Case story: Neonatal hypoglycaemia
This case story is illustrative and is based on combined examples of real events. NHS Resolution is sharing the experiences of those involved to help prevent similar events happening to patients, families and staff in the future.
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Case story: Good practice in managing umbilical cord prolapse
This case story is based on real events and NHS Resolution is sharing the experience of those involved to help prevent a similar occurrence happening to patients, families and staff. As you read about this incident, please ask yourself: Could this happen in my organisation? …
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Bullying and harassment reported in our advice cases: an overview
It is a sad fact that bullying and harassment are reported to be prevalent issues within the health and social care sector. The 2019 NHS staff survey showed that 19% of staff have experienced bullying or harassment in the last year from colleagues. According to …
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Drafting and reviewing Terms of Reference for a formal investigation (under MHPS) – secondary care
This presentation has been designed to help you write good Terms of Reference or at the very least recognise a set of poor ones. We’ll tell you about: How to go about creating ‘good’ terms of reference How to avoid language that might bias the …
Delay in recognising placental abruption
This case story is illustrative based on real events and NHS Resolution is sharing the experience of those involved to help prevent a similar occurrence happening to patients, families and staff. As you read about this incident, please ask yourself: Could this happen in my …
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Early Notification Scheme and HSIB programme update – June 2021
NHS Resolution and the Healthcare Safety Investigation Branch (HSIB) recently led a collaborative webinar to update NHS maternity services on changes to the Early Notification Scheme and an update on the wider HSIB programme. The webinars were held across all seven regions of England – …
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Practitioner Performance Advice casework during the Covid-19 pandemic
This text represents the position at time of writing – December 2020: Practitioner Performance Advice is a service delivered by NHS Resolution under the common purpose, to provide expertise to the NHS on understanding, managing and resolving concerns fairly, share learning for improvement and preserve …
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Primary Care Appeals – approach to awarding interest
The purpose of this note is to set out the approach of Primary Care Appeals to the consideration of awarding interest including the guiding principles and process involved. The approach set out in this note is subject to review and evaluation.
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