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Improving Patient Safety & Care 2020
Safer culture, safer systems, safer patients
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Improving Patient Safety & Care 2020
Safer culture, safer systems, safer patients
13th of February 2020
Royal Society of Medicine, London

Improving Patient Safety & Care 2020

08:15-09:00 Registration & Networking
09:00-10:15 1st Morning Plenary
09:00 Chair`s Opening Address
Clare Wade (confirmed)
Head of Patient Safety, Royal College of Physicians
09:10 Putting Patients at the heart of Patient Safety
Peter Walsh (confirmed)
Chief Executive, Action against Medical Accidents, & WHO Patients for Patient Safety Champion
  • What a just culture looks like for patients
  • Implementing the Duty of Candour proportionately and with empathy
  • Empowering patients/families in investigations
09:25 Moving beyond the five questions
Dr Nigel Acheson (confirmed)
Deputy Chief Inspector of Hospitals, Care Quality Commission
  • Understand the CQC approach to quality regulation
  • Learn about the importance of leadership and teamwork in quality
  • Explore how working with patients and staff with kindness, inclusivity and curiosity improves quality
09:40 Preventing Surgical Site Infections in the NHS
Matthew Roberts (confirmed)
Advanced Wound Devices Marketing Director , Smith & Nephew

This presentation will explain how Smith+Nephew are working in partnership, supporting the NHS to manage these risks to minimise the occurrence at no extra cost

Key areas covered in the presentation:

  • NICE reports that the cost to the NHS of Surgical Site Infections is around £700 million a year based on an estimated cost per infection of £3,486
  • 4.7 million Surgical admissions each year
  • 27% increase in surgical admissions each year
  • There are known risk factors that increase the risk of SSI’s
  • NICE Guidance recommends Smith+Nephews PICO single use Negative Pressure Wound Therapy to help reduce SSI’s
09:55 Questions and Answers
10:15-10:55 Coffee & Networking
10:55-12:15 2nd Morning Plenary
10:55 Being Fair: benefits from embedding a learning culture for patients and staff
Denise Chaffer (confirmed)
Director of Safety and Learning, NHS Resolution
  • Increasing understanding of the role of NHS Resolution
  • Promoting the principles of ‘Learning Organisations’
  • Reflecting on the difference between blame and accountability
  • Exploring the impact of learning culture on the opportunities to learn from incidents
  • Build a consistent approach for patients, carers and staff
  • Sharing  ‘Being fair ‘ guidance and charter for all health care related organisations
11:10 Deterioration
Matthew Inada-Kim (confirmed)
National Clinical Lead Deterioration & Sepsis, NHS England & Improvement
  • What is it, and why it’s important.
  • Optimisation
  • Incentification (CQUIN/quality standards)
  • Evidence/cost
  • Innovation/research
11:25 How to save lives & support ”good” deaths in hospital
John Welch (confirmed)
Nurse Consultant for critical care and critical care outreach, University College London Hospitals FT
  • There are around 9,000 avoidable deaths in hospital a year across England; equivalent to a deadly plane crash each week. 
  • Learn how an integrated rapid response system - aided by technology - can save lives and enable comfortable death where that is appropriate.
11:40 Patient Deterioration - Addressing the Human Factor
Paul Hinchley (confirmed)
Clinical Services Manager, Philips Healthcare

It has become increasingly apparent that many Doctors and Nursing staff are unable to manage a deteriorating patient in an appropriate, timely fashion. Several Clinical studies clearly show that delaying resuscitation and treatment increases the likelihood of organ failure due to inadequate oxygen delivery. This in turn can lead to unexpected death, cardiac arrests and unplanned admissions to the critical care unit.

A Patient Deterioration, interdisciplinary Education Program  designed to enhance understanding of patient deterioration and the significance of altered observations, delivered in harmony with technology can greatly improve communication between health care professionals and enhance the timely management of these patients

12:00 Questions and Answers
12:20-12:30 Comfort Break
12:30-13:30 3 Case Studies
12:30 Case Study 1 - Improving safety by improving communications
James Dickson (confirmed)
Director, Piota Apps
  • Mobile reach, engagement and continuous improvement
  • Enhanced patient safety (apps for patients, families, carers)
  • Internal systems safety (apps for staff, CCGs, STPs)
12:50 Case Study 2 - Improving Patient Safety in the NHS with body cameras
Richard Hattam (confirmed)
Business Development Manager, Reveal Media
  • Benefits of body cameras in the NHS
  • Experience of NHS Trusts using body cameras
  • How to get up and running with the technology

Find out more about Calla Technology

13:10 Case Study 3 - Culture change and sepsis, marrying people and practice to deliver better outcomes
Claire Burnett (confirmed)
Lead Sepsis Nurse , Royal Berkshire Hospital
Simon Noble-Clarke (confirmed)
Marketing Leader, BD
13:30-14:30 Lunch in the Network Surgery
14:30-15:15 3 Workshops Running Concurrently
14:30 Workshop A - Outcomes over income – changing our business model to meet the NHS needs
Bala Balaguru (confirmed)
Chief Solutions Architect, Johnson & Johnson Medical
  • NHS England Innovation & Technology Payment Award - PLUS Antibacterial Coated Sutures
  • Value-based partnerships with hospitals - theatre utilisation programme
  • Meaningful innovative interventions - creating value through a patient centric approach
14:30 The application of continuous improvement in Infection Prevention and Control: SaSH’s Story
Ashley Flores (confirmed)
Nurse Consultant and Deputy Director of Infection Prevention & Control, Surrey & Sussex Healthcare NHS Trust
Gordon Sansaver (confirmed)
Senior Director, Virginia Mason Institute
  • Learn the guiding principles behind a lean management system to improve patient safety
  • Identify opportunities for continuous improvement in the context of infection prevention and control
  • Understand how lean can sustain a safer patient experience
  • Understand how lean can develop leaders and frontline staff to embrace culture change

Find out more about Virginia Mason Institute

14:30 Workshop C - Patient Warming – Stop the drop
Catia Rodrigues (confirmed)
Surgical Site Infection Specialist, Mölnlycke Health Care
  • Cause of hypothermia
  • Consequences of perioperative hypothermia
  • Keeping patients warm
  • Pre-warming is key to prevention
  • National guidelines for preventing hypothermia
15:20-16:55 Afternoon Plenary
15:20 Chair`s Introduction to the Afternoon
Helen Hughes (confirmed)
Chief Executive Officer, Patient Safety Learning
15:35 Patient safety research at the first translational gap – develop and test
Professor Stephen Campbell (confirmed)
Director, NIHR Greater Manchester PSTRC
  • Before adoption and spread, it is imperative to test new approaches and interventions for patient safety, including co-design with all relevant stakeholders (inc patients, carers, health & social care staff etc)
  • Tested digital and behavioural interventions to improve patient safety in primary care and at transitions between care-settings must be set within a ‘Learning Health System’ and translation pipelines locally and nationally
15:50 Understanding patient preference – behavioural science and the population healthcare opportunity
Professor Matthew Cripps (confirmed)
Director of Sustainable Healthcare, NHS England & Improvement
  • Understanding patient preference is key to the safety, shared decision-making and self-care agendas
  • Making informed decisions with, rather than for patients is key to eliminating unwarranted variation
  • This presentation will describe aspects of behavioural science that support informed shared decision-making and how to build these into effective conversations between clinicians and patients
16:05 An engineered approach to reducing risk
Maryanne Mariyaselvam (confirmed)
Clinical Research Fellow, Queen Elizabeth Hospital

Addressing never events linked to human factors in healthcare


  • Retained guidewires Incidence and Impact
  • The challenge to be addressed
  • A simple engineered solution
  • Adoption Impact

Find out more about Venner Medical International

16:20 Patient Safety In Partnership
Cheryl Crocker (confirmed)
Patient Safety Director, AHSN Network

This presentation will provide an insight into the work of England’s 15 Academic Health Science Network and the Patient Safety Collaboratives they host. Illustrated with examples from current workstreams, we will demonstrate how we are supporting the NHS Patient Safety Strategy.

  • An overview of the AHSN Network and National Patient Safety Improvement Programmes
  • Examples of how we work and the impact AHSNs have had
  • How the AHSN Network is supporting the NHS Patient Safety Strategy
16:35 Afternoon Q&A Panel Debate
16:50-16:55 Chairs Closing Remarks
17:00-17:30 Coffee & Networking
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