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Mental Health workers

Helping people through mental health crisis: The role of Crisis Resolution and Home Treatment services

“Crisis Resolution Home Treatment teams are really beginning to prove their worth in the NHS. They are providing significant benefits and increased satisfaction for service users and reducing pressure on hospital beds.

“However, a lack of resources and a lack of multi-disciplinary support are limiting what these teams can do. And not all of those who would benefit from this service are being considered for it. These issues need to be addressed if the service is to improve.”

Published:
7 Dec 2007
Report cover showing walking sticks

Hip Replacements: an Update

“Since my last report on hip replacements three years ago, the NHS has improved its procedures thereby providing better quality of care for patients. There is still further progress to be made, however, including the spreading of good practice, to ensure that the service provided by the NHS is as good as possible.

“Hip replacement is one of the most common and effective major surgical procedures. But there are some question marks over how hospitals are managing the process, not least to ensure that the replacement hip used has a satisfactory track record. Strong leadership within hospitals is the key to ensuring that these risks are managed effectively for the benefit of patients.”

Published:
17 Jul 2003
Report cover showing an x-ray of an artificial hip joint

Hip replacements: getting it right first time

“Hip replacement surgery is a procedure that successfully improves the lives of tens of thousands of people each year. However, the current process for introducing new hip prostheses into the NHS cannot always ensure long term effectiveness, and if a hip prosthesis performs poorly, it can have serious consequences for the patient. We have also found variations in practice between NHS trusts and between orthopaedic consultants on a range of issues such as the purchase of hip prostheses, supervision of surgery, length of patient stay in hospital, and follow-up after operation. In these and other areas, all trusts and consultants need to follow good practice for the benefit of patients. My Report also contains a list of 19 questions patients can ask in connection with their hip replacement.”

Published:
19 Apr 2000
Male dementia patient with carer

Improving dementia services in England – an interim report

“The Department of Health stated in October 2007 that dementia was a national priority and brought forward a widely supported strategy in February 2009 to transform the lives of people with dementia. The action however, has not so far matched the rhetoric in terms of urgency. At the moment this strategy lacks the mechanisms needed to bring about large scale improvements and without these mechanisms it is unlikely that the intended and much needed transformation of services will be delivered within the strategy’s five year timeframe”

Published:
14 Jan 2010
Report cover showing painting of Florence Nightingale

Improving patient care by reducing the risk of hospital acquired infection: a progress report

“The Department of Health has made important progress in raising the profile in NHS trusts of the control of hospital-acquired infection, culminating in its key publication Winning Ways. However, I am concerned that, four years on from my original report, the NHS still does not have a proper grasp of the extent and cost of hospital-acquired infection in trusts.

“The war against hospital-acquired infection must be pursued on many different fronts: ranging from tackling the factors which inhibit good practice, including a more robust approach to antibiotic prescribing and hospital hygiene, though instituting a system of mandatory surveillance, to persuading all NHS staff to take responsibility for, and contribute towards, effective infection control.”

Published:
14 Jul 2004
Report cover showing a doctor

Improving quality and safety – Progress in implementing clinical governance in primary care: Lessons for the new Primary Care Trusts

“Good clinical governance is essential if patients and the public are to have greater confidence in the NHS. Whilst Primary Care Trusts have made good progress in getting structures and processes in place, there has been less progress in actually implementing the fundamental components of clinical governance, particularly patient and public involvement.

“Our recommendations provide a clear steer to enable the new Primary Care Trusts to create a professional culture within their organisations that accepts and promotes as the norm accountability, the learning of lessons and the pursuit of high quality, safe care for patients.”

Published:
11 Jan 2007
Report cover image

Improving services and support for people with dementia

“For too long dementia has not been treated as a high priority. Today’s report shines a light on how significant an issue dementia is and how much scope there is to improve the way in which people who suffer from dementia are treated.

“Our rapidly ageing population means that costs for addressing dementia will continue to increase and, without redesign, services for people with dementia are likely to become increasingly inconsistent and unsustainable. Dementia can no longer be set aside. The issues raised in this report need to be addressed as a matter of urgency.”

Published:
4 Jul 2007