which is held back by officials - what I told the First Do No Harm All Party Parliamentary Group this morning
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Delighted to chair this afternoon's panel at the @WHO global conference in Geneva on engaging patients for patient safety introducing colleagues from across the world who have led improvements #WorldPatientSafetyDay
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We need mandatory Yellow Card reporting to reduce patient harm - read my latest blog at patientsafetycommissioner.or… @mhra @theHSSIB
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I am calling for patient safety to be included in the forthcoming NHS planning guidance - see my letter to NHSE chief executive Amanda Pritchard at patientsafetycommissioner.or…
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So delighted about the announcement today of #MarthasRule Thank you to @meropemills @paullaity @DHSCgovuk and @NHSEngland for making this possible patientsafetycommissioner.or…
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Delighted to chair the first Patient Safety Commissioner Advisory Group meeting with @buckinghamh @JuliaCumberlege @Mike-Durks @iangreen @rachelpower222. The group also comprises @LouiseAnsari @harveybelovski @Saffron_Policy @DrHNaqvi
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It has been a year since I launched the Hughes Report calling for redress for those harmed by #valproate and #pelvicmesh, however I never imagined that a year later I would still be waiting for a full response from the government.
Watch my interview with ITV: itv.com/news/granada/2025-02…
#HughesReport #PatientSafety #HearHerVoice #WomenBetrayed #AccountabilityNow
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I welcome the Commons Health and Social Care committee report @CommonsHealth on the need for proper financial redress for those harmed by pelvic mesh, sodium valproate, and pregnancy hormone tests - litigating against the manufacturers is not a sufficient way to right this
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So much to learn at the joint patient safety/ QI meeting today. What gets in the way? Siloed working. What makes the difference? Alignment with strategic goals and connection to patient partners & the front line #PSIRF #patientvoice #QI
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I'm looking forward to taking part in #WorldPatientSafetyDay on the 17th of September.
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Thanks to everyone who attended today's launch of my report into redress options for those harmed by pelvic mesh and valproate #redressnow - I await the government response
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I'm delighted to launch the first Patient Safety Principles to unify the healthcare system in changing the culture to keep people safe – see patientsafetycommissioner.or…
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Delighted to be addressing the Patient Safety Congress in Manchester tomorrow @HSJptsafety Paying tribute to the incredible people campaigning for years to highlight safety concerns in hormone pregnancy tests such as Primodos, pelvic mesh, and Sodium Valproate
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Don't miss my updated strategy setting out a vision for a new culture for the health system centred on listening to patients - see patientsafetycommissioner.or…
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Patients need information and data and they get this by using the Yellow Card system. Support the #MedSafetyWeek global campaign from the MHRA @MHRAgovuk
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We need a seismic shift in the way that patients and families’ voices are heard. This requires changes in legislation, regulation, policy, commissioning, education, professionalism, attitudes, behaviours, and culture
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Individual patients and families have campaigned for years and have had a huge impact on service design and delivery. They should not have to join the dots of patient safety. But when they do, they deserve to be listened to with respect #safercareforall
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I am pleased to see the joint statement from the GMC, the NMC and the CQC backing Martha’s Rule, pointing out that the new initiative supports care that is person-centred, responsive and aligned with high standards of professional practice. Read the story at patientsafetycommissioner.or…
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Ahead of #WorldPatientSafetyDay on Friday 15 September I’ll be hosting a webinar with @ptsafetylearn on the opportunities and barriers to increasing patient engagement for patient safety.
Register your place below⬇️
eventbrite.co.uk/e/webinar-e… #patientsafety
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It is great to see that patient safety is specifically mentioned in this year's NHS planning guidance but I want to see an explicit call on healthcare leaders to create a just and learning culture england.nhs.uk/wp-content/up…
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I have joined forces with @RobBehrens1884 the Parliamentary and Health Service Ombudsman to call for a change in the way complaints are handled - see our letter to the DHSC Permanent Secretary Chris Wormald at patientsafetycommissioner.or…
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In case you missed my new Patient Safety Principles last week they are available at patientsafetycommissioner.or…
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I launched the Hughes Report a year ago, on 7 February 2024. I never imagined that a year later I would still be waiting for a full response from the government. I am calling on the Government to respond.
#HearHerVoice
#WomenBetrayed
#AccountabilityNow
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Patients are still not being heard or getting the information they need. Even worse, the dismissive and defensive behaviours continue - my message at the launch of the IGHI report on the national state of patient safety imperial.ac.uk/media/imperia…
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It was really interesting to hear from @ParkinsonsUK about timely administration of medicines for people living with Parkinson’s. Even a 30 minute delay can have lasting consequences. I watched their short video & learned a lot. parkinsons.org.uk/profession… #patientsafety #getitontime
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Lots of great conversations at #HSJPatientSafetyCongress in Manchester where I joined the celebration of 60 years of Yellow Card reporting
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Delighted to launch my 100 Days Report patients-association.org.uk/… I have heard a yearning to put patient safety at the top of the agenda from patients, healthcare professionals and senior leaders and now is the time to listen to patients #PSC100DaysReport
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Want to shape the future of patient safety? Respond to my consultation on the new Principles of Better Patient Safety to keep patients safe at patientsafetycommissioner.or… #patientsafetyprinciples
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I have witnessed dismissive attitudes and dazzlingly poor behaviours from senior officials, senior NHS leaders and senior clinicians – and those who display these bizarrely protected
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This is very important in terms of justice for those harmed - I have heard from those harmed by pelvic mesh and sodium valproate and they all deserve redress
There will be so many feeling overwhelming joy and relief this morning. Last night’s vote comes off the back of decades of determined campaigning and an unwillingness to back down and settle for anything less than true justice.
bbc.co.uk/news/uk-politics-6…
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It was great to discuss patient voice with the Clinical Pharmaceutical Officer's Clinical Fellows today and how to embed this at the design and delivery of healthcare. I look forward to working in partnership. #patientvoice #pharmacy #leadership
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This research demonstrates the urgent need for better data on patient safety and the need for it to include data coming directly from patients themselves
Patient safety should be a global priority: Our new report, launched today, explores the state of #PatientSafety across the world, through case studies of excellence, a patient safety ranking and interactive data dashboard.
imperial.ac.uk/stories/globa…
@WatchPatient
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I am pleased that @NHSEngland has accepted my recommendation for a system to monitor the safe use of the most potent teratogenic medicines with a pregnancy prevention programme, starting with valproate - see patientsafetycommissioner.or… @JanetWilliams99 @Emma4facs @ValproateUK
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'Risk to patients increases when the conversation is all about money' - read the latest blog from the Patient Safety Commissioner at patientsafetycommissioner.or…
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It was great to speak about the Safety for All Campaign and the importance of patient and staff safety this afternoon in Westminster. Thank you very much to @helenh49 @_SHBN_ @ptsafetylearn @Quinn2966 #PatientSafety #StaffSafety
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I had the pleasure of meeting healthcare improvement expert Don Berwick at the recent Patient Safety Movement Foundation summit - read my reflections in the latest blog at patientsafetycommissioner.or…
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I am calling for #redressnow at today's launch of my report on redress options for those harmed by pelvic mesh and valproate - read the report at patientsafetycommissioner.or…
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Want to shape the future of patient safety? Respond to my consultation on the new Principles of Better Patient Safety to keep patients safe at patientsafetycommissioner.or…
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You have just three days to respond to my consultation on the draft Principles of Better Patient Safety at patientsafetycommissioner.or… - have your voice heard
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Patient safety relies on effective regulation so I welcome the @wesstreeting response to the shocking findings of the interim Dash report into the @CareQualityComm – leaders must develop systems that listen to the voices of patients and staff and work effectively to keep people safe
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One year on from the Hughes Report
It is one year since I published the Hughes Report on the options for redress for those harmed by #pelvicmesh and #valproate.
Read my blog post here: patientsafetycommissioner.or….
#HearHerVoice
#WomenBetrayed
#AccountabilityNow
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I am supporting #MedSafetyWeek this week to raise awareness of the importance of reporting suspected side effects of medicines and using the Yellow Card system - the theme this year is ‘who can report’ - join in and spread the word @MHRA
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Next week sees the launch of the Patient Safety Principles a new guide for leaders at all levels on designing and delivering safer care for patients and reducing avoidable harm - available at patientsafetycommissioner.or… from 23 October
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Get your views heard on how the duty of candour is being implemented by responding to the government review's call for evidence gov.uk/government/calls-for-…
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'Organisations that embrace the concept of patients as partners are in a stronger position to challenge assumptions about the patient’s journey' - read Eddie Kinsella, the Royal College of Physicians Patient and Carer Network Chair, blog on our website patientsafetycommissioner.or…
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I welcome the @IBInquiry for the way it puts the views of patients and families at the very centre which is vital to ensure that the right learning and actions are taken - now the Government have recognised the need for redress for patients harmed through healthcare, I look forward to a substantive response to my recommendations on valproate and pelvic mesh
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Watch the video of the launch event in Parliament of the Hughes report on redress options for those harmed by pelvic mesh and valproate at patientsafetycommissioner.or…
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It was great to hear @VictoriaAtkins discuss #MarthasRule on @BBCr4today Thank you for elevating the voice of patients and families to keep people safe. Next steps? I’m chairing the Martha’s Rule working group in 2024@meropemills @paullaity
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Just finished reading ‘When the dust settles’ - you have touched my heart with your exquisite compassion #fangirl
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Engaging patients as true partners in their health and wellbeing offers a way forward and has a particular poignancy for me....Read the latest guest blog from Eddie Kinsella, chair of the RCP's patient and carer network at patientsafetycommissioner.or…
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Today the government published the One Year On report following IMMDS. A lot has been done, but where are the patients’ voices? @JanetWilliams99 @Emma4facs @MeshCampaign @MeshAction @ShaunLintern
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The health system needs a set of principles for patient safety so I have set out seven that will provide a guide – I want to know what you think so please respond to my consultation at patientsafetycommissioner.or…
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My annual report for 2023-24 summarising the work of my office and setting out my strategy was laid in Parliament today - view it at patientsafetycommissioner.or… @GillianMerron @wesstreeting @GwynneMP @karinsmyth
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If you missed it earlier this morning, here is my interview about Martha's Rule on BBC Radio 4's Today programme
"I think that sort of old fashioned, clinical bedside manner isn't happening."
Dr Henrietta Hughes, Patient Safety Commissioner for NHS England, tells #R4Today about the first steps towards implementing Martha's Rule, which would see patients able to seek a second opinion.
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Lovely to catch up with @Paula_Goss and discuss all things mesh. Good to hear that manufacturers are engaging with patients @PatientsAssoc #patientvoice
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Patient safety leaders must raise hope, change attitudes and set an exciting shared vision for zero avoidable harm - my message today to the International Forum on Quality and Safety in Healthcare at harmhttps://internationalforum.bmj.com/london/live-from-london-2024/
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Pleased to witness the launch of WHO Patient Safety Human Rights Charter today at the Chile ministerial summit and celebrate with NHSE National Patient Safety Director Aidan Fowler and HSSIB CEO Rosie Benneyworth #patientvoice
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It staggers me that the patronising approach to patient voices persists with structural barriers preventing patients’ insights from improving patient safety as identified in today's PHSO report - see my full response at patientsafetycommissioner.or…
Today we’re presenting the findings from our new report 'Broken trust: making patient safety more than a promise'.
The report examines cases where patients died due to avoidable errors & sets out how we can #PatientSafety more than just a promise.
ow.ly/K4yE50P05AG
ALT Broken trust: making patient safety more than just a promise
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Delighted to share the stage with Paula Goss of Rectopexy Victims and Support at the IHPN/CQC patient safety conference @paula_goss #patientvoice #redressnow #MarthasRule
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Martha's Rule strips power away from those who cling on to it at the centre and shares that power with patients and colleagues so we learn together in a just culture - addressing the Global Ministerial Summit on Patient Safety in Chile today #patientvoice #MarthasRule
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As Patient Safety Commissioner I am calling for patient partnership in the Outcomes & Registries programme. It’s vital for #patientsafety that #patientvoice is central to the development of this important work @SteveBarclay @ascottpryde @slingthemesh @retropexyS @PatientsAssoc
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The consultation on the Principles of Better Patient Safety closes today - have your voice heard at patientsafetycommissioner.or…
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I welcome this reply from the new Minister for Patient Safety re the Hughes report recommendations. The government now needs to act quickly to provide redress for those harmed - see the letter at patientsafetycommissioner.or… #redressnow
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The health system needs a set of principles for patient safety so I have set out seven and want to know what you think of them - please respond at patientsafetycommissioner.or…
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I'm talking about the risks of taking sodium valproate while pregnant on a new BBC 1 series Con or Cure on 21st April at 10am.
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Primodos campaigner Marie Lyon addresses today's launch of my report into redress options for those harmed by pelvic mesh and valproate which sets out a blueprint for redress for all harms from medicines and medical devices - see the report at patientsafetycommissioner.or… #redressnow
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Thank you @aradarzi @Imperial_IGHI @JoeKiani @WatchPatient It was so good to hear from global partners about patient safety initiatives and to meet with @meropemills @JamesTitcombe @MartinBromiley all amazing campaigners who have helped to keep patients safe #MarthasRule
Patient safety should be a global priority: Our new report, launched today, explores the state of #PatientSafety across the world, through case studies of excellence, a patient safety ranking and interactive data dashboard.
imperial.ac.uk/stories/globa…
@WatchPatient
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If you want to raise a concern with the Patient Safety Commissioner please contact pscenquiries@patientsafetycommissioner.org.uk
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Thanks to @mdstbarts for a fascinating visit this morning to Barts Hospital, including Pharmacy where we met Sotiris Antoniou, Divisional Director of Clinical Services, Patient Safety Partner Jeremy Laurence and Pharmacy Technicians Paul Wright and Michelle Sullivan
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The Yellow Card reporting system is the best way to identify suspected side effects from medicines and medical devices to the MHRA. #MedSafetyWeek @MHRAgovuk
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My statement on the Lucy Letby case is now on our website patientsafetycommissioner.or…
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Coordination, cultural change and leadership development need to be prioritised in the NHS, says outgoing Ombudsman Rob Behrens in the final part of our What Works series at patientsafetycommissioner.or…
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Without the brilliant patient campaigners these would be hidden harms @RectopexyS @Paula_Goss @MeshCampaign @Emma4facs @JanetWilliams99 @Malriel
Today the government published the One Year On report following IMMDS. A lot has been done, but where are the patients’ voices? @JanetWilliams99 @Emma4facs @MeshCampaign @MeshAction @ShaunLintern
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I welcome the appointment of @wesstreeting @karinsmyth and @SKinnock and look forward to working together to improve patient safety and listening and acting on patient voices
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I have received an initial response to the recommendations on redress set out in my report three months ago and await a full response from the minister before the summer - see ministerial letter at patientsafetycommissioner.or… #redressnow
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The Independent Blood Inquiry report quoted me from over a year ago saying that unless leaders set out a strategic intention to listen and act, we are heading straight back to the days of Mid Staffs and other health scandals, severe harm, and death
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To mark #WorldPatientSafetyDay we are running a series of blogs on patient engagement - view them at patientsafetycommissioner.or…
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Read my latest guest blog from Jo Wailing on restorative practice @KathSansom @Emma4facs @JanetWilliams99
patientsafetycommissioner.or…
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