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NEWS
Junior doctor training offered in independent hospitals
Private hospitals report Never Events for first time
The Private Healthcare Information Network (PHIN) has published new information about serious patient safety incidents for private acute care. This is the first time that a comprehensive dataset of Never Events – serious patient safety incidents, involving privately funded patients has been published in the UK. With this information patients can now get a clearer understanding of the care provided at over 287 independent hospitals and NHS Private Patient Units.
The data, covering the period
Junior doctors in the NHS will now be able to undertake their training in independent hospitals thanks to a new agreement reached between independent healthcare providers and the NHS.
Independent hospitals currently deliver around half a million NHS procedures every year and since the historic agreement to make available virtually all independent hospital capacity to support the NHS in tackling the coronavirus pandemic, hundreds of thousands of NHS patients (including those needing critical cancer care) have been treated in independent facilities. This partnership-working during the pandemic has now been further strengthened with the publication of a position statement by the Independent Healthcare Providers Network (IHPN), NHS England-Improvement, Health Education England (HEE) and the Confederation of Postgraduate Schools of Surgery (CoPSS), setting out a series of high-level principles to ensure medical trainees have new opportunities to train in elective surgery or diagnostic activities taking place in the
independent sector. While a significant number of independent hospitals already support the education of junior doctors, IHPN and other key health bodies such as the Royal College of Surgeons have long been calling for the widespread provision of training in the independent sector. The position statement sets out a number of principles including around the need for trainees to always be supervised by a consultant who is a recognised clinical or educational supervisor in the NHS; as well as for training to be open to trainees regardless of level (including core trainees) with appropriate levels of supervision, tailored to meet their needs. NHS indemnity must also be in place for the doctor in training to work in the independent sector site for the NHS work undertaken. David Hare, chief executive of the Independent Healthcare Providers Network said: “Independent healthcare providers can provide an excellent training ground for junior doctors and the sector is committed to playing its part in training the next generation of medical professionals.”
1 January 2019 to the 31 December 2019, show that 21 Never Events involving non-NHS (insured or self- pay) patients were reported. Of these incidents, five were wrong site surgery, 11 were wrong implant/prothesis, two were retained foreign objects, one involved the mis-selection of a strong potassium solution and two related to administration via the wrong route. Dr Andrew Vallance-Owen, chair of PHIN, said: “The publication of these Never Events is an important step- change in transparency. This will be helpful for patients when deciding the right provider for their care, but it is also important that the information is available to hospitals, consultants and others within the sector. Never Events have to be reported so that lessons are learnt and actions taken to ensure they cannot happen again. This means that the reporting, investigation and learning is a powerful safety ‘call to action’ in itself and should always lead to an improvement in processes and quality of care as a result.”
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