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The latest Panorama expose is a salutory indicator of the difficulty of monitoring quality of care across a large establishment of locations. It's hard and people are the key factor, but the right technology approach can help. This reminded me of Sir Bruce Keogh's remarks arising from the inquiry into hospital mortality rates in 14 NHS Trusts. Saying that "Too often boards were honing in on data that reassured them they were doing a good job rather than pursuing data that revealed inconvenient truths, thereby missing opportunities for improvement.". Very often the main reason for ad hoc and infrequent assessments is that the process is paper or spreadsheet based and just takes too much effort to do frequently. So data is generally incomplete, innacurate and out of date. If you would like to know how we can help you improve this do please get in touch, without obligation.

I was struck by this article I saw this week: Ten years ago, Virginia Mason Hospital adopted a revolutionary approach that encouraged staff to report problems without fear of repercussions. The article asks the question: Can the Japanese car factory methods that transformed a Seattle hospital work on the NHS? This is a key issue across all care provision - not just the NHS. Is this kind of blame-free reporting, seen in the aviation and motor industries with success, something that should be widely adopted and what difference would it make?

We are delighted to announce that Southern Health NHS Foundation Trust has selected the Assured Compliance solution to deliver an online Clinical Walk Round Assessment tool and a daily operational report (SITREP). This programme is supported by an award from the NHS England Nursing Technology Fund; established to make better use of digital technology in all care settings, supporting nurses, midwives and health visitors to deliver safer, more effective and more efficient care. Click here to see the full details.

I was, like most readers probably, astonished to see the following headline in the press this week: "Thousands die of thirst and poor care in NHS" , with Professor Donal O’Donoghue, from Salford Royal NHS Foundation Trust, quoted in Pulse (subscription may be required) ‘We know that at least a thousand people a month are dying in hospital from acute kidney injury due to poor care. These deaths are avoidable. This is completely unacceptable and we can’t allow it to continue. Good basic care would save these lives and save millions of pounds for the NHS."