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Quality and Safety Bulletin

All the latest in quality and safety with the RCN's Quality and Safety Bulletin. 

If you'd like to keep up to date with all the latest in quality and safety, you can subscribe to the Quality and Safety Bulletin. The Bulletin highlights the professional work of the RCN and features all the latest news on the following: quality improvement, patient safety, evidence-based practice, patient and staff-focused care and eHealth.

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Voices from the frontline

This report includes free text responses from the 2019 RCN Employment Survey. The five themes cover working patterns and workload, pay, views on nursing, physical and verbal abuse and education and training.

See: Voices from the frontline

RCN highlights

The latest news from the RCN on professional issues including publications, policy briefings, events and NICE consultations.


Northern Ireland members stage historic first day of industrial action

On 3 December, RCN members working across Northern Ireland started a historic programme of industrial action, following a recent ballot


Beating burnout

Three RCN members have shared their research, advice and innovations on how to overcome work-related stress and fatigue

Quality improvement

Learn more about developments in quality improvement through content giving practice examples, describing tools, learning through innovation and case studies, commentary and statistics.

Diabetes UK

A generation to end the harm. Diabetes UK strategy 2020 – 2025

Diabetes UK has is released its strategy, A generation to end the harm, to mark World Diabetes Day 2019. The report lays out its goals for the next five years

Health Foundation

Mental and physical health: practical ways to improve care

The Health Foundation has published guidance to help support and improve services for people living with both mental and physical health problems

Patient safety

Follow this theme to discover what patient safety means as a practice. We share learning from practitioners, and researchers and findings from the developing field of human factors in healthcare.


Nine in 10 NHS bosses say staffing crisis endangering patients

Commentary from the Guardian has highlighted that hospitals are so short of doctors and nurses that patients’ safety and quality of care are under threat

Imperial College London

Digital sepsis monitoring system helps save lives and improves care

The introduction of a digital sepsis alert system to monitor patients with sepsis, at Imperial College Healthcare NHS Trust, has led to a reduction in deaths and hospital stays

Evidence based practice

This theme explores what it means to practise in line with best available evidence. It highlights evidence based practice guidelines, research and other tools and updates on evidence based techniques and processes from across the UK. International content from credible resources is also included.

BMJ Quality & Safety

Impact of structured interdisciplinary bedside rounding on patient outcomes at a large academic health centre

Effective communication between healthcare providers and patients and their family members is an integral part of daily care and discharge planning for hospitalised patients. Several studies suggest that team-based care is associated with improved length of stay (LOS), but the data on readmissions are conflicting.


Familial breast cancer: classification, care and managing breast cancer and related risks in people with a family history of breast cancer

This guideline covers care for people with a family history of breast, ovarian or another related (prostate or pancreatic) cancer. It aims to improve the long-term health of these families by describing strategies to reduce the risk of and promote early detection of breast cancer (including genetic testing and mammography). It also includes advice on treatments (tamoxifen, raloxifene) and surgery (mastectomy).

Patient focus

Patient focus looks at the issues that relate to partnership working and shared decision making. It covers people’s human rights including the right to privacy and confidentiality.

King’s Fund

Unconventional health and care

In this report the King’s Fund looks at five organisations that are thinking differently about how they support patients and service users, and considers what we can learn from their unconventional approaches.

NHS England

Overall Patient Experience Scores: 2019 Community Mental Health Survey Update

NHS England has published the latest statistical information on patients’ experience of mental health services in the NHS. This is an update to include results from the 2019 Community Mental Health Survey.


eHealth covers the ways technologies can act as key enablers in delivering healthcare in today’s society. It’s much more than any one type of technology or device. We are seeing the appearance of new operational models supported by technology.

The Verge

Facebook’s new Preventive Health tool pushes people to advocate for their health

Facebook has launched a tool called Preventive Health, which allows users to receive personalised reminders and recommendations about a range of health care tests and vaccines. It will focus on getting people information about cancer screenings, heart check-ups, and flu vaccines.

Journal of Australian Healthcare & Hospitals Association

Digital transformation of hospital quality and safety: real-time data for real-time action

This case study details the first known digitisation of the 10 national quality and safety standards mandated in a quaternary integrated digital hospital. Data were chosen and the data were then extracted and validated and presented (often in near real time) in an easily consumable dashboard format with appropriate governance to allow clinicians and executives to monitor the quality and safety standards across the hospital.

Staff focus

This theme highlights health and morale of the workforce. A positive working environment benefits staff and patients. Creating the best possible working conditions for nursing staff enables them to deliver the highest standards of patient care.

Health Foundation

Support staff and nurses from abroad plugging shortages in NHS workforce

New analysis by the Health Foundation shows that the health service is increasingly having to rely on less-skilled clinical support staff to fill gaps in services when there aren’t enough nurses.

Nursing in Practice

The truth about care home nursing

Care UK’s head of nursing Rachel Gilbert sets out to dispel the misconceptions surrounding care home nursing. “Many people have an outdated perception of care homes – including that they equate to task-orientated care and everyone falling asleep in the lounge in front of the TV. The truth is very different.”

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Pain in Older People Workshop

Presented by the RCN Pain and Palliative Care Forum and the RCN Older Persons Forum the workshop will explore common causes of pain in older people and provide practical guidance on assessment and ongoing management.

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