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Self-management support


All people with long term conditions and their carers make decisions, take actions and manage a broad range of factors that contribute to their health and wellbeing on a day-to-day basis.  In fact, the vast majority of the time, it is they who are managing their health and wellbeing and not an individual health professional or service.  

Practical guide: A framework for measuring and monitoring safety

This practical guide aims to support NHS organisations to apply a framework for measuring and monitoring safety. The framework was developed on behalf of the Health Foundation by Professor Charles Vincent, Ms Susan Burnett and Dr Jane Carthey.

Helping measure person-centred care

This rapid review summarises research about measuring the extent to which care is person-centred.  It signposts research about commonly used approaches and tools to help measure person-centred care. It aims to showcase the many tools available and includes a spreadsheet listing 160 of the most commonly researched measurement tools.

Safer Clinical Systems

The approach to patient safety in healthcare is reactive.  We still do not have a culture that understands human behaviour and it very often seeks to identify and blame individuals.  The Safer Clinical Systems approach takes learning from other safety critical industries to develop a proactive approach to risk assessment.   

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Spotlight on culture and leadership


Nurturing a safety culture is essential to reduce harm in an organisation.  The importance of a just culture is illustrated in “Annie’s story” and ‘How can leaders influence a safety culture?’  An engaged style of leadership is required to influence a safety culture.  This is discussed in the King’s Fund document ‘Together we can’ and ‘Leadership defines culture in healthcare’.  A tool that can be used to assess a safety culture is the Manchester Patient Safety Framework.  


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