Healthcare Safety Investigation Branch
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Healthcare Safety Investigation Branch
The Healthcare Safety Investigation Branch (HSIB) is the independent national investigator for patient safety in England. HSIB was formed in April 2017 and investigates serious patient safety risks that span the healthcare system, operating independently of other regulatory agencies. It aims to produce rigorous, non-punitive, and systematic investigations and to develop system-wide recommendations for learning and improvement and to be separate from systems that seek to allocate blame, liability, or punishment. Organisation and investigations HSIB is currently hosted by NHS England but is intended to be operationally independent, and the Health and Care Bill 2021 proposes to make HSIB a fully independent body with a range of legal powers. In June 2019 it employed about 200 full-time equivalent staff and its budget had increased from £3.8 million in 2017 to almost £20 million. There were criticisms of the management of the organisation under chief investigator Keith Conradi. ...
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NHS England
NHS England, officially the NHS Commissioning Board, is an executive non-departmental public body of the Department of Health and Social Care. It oversees the budget, planning, delivery and day-to-day operation of the commissioning side of the National Health Service in England as set out in the Health and Social Care Act 2012. It directly commissions NHS general practitioners, dentists, optometrists and some specialist services. The Secretary of State publishes annually a document known as the ''NHS mandate'' which specifies the objectives which the Board should seek to achieve. National Health Service (Mandate Requirements) Regulations are published each year to give legal force to the mandate. In 2018 it was announced that the organisation, while maintaining its statutory independence, would be merged with NHS Improvement, and seven "single integrated regional teams" would be jointly established. History NHS England is the operating name of the NHS Commissioning Board and ...
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Health And Care Bill 2021
The Health and Care Act is an Act of the Parliament of the United Kingdom, which is intended to dismantle many of the structures established by the Health and Social Care Act 2012. Many of the proposals were drafted under the leadership of Simon Stevens and are intended to reinforce the ambitions of the NHS Long Term Plan. It was introduced into the House of Commons in July 2021 and was the first substantial health legislation in the premiership of Boris Johnson. It was proposed to take effect in April 2022, but in December 2021 it was reported that implementation would be delayed until July 2022. The Act The Act puts integrated care systems on a statutory footing, and merges NHS England and NHS Improvement. It provides for the Care Quality Commission to assess how local authorities deliver their adult social care functions. The Department of Health and Social Care launched a consultation on a proposed new 'provider selection regime' in 2022. This took effect with the passing ...
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Stillbirth
Stillbirth is typically defined as fetal death at or after 20 or 28 weeks of pregnancy, depending on the source. It results in a baby born without signs of life. A stillbirth can result in the feeling of guilt or grief in the mother. The term is in contrast to miscarriage, which is an early pregnancy loss, and Sudden Infant Death Syndrome, where the baby dies a short time after being born alive. Often the cause is unknown. Causes may include pregnancy complications such as pre-eclampsia and birth complications, problems with the placenta or umbilical cord, birth defects, infections such as malaria and syphilis, and poor health in the mother. Risk factors include a mother's age over 35, smoking, drug use, use of assisted reproductive technology, and first pregnancy. Stillbirth may be suspected when no fetal movement is felt. Confirmation is by ultrasound. Worldwide prevention of most stillbirths is possible with improved health systems. Around half of stillbirths occur durin ...
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Never Events
A never event is the "kind of mistake (medical error) that should never happen" in the field of medicine, medical treatment. According to the Leapfrog Group never events are defined as "adverse events that are serious, largely preventable, and of concern to both the public and health care providers for the purpose of public accountability." A 2012 study reported there may be as many as 1,500 instances of one never event, the Gossypiboma, retained foreign object, per year in the United States. The same study suggests an estimated total number of surgical mistakes at just over 4,000 per year in the United States; however, these statistics are extrapolations from small samples rather than actual event counts. United States A list of events was compiled by the Patient safety organization#National Quality Forum, National Quality Forum and updated in 2012. The NQF’s report recommends a national state-based event reporting system to improve the quality of patient care. # Artificial ins ...
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Private Finance Initiative
The private finance initiative (PFI) was a United Kingdom government procurement policy aimed at creating "public–private partnerships" (PPPs) where private firms are contracted to complete and manage public projects. Initially launched in 1992 by Prime Minister John Major, and expanded considerably by the Blair government, PFI is part of the wider programme of privatisation and financialisation, and presented as a means for increasing accountability and efficiency for public spending. PFI was controversial in the UK. In 2003, the National Audit Office felt that it provided good value for money overall; according to critics, PFI has been used simply to place a great amount of debt "off-balance-sheet". In 2011, the parliamentary Treasury Select Committee recommended: In October 2018, the then-chancellor Philip Hammond announced that the UK government would no longer use PFI; however, PFI projects will continue to operate for some time to come. In 2021, Robert Naylor warned ...
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Public Administration And Constitutional Affairs Select Committee
The Public Administration and Constitutional Affairs Select Committee, formerly the Public Administration Select Committee, is a select committee appointed by the British House of Commons to examine the reports of the Parliamentary and Health Service Ombudsman, and to consider matters relating to the quality and standards of administration provided by civil service departments, and other matters relating to the civil service, mostly for England and Wales, and constitutional affairs. It is the principal select committee to which Cabinet Office ministers are accountable and thus handles pre appointment and accountability hearings for independent officers, with an independent civil society or cross departmental role, such as the First Civil Service Commissioner, the chair of the UK Statistics Authority and the chair of the Charity Commission. The committee chooses its own subjects of inquiry, within its overall terms of reference; however, it seeks evidence from a wide variety of ...
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Air Accidents Investigation Branch
The Air Accidents Investigation Branch (AAIB) investigates civil aircraft accidents and serious incidents within the United Kingdom, its overseas territories and crown dependencies. It is also the Space Accident Investigation Authority (SAIA) for the United Kingdom. The AAIB is a branch of the Department for Transport and is based in the grounds of Farnborough Airport, Rushmoor, Hampshire. History Aviation accident investigation in the United Kingdom started in 1912, when the Royal Aero Club published a report into a fatal accident at Brooklands Aerodrome, Surrey. The AAIB was established in 1915 as the Accidents Investigation Branch (AIB) of the Royal Flying Corps (RFC). Captain G B Cockburn was appointed "Inspector of Accidents" for the RFC, reporting directly to the Director General of Military Aeronautics in the War Office. After the First World War, the Department of Civil Aviation was set up in the Air Ministry and the AIB became part of that department with a remit ...
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Department Of Health And Social Care
The Department of Health and Social Care (DHSC) is a department of His Majesty's Government responsible for government policy on health and adult social care matters in England, along with a few elements of the same matters which are not otherwise devolved to the Scottish Government, Welsh Government or Northern Ireland Executive. It oversees the English National Health Service (NHS). The department is led by the secretary of state for health and social care with three ministers of state and three parliamentary under-secretaries of state. The department develops policies and guidelines to improve the quality of care and to meet patient expectations. It carries out some of its work through arms-length bodies (ALBs), including executive non-departmental public bodies such as NHS England and the NHS Digital, and executive agencies such as the UK Health Security Agency and the Medicines and Healthcare products Regulatory Agency (MHRA). The DHSC also manages the work of the Nation ...
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Jeremy Hunt
Jeremy Richard Streynsham Hunt (born 1 November 1966) is a British politician who has served as Chancellor of the Exchequer since 14 October 2022. He previously served in the Cabinet as Secretary of State for Culture, Olympics, Media and Sport from 2010 to 2012, Secretary of State for Health and Social Care from 2012 to 2018 and Foreign Secretary from 2018 to 2019. A member of the Conservative Party, he has been Member of Parliament (MP) for South West Surrey since 2005. The son of a senior officer in the Royal Navy, Hunt was born in Kennington and studied Philosophy, politics and economics at Magdalen College, Oxford, where he was President of the Oxford University Conservative Association. He was first elected to the House of Commons in 2005 and was promoted to the Shadow Cabinet as Shadow Minister for Disabled People and later as Shadow Secretary of State for Culture, Media and Sport. Hunt served in the Coalition Government as Secretary of State for Culture, Olympics, Med ...
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NHS Special Health Authority
A special health authority is a type of NHS body which provide services on behalf of the National Health Service in England. Unlike other types of trust, they operate nationally rather than serve a specific geographical area. They are a type of "arm's length body" of the Department of Health of the United Kingdom, along with executive agencies and non-departmental public bodies (NDPBs). Special health authorities are independent, but can be subject to ministerial direction like other NHS bodies. Function While special health authorities may provide services direct to the public, most are concerned with improving the ability of other parts of the NHS to deliver effective health care. Establishment Special health authorities were set to provide a national service to the NHS or the public, under section 11 of the National Health Service Act 1977. Prior to the repeal of the whole of the 1977 Act by the NHS (Consequential Provisions) Act 2006, special health authorities included bot ...
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Roy Lilley
Roy Lilley is a health policy analyst, writer, broadcaster and commentator on the National Health Service and social issues. He was the vice-chairman of West Surrey and North East Hampshire Health Authority and formerly a Conservative member of Surrey Heath Borough Council where he was Mayor in 1988/89. Between 1991 and 1995, he was the chairman of the Homewood NHS Trust, Chertsey Surrey. He was a visiting fellow at the Management School, Imperial College London, and at the Centre for Health Services Management at the University of Nottingham. He has written for the Guardian, Sunday Times, Daily Telegraph and other newspapers, journals and management periodicals including a regular column in Pharmaceutical Marketing magazine. He runs the nhsManagers.network which produces an opinionated free newsletter four times a week which is claimed to reach 300,000 NHS managers inboxes. He is the author of over twenty books on health and health service management. Because his newsletter is re ...
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National Health Service (England)
The National Health Service (NHS) is the Publicly funded health care, publicly funded healthcare system in England, and one of the four National Health Service systems in the United Kingdom. It is the second largest single-payer healthcare system in the world after the Brazilian Sistema Único de Saúde. Primarily funded by the government from general taxation (plus a small amount from National Insurance contributions), and overseen by the Department of Health and Social Care, the NHS provides healthcare to all legal English residents and residents from other regions of the UK, with most services free at the point of use for most people. The NHS also conducts research through the National Institute for Health and Care Research (NIHR). Free healthcare at the point of use comes from the core principles at the founding of the National Health Service. The 1942 Beveridge cross-party report established the principles of the NHS which was implemented by the Attlee ministry, Labour ...
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