Parliamentary And Health Service Ombudsman Midwifery Supervision And Regulation Recommendations For Change Hc 865

Author : Great Britain: Parliamentary and Health Service Ombudsman
Publisher : The Stationery Office
Page : 28 pages
File Size : 44,7 Mb
Release : 2013-12-10
Category : Medical
ISBN : 0102987327

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Parliamentary and Health Service Ombudsman: Midwifery Supervision and Regulation: Recommendations for Change - HC 865 by Great Britain: Parliamentary and Health Service Ombudsman Pdf

The Ombudsman investigated three cases in which local statutory supervision of midwives failed, all of which occurred at Morecambe Bay NHS Foundation Trust. The cases clearly illuminate a potential muddling of the supervisory and regulatory role of supervisors of midwives. The current arrangements do not always allow information about poor care to be escalated effectively into hospital clinical governance or the regulatory system. This means the current system operates in a way that risks failure to learn from mistakes, which cannot be in the interests of the safety of mothers and babies and must change. Working with the Nursing and Midwifery Council (NMC), the Professional Standards Authority for Health and Social Care, NHS England and the Department of Health, the Ombusdman has identified two key principles that will form the basis of proposals to change the system of midwifery regulation: that midwifery supervision and regulation should be separated; that the NMC should be in direct control of regulatory activity. The Department of Health should convey these recommendations to its counterparts in Northern Ireland, Scotland and Wales and develop proposals to put these principles into effect.

Author : Stationery Office (Great Britain)
Publisher : Unknown
Page : 574 pages
File Size : 40,9 Mb
Release : 2013
Category : Government publications
ISBN : OSU:32435087610978

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The Stationery Office Annual Catalogue by Stationery Office (Great Britain) Pdf

Author : Great Britain: Parliamentary and Health Service Ombudsman
Publisher : Unknown
Page : 26 pages
File Size : 48,7 Mb
Release : 2013-12-10
Category : Labor (Obstetrics)
ISBN : 0102987319

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Midwifery Supervision and Regulation by Great Britain: Parliamentary and Health Service Ombudsman Pdf

This report investigates Mr L's complaint that North West Strategic Health Authority (SHA) failed to carry out adequately its functions as the Local Supervising Authority for midwives in relation to open and effective care provided for his son, Baby L which contributed to Baby L's death. This followed earlier infant and maternal deaths at Furness General Hospital, the hospital where Mrs L gave birth to Baby L. It also investigates Mr L's complaint that the SHA failed to deal with his complaint about this effectively. The Ombudsman upheld the initial complaint and agreed, in respect of the other two complaints, the functions of the SHA were not carried out properly but that no injustice arose to Mr L as a result.

Author : Great Britain: Parliamentary and Health Service Ombudsman
Publisher : Unknown
Page : 22 pages
File Size : 47,7 Mb
Release : 2013-12-10
Category : Labor (Obstetrics)
ISBN : 0102987297

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Midwifery Supervision and Regulation by Great Britain: Parliamentary and Health Service Ombudsman Pdf

Mrs M went into Furness General Hospital in July 2008 for the birth of her son. Sadly, there were problems during her birth and she died after the birth despite attempts to resuscitate her. He son, Baby M, died the next day because he had been deprived of oxygen during the birth. Two of the Local Supervising Authority's Supervisors of Midwives, Midwife A and Midwife B, reviewed the records and decided that there were no midwifery concerns that would warrant a supervisory investigation. Mr M said that, because of that decision, he and his wife's family had not been able to mourn the deaths of mother and baby. The Ombudsman found that: Midwife A should have identified a number of failings in the care provided to Mrs M who was a high-risk mother because of diabetes and having induced labour. Baby M's heart should have been monitored at regular intervals using continuous fetal heart monitoring from the moment Mrs M arrived in the delivery suite. The Strategic Health Authority should have gone much further than they did in investigating the original decision not to undertake a supervisory investigation. As a result they did not give Mr M an evidence-based explanation of that decision.

Author : Mitch Blair,Michael Rigby,Denise Alexander
Publisher : Emerald Group Publishing
Page : 432 pages
File Size : 48,9 Mb
Release : 2019-05-06
Category : Health & Fitness
ISBN : 9781789733518

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Issues and Opportunities in Primary Health Care for Children in Europe by Mitch Blair,Michael Rigby,Denise Alexander Pdf

The ebook edition of this title is Open Access and is freely available to read online. This book presents the scientific findings of a three-year project across 30 EU and EEA countries assessing primary care for children throughout the life-course, drawing from 20 academic partners' analysis of evidence produced by agents in each of the countries.

Author : Anonim
Publisher : Unknown
Page : 214 pages
File Size : 47,9 Mb
Release : 1986
Category : Electronic
ISBN : STANFORD:36105210405457

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Regulators Handbook by Anonim Pdf

Author : Sanjay Patole
Publisher : Springer
Page : 296 pages
File Size : 54,6 Mb
Release : 2015-01-05
Category : Medical
ISBN : 9783319115269

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Management and Leadership – A Guide for Clinical Professionals by Sanjay Patole Pdf

​This book will provide anyone with an interest in the clinic with a basic guide on those things that are not taught during medical school or any other pre-clinical trainings. The line-up of authors was carefully assembled to include experts in all respective fields to give this volume the authority it requires to be a relevant text for many.

Author : Alberto Castro
Publisher : Unknown
Page : 0 pages
File Size : 52,7 Mb
Release : 2019
Category : Ombudspersons
ISBN : 178068780X

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Principles of Good Governance and the Ombudsman by Alberto Castro Pdf

The main purpose of this study is to determine the extent to which, through the performance of (indirect) normative functions and the application of principles of good governance as assessment standards, the ombudsman institution can contribute to improving the legal quality of the government while enhancing the legitimacy of the administration and the democratic system as a whole.The study is conducted from a comparative perspective, exploring the performance of the Dutch, UK, Spanish and Peruvian Ombudsmen. They are analysed with the aim to determine how far these ombudsmen, although of different types and belonging to different legal traditions, share the same values and apply similar normative standards that can be traced back to principles of good governance. The Peruvian ombudsman is examined as a case study of the institutions evolving role in new democracies in Latin America. This reflects the wider process of the ombudsman 's hybridisation worldwide, and how its functions and assessment standards have been adapted to the evolution of the constitutional state, not least through application of the principles of good governance, which operate at the constitutional level, as a new source of legitimacy.By primarily focusing on the steering function regarding the promotion of good administration rather than the protective function of the institution, the study concludes that the ombudsmans activities result in changed and improved public administration, which are often underappreciated in the legal literature. The legal approach to good governance provides the conceptual framework for evaluating the performance of the institution.

Author : Heather Widdows
Publisher : Routledge
Page : 343 pages
File Size : 46,8 Mb
Release : 2014-12-05
Category : Philosophy
ISBN : 9781317491743

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Global Ethics by Heather Widdows Pdf

Global ethics addresses some of the most pressing ethical concerns today, including rogue states, torture, scarce resources, poverty, migration, consumption, global trade, medical tourism, and humanitarian intervention. It is both topical and important. How we resolve (or fail to resolve) the dilemmas of global ethics shapes how we understand ourselves, our relationships with each other and the social and political frameworks of governance now and into the future. This is seen most clearly in the case of climate change, where our actions now determine the environment our grandchildren will inherit, but it is also the case in other areas as our decisions about what it is permissible for humans beings to do to each other determines the type of beings we are. This book, suitable for course use, introduces students to the theory and practice of global ethics, ranging over issues in global governance and citizenship, poverty and development, war and terrorism, bioethics, environmental and climate ethics and gender justice.

Author : Anne Stibbs
Publisher : Unknown
Page : 0 pages
File Size : 47,6 Mb
Release : 2005
Category : Crossword puzzles
ISBN : OCLC:1259497052

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Crossword Lists by Anne Stibbs Pdf

Author : Anonim
Publisher : Unknown
Page : 382 pages
File Size : 52,5 Mb
Release : 1892
Category : New Zealand
ISBN : UCAL:B3030615

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The New Zealand Official Year-book by Anonim Pdf

Author : New Zealand. Royal Commission on the Pike River Coal Mine Tragedy
Publisher : Unknown
Page : 40 pages
File Size : 46,7 Mb
Release : 2012
Category : Coal mine accidents
ISBN : OCLC:817160789

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Royal Commission on the Pike River Coal Mine Tragedy by New Zealand. Royal Commission on the Pike River Coal Mine Tragedy Pdf

Details the tragic events at Pike River Coal Mine on 19 November that resulted in the loss of 29 lives. Propsoals and recommendations for improvements to the safety of people working in mines.