Parliamentary and Health Service Ombudsman: Midwifery Supervision and Regulation: Recommendations for Change - HC 865

Parliamentary and Health Service Ombudsman: Midwifery Supervision and Regulation: Recommendations for Change - HC 865 PDF Author: Great Britain: Parliamentary and Health Service Ombudsman
Publisher: The Stationery Office
ISBN: 9780102987324
Category : Medical
Languages : en
Pages : 28

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Book Description
The Ombudsman investigated three cases in which local statutory supervision of midwives failed, all of which occurred at Morecambe Bay NHS Foundation Trust. The cases clearly illuminate a potential muddling of the supervisory and regulatory role of supervisors of midwives. The current arrangements do not always allow information about poor care to be escalated effectively into hospital clinical governance or the regulatory system. This means the current system operates in a way that risks failure to learn from mistakes, which cannot be in the interests of the safety of mothers and babies and must change. Working with the Nursing and Midwifery Council (NMC), the Professional Standards Authority for Health and Social Care, NHS England and the Department of Health, the Ombusdman has identified two key principles that will form the basis of proposals to change the system of midwifery regulation: that midwifery supervision and regulation should be separated; that the NMC should be in direct control of regulatory activity. The Department of Health should convey these recommendations to its counterparts in Northern Ireland, Scotland and Wales and develop proposals to put these principles into effect.

Parliamentary and Health Service Ombudsman: Midwifery Supervision and Regulation: Recommendations for Change - HC 865

Parliamentary and Health Service Ombudsman: Midwifery Supervision and Regulation: Recommendations for Change - HC 865 PDF Author: Great Britain: Parliamentary and Health Service Ombudsman
Publisher: The Stationery Office
ISBN: 9780102987324
Category : Medical
Languages : en
Pages : 28

Get Book Here

Book Description
The Ombudsman investigated three cases in which local statutory supervision of midwives failed, all of which occurred at Morecambe Bay NHS Foundation Trust. The cases clearly illuminate a potential muddling of the supervisory and regulatory role of supervisors of midwives. The current arrangements do not always allow information about poor care to be escalated effectively into hospital clinical governance or the regulatory system. This means the current system operates in a way that risks failure to learn from mistakes, which cannot be in the interests of the safety of mothers and babies and must change. Working with the Nursing and Midwifery Council (NMC), the Professional Standards Authority for Health and Social Care, NHS England and the Department of Health, the Ombusdman has identified two key principles that will form the basis of proposals to change the system of midwifery regulation: that midwifery supervision and regulation should be separated; that the NMC should be in direct control of regulatory activity. The Department of Health should convey these recommendations to its counterparts in Northern Ireland, Scotland and Wales and develop proposals to put these principles into effect.

The Stationery Office Annual Catalogue

The Stationery Office Annual Catalogue PDF Author: Stationery Office (Great Britain)
Publisher:
ISBN:
Category : Government publications
Languages : en
Pages : 574

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Book Description


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Management and Leadership – A Guide for Clinical Professionals PDF Author: Sanjay Patole
Publisher: Springer
ISBN: 331911526X
Category : Medical
Languages : en
Pages : 296

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Book Description
​This book will provide anyone with an interest in the clinic with a basic guide on those things that are not taught during medical school or any other pre-clinical trainings. The line-up of authors was carefully assembled to include experts in all respective fields to give this volume the authority it requires to be a relevant text for many.

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Publisher: Routledge
ISBN: 1317491742
Category : Philosophy
Languages : en
Pages : 343

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Book Description
Global ethics addresses some of the most pressing ethical concerns today, including rogue states, torture, scarce resources, poverty, migration, consumption, global trade, medical tourism, and humanitarian intervention. It is both topical and important. How we resolve (or fail to resolve) the dilemmas of global ethics shapes how we understand ourselves, our relationships with each other and the social and political frameworks of governance now and into the future. This is seen most clearly in the case of climate change, where our actions now determine the environment our grandchildren will inherit, but it is also the case in other areas as our decisions about what it is permissible for humans beings to do to each other determines the type of beings we are. This book, suitable for course use, introduces students to the theory and practice of global ethics, ranging over issues in global governance and citizenship, poverty and development, war and terrorism, bioethics, environmental and climate ethics and gender justice.

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Regulators Handbook PDF Author:
Publisher:
ISBN:
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Languages : en
Pages : 214

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Crossing the Global Quality Chasm

Crossing the Global Quality Chasm PDF Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309477891
Category : Medical
Languages : en
Pages : 399

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Book Description
In 2015, building on the advances of the Millennium Development Goals, the United Nations adopted Sustainable Development Goals that include an explicit commitment to achieve universal health coverage by 2030. However, enormous gaps remain between what is achievable in human health and where global health stands today, and progress has been both incomplete and unevenly distributed. In order to meet this goal, a deliberate and comprehensive effort is needed to improve the quality of health care services globally. Crossing the Global Quality Chasm: Improving Health Care Worldwide focuses on one particular shortfall in health care affecting global populations: defects in the quality of care. This study reviews the available evidence on the quality of care worldwide and makes recommendations to improve health care quality globally while expanding access to preventive and therapeutic services, with a focus in low-resource areas. Crossing the Global Quality Chasm emphasizes the organization and delivery of safe and effective care at the patient/provider interface. This study explores issues of access to services and commodities, effectiveness, safety, efficiency, and equity. Focusing on front line service delivery that can directly impact health outcomes for individuals and populations, this book will be an essential guide for key stakeholders, governments, donors, health systems, and others involved in health care.

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Sport in Prison PDF Author: Rosie Meek
Publisher: Routledge
ISBN: 1135081832
Category : Social Science
Languages : en
Pages : 229

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Book Description
Although prison can present a critical opportunity to engage with offenders through interventions and programming, reoffending rates among those released from prison remain stubbornly high. Sport can be a means through which to engage with even the most challenging and complex individuals caught up in a cycle of offending and imprisonment, by offering an alternative means of excitement and risk taking to that gained through engaging in offending behaviour, or by providing an alternative social network and access to positive role models. This is the first book to explore the role of sport in prisons and its subsequent impact on rehabilitation and behavioural change. The book draws on research literature on the beneficial role of sport in community settings and on prison cultures and regimes, across disciplines including criminology, psychology, sociology and sport studies, as well as original qualitative and quantitative data gathered from research in prisons. It unpacks the meanings that prisoners and staff attach to sport participation and interventions in order to understand how to promote behavioural change through sport most effectively, while identifying and tackling the key emerging issues and challenges. Sport in Prison is essential reading for any advanced student, researcher, policy-maker or professional working in the criminal justice system with an interest in prisons, offending behaviour, rehabilitation, sport development, or the wider social significance of sport.

Midwifery Supervision and Regulation

Midwifery Supervision and Regulation PDF Author: Great Britain: Parliamentary and Health Service Ombudsman
Publisher:
ISBN: 9780102987317
Category : Labor (Obstetrics)
Languages : en
Pages : 26

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Book Description
This report investigates Mr L's complaint that North West Strategic Health Authority (SHA) failed to carry out adequately its functions as the Local Supervising Authority for midwives in relation to open and effective care provided for his son, Baby L which contributed to Baby L's death. This followed earlier infant and maternal deaths at Furness General Hospital, the hospital where Mrs L gave birth to Baby L. It also investigates Mr L's complaint that the SHA failed to deal with his complaint about this effectively. The Ombudsman upheld the initial complaint and agreed, in respect of the other two complaints, the functions of the SHA were not carried out properly but that no injustice arose to Mr L as a result.

Midwifery Supervision and Regulation

Midwifery Supervision and Regulation PDF Author: Great Britain: Parliamentary and Health Service Ombudsman
Publisher:
ISBN: 9780102987294
Category : Labor (Obstetrics)
Languages : en
Pages : 22

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Book Description
Mrs M went into Furness General Hospital in July 2008 for the birth of her son. Sadly, there were problems during her birth and she died after the birth despite attempts to resuscitate her. He son, Baby M, died the next day because he had been deprived of oxygen during the birth. Two of the Local Supervising Authority's Supervisors of Midwives, Midwife A and Midwife B, reviewed the records and decided that there were no midwifery concerns that would warrant a supervisory investigation. Mr M said that, because of that decision, he and his wife's family had not been able to mourn the deaths of mother and baby. The Ombudsman found that: Midwife A should have identified a number of failings in the care provided to Mrs M who was a high-risk mother because of diabetes and having induced labour. Baby M's heart should have been monitored at regular intervals using continuous fetal heart monitoring from the moment Mrs M arrived in the delivery suite. The Strategic Health Authority should have gone much further than they did in investigating the original decision not to undertake a supervisory investigation. As a result they did not give Mr M an evidence-based explanation of that decision.

Midwifery Supervision and Regulation

Midwifery Supervision and Regulation PDF Author: Great Britain: Parliamentary and Health Service Ombudsman
Publisher:
ISBN: 9780102987300
Category : Labor (Obstetrics)
Languages : en
Pages : 26

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Book Description
This report from the Parliamentary and Health Service Ombudsman investigated "Midwifery supervision and regulation" in respect of a complaint against the North West Strategic Health Authority which failed to carry out adequately its functions as the Local Supervising Authority for midwives in relation to open and effective supervisory investigations of midwives following their baby son's stillbirth at Furness General Hospital (part of University Hospitals of Morecambe Bay NHS Trust) on 6 September 2008. The Ombudsman upheld the complaint.