This report investigated maternity services at Furness General Hospital from January 2004 to June 2013, and concludes the maternity unit was dysfunctional and that serious failures of clinical care led to unnecessary deaths of mothers and babies. It makes a series of recommendations for the wider NHS as well as Morecambe Bay.
Acute awareness: improving hospital care for people with dementia highlights how hospitals can improve the quality and efficiency of acute care for people with dementia.
This report reviews and reflects on the impact that the Mid Staffordshire NHS Foundation Trust Public Inquiry has on acute hospital trusts, one year after the inquiry was published.
The publication was developed by Monitor for NHS foundation trusts, though its principles apply equally to other NHS settings. It draws on evidence and best practices from UK pilot sites, and also taps the experience of healthcare providers in other developed countries who use similar principles and approaches. The research took place in 2009 and 2010 but the lessons are still valid for NHS boards.
This report synthesises the evidence on the effectiveness of detection, mitigation and actions to reduce risks in hospitals and identifies and describes components of interventions responsible for effectiveness.