Last update 8th. July 2004


Patient Handling as a Subhealth Issue Within the LAS and Hospitals

With a national health mortality rate within hospital admissions of 8.5% we need to look beyond medical accidents and focus on handling issues, namely:

The training of LAS/ER/nursing staff in handling mobility/sensory impaired patients and those with mental health/learning difficulty issues. Patients within these categories need specialist handling, handling that is effective user/trainer based and fully monitored post training. We need to look at handling, environments, and journey/waiting times. We need quality standards put in place, and for those quality standards to meet full NAO criteria. It is not just about personalising the NHS, it is about cost ... cost in terms of retreatment, mortality rates and risk cost.

The handling of contract services such as cleaning/food prepping. With MRA a growing phenomenon both within mortality escalation/cost escalation we need to look closely at how these services are tendered/monitored/target performed against. To do this effectively we need to create an audit structure that can be implemented, trailed and acted upon.

Procedures/note transfer/follow up. This is an efunction in every sense of the word, the simple implementation of electronic timetables whereby failure to complete task triggers notification to the individual responsible, noncompletion within a set timeframework triggers notification escalation to line manager. A simple task that can and will save lives [cf. the Daniel Levy case and the solutions put in place by Lambeth PCT].

These are all panPPIF issues that effect service delivery/service development and are cost effective ... they are also issues that raised now through your local fora will impact on the future of all PPIFs and CPPIH .. they are also "arms' length" in their application, if that application is PPIF/NAO oriented.

Put these topics within your workplans now and let us create a commonality of voice in so doing.

Marc Jeffery