Navigation Links
Candid 'insider' views in the NHS could help detect reasons for poor care
Date:4/30/2014

Asking NHS staff about what affects whether they would recommend their organisation for family and friends is an important source of intelligence for improving quality and safety of care, says a new study.

This finding by researchers in the Universities of Leicester, Aberdeen, and Bristol has been published in a paper, 'The friends and family test: a qualitative study of concerns that influence the willingness of English National Health Service staff to recommend their organisation', in the Journal of the Royal Society of Medicine.

Since 2009, the annual Staff Survey across the NHS in England has asked staff to say whether they agreed with the statement that: 'If a friend or relative needed treatment I would be happy with the standard of care provided by the organisation'. On average, around two thirds of staff agreed with this statement in 2013, but the lowest score was 39.5% and the highest was 94%. Despite this variability, it was not known why staff appear to be more willing to recommend some organisations more than others.

Professor Mary Dixon-Woods, Professor of Medical Sociology at the University of Leicester, says: "The hard data that shows that, overall, NHS staff are supportive of the care provided by their organisations. But that's not consistently the case always and everywhere. What was missing was 'softer' intelligence to help us to know what lies behind the scores and what to do in response.

"We aimed to identify what explains staff's willingness to recommend their organisation. We undertook 168 interviews with people across the NHS that included the question: 'If a friend or relative were treated in your organisation, what would concern you most?'"

Staff offered detailed and candid responses to this question, with some saying they had no concerns and others having multiple concerns. Most said that they could identify good features of their organisation but it was reliability that concerned them most.

Many of the issues were revealed to be deeply structural, and related to problems such as poorly designed and badly functioning systems; under-staffing, including lack of availability of the right skills; and under-resourcing due to competing priorities.

There were concerns about clinical care, including incorrect diagnoses, inappropriate therapies and poorly administered interventions; lack of management skills; and some unprofessional conduct. Interviewees felt that many problems with caring arose when staff were harassed and over-stretched by too many competing demands and priorities, or when they lacked effective leadership.

Professor Dixon-Woods says: "Sir Robert Francis, in his recommendations about how to address quality of care in the NHS, said that feedback from staff should not only be encouraged but insisted upon. This study shows that asking staff directly about what concerns them can yield much valuable intelligence about where improvements can be made. The next stage will be to see if this can be reproduced outside a research context. That means providing opportunities for staff to speak up not just about incidents and major concerns, but about the little things that get in the way of providing good care too. And it means ensuring that it is safe for staff to raise those concerns and that action is taken in response."


'/>"/>

Contact: Mary Dixon-Woods
md11@le.ac.uk
01-162-297-262
University of Leicester
Source:Eurekalert

Related medicine news :

1. Novel drug candidates offer new route to controlling inflammation
2. Presidential candidates should address childhood obesity and bullying, poll says
3. Parc at Piedmont - East Cobb to Host Candidate Forum for Primary Elections
4. New candidate drug stops cancer cells, regenerates nerve cells
5. BWH researchers discover new vaccine candidate for Pseudomonas aeruginosa
6. No Truth to Candidates Claim That Rape Hinders Pregnancy, Experts Say
7. New oral drug candidate for African sleeping sickness
8. Katon Direct, a Healthcare Micro-Marketing Solutions Company, Launches Their New Website, Innovating the way Healthcare Companies Find the Most Qualified Candidates
9. NIH-developed candidate dengue vaccine shows promise in early-stage trial
10. Candida Treatment
11. How “Yeast Infection No More” Can Help People Treat Candida Effectively - Health Reviews
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/23/2017)... ... June 23, 2017 , ... MD Now Urgent Care ... MD Now’s 28th facility overall and marks the urgent care center's eighth location in ... North of The Falls shopping mall. The new clinic offers a wide array of ...
(Date:6/23/2017)... ... ... American Farmer, will feature Chr. Hansen, Inc (CHR Hansen) in an upcoming episode ... Farmer airs Tuesdays at 8:30aET on RFD-TV. Check your local listings for more info. ... 1874 after a groundbreaking discovery of how to industrialize enzymes. Rooted in science and ...
(Date:6/23/2017)... Chicago, IL (PRWEB) , ... June 23, 2017 ... ... insurance management assistance and financial planning services to communities in the greater Chicago ... Children’s Association to offer assistance to underprivileged youth in Chicago. , Founded in ...
(Date:6/23/2017)... ... June 23, 2017 , ... Moore Insurance, ... area with access to asset protection and financial planning services, is teaming up ... improving the lives of children with cancer and other chronic diseases. , The ...
(Date:6/22/2017)... ... June 22, 2017 , ... ... is pleased to welcome Whipple & Company as its newest Partner Firm. Headquartered ... of balancing their clients’ risk while tailoring optimized benefit packages that strengthen the ...
Breaking Medicine News(10 mins):
(Date:6/2/2017)... , June 2, 2017  NxStage Medical, Inc. (Nasdaq:  NXTM), a ... today announced new findings demonstrating positive biochemical outcomes related ... System One™. The data will be presented at the ... Madrid, Spain . The ... Home Dialysis Network in Europe ...
(Date:5/29/2017)... Israel, May 29, 2017  Cellect Biotechnology Ltd. (NASDAQ: ... technology which enables the functional selection of stem cells, ... for the first quarter ended March 31 st , ... our accomplishments in the first quarter of 2017," said ... quarter, we announced the treatment of the first blood ...
(Date:5/22/2017)... VALLEY COTTAGE, N.Y. , May 22, 2017 ... natural antiviral treatment Gene-Eden-VIR/Novirin, announces the launch of ... in plain English, the results of a clinical ... after one year treatment with Gene-Eden-VIR/Novirin in individuals ... is important to note that there are no ...
Breaking Medicine Technology: