editorial from @bmj.com and paper: Poor staff retention is associated with higher patient mortality. Have said it before & I’ll say it again. If you don’t care for the carers, they cannot care for their patients. www.bmj.com/content/387/... - ThreadSky

drkevinfong.bsky.social • 91 days ago

editorial from @bmj.com and paper: Poor staff retention is associated with higher patient mortality. Have said it before & I’ll say it again. If you don’t care for the carers, they cannot care for their patients.
https://www.bmj.com/content/387/bmj.q2521

Comments

alisonleary1.bsky.social•91 days ago

We are not short on data or peer reviewed papers. We are short on implementation sadly

finstumpf.bsky.social•91 days ago

Its also cheaper to keep your staff / customers than to recruit new ones (obvs)
Not least when the training is so long and expensive

peterwelsh68.bsky.social•88 days ago

NHS staff are NHS patients too.

When a health system is poorly funded we get it bad both ways.

Oh and that hospital league tables thing. Rotten idea. Keep leagues in the sporting realm where they belong.

redneeraj.bsky.social•91 days ago

Morbidity is harder to measure. However, the relationship it has with mortality would suggest an even larger increase in morbidity with staff turnover.

hwwpotts.bsky.social•89 days ago

Very useful! We found similar effects, poorer patient outcomes with higher staff turnover, in a pain management service: https://discovery.ucl.ac.uk/id/eprint/18978/

bella34.bsky.social•88 days ago

I admit, I retired a little early earlier this year. We had less and less staff and more and more patients. There was so much stress and pressure.

I had had a heart arrhythmia but since I retired it has gone and it feels like a huge burden has lifted.

I miss my patients and my colleagues.

drwiktor.bsky.social•91 days ago

NHS culture of sacrificing Staff health and wellbeing at all cost to "provide service", poor remuneration, dropping quality of training are just a few causes of people voting with their feet.

I don't believe it can change as long as the NHS remains a political organisation

drkevinfong.bsky.social•91 days ago

I think it can change. Yes it needs courageous leadership, honesty and clarity from our leaders & politicians, and a cultural change. But I do think we can do it.

erinlisagayle.bsky.social•91 days ago

Does the NHS need to have a reasonable budget and target for quality of service, and then just be left to do it at arm's length from government/politics? Effectively independent from interference by politicians.

drkevinfong.bsky.social•91 days ago

It’s a good thought but I suspect you could never really depoliticise the NHS. And I don’t think you need to do that to make useful change here.

bella34.bsky.social•88 days ago

I think we can but only with the right people.

We were suffering with staff shortages and huge pressure.

Our head of services solution? Get us a blue bench outside with a dolphin on to sit at lunch.

We often didn’t have time to pee, never mind sit on a bench! We just needed more staff.

drwiktor.bsky.social•91 days ago

I agree it can change, the things you outlined are under the headline of NHS being a political organisation 😉
I don't believe that there are leaders / politicians brave enough to lead radical change.

debsharding.bsky.social•91 days ago

important factor is reminding employers of responsibilities to provide career-long supervision not just formative & normative but also restorative Effective supervision enables health professionals to navigate uncertainty, learn about & from it, feel safer, stay longer and keep patients safe

cmccnkaren.bsky.social•90 days ago

I agree effective supervision really helps but the people who deliver supervision PNAs for example should get time within their substantive roles to undertake this with staff - not do it in thier own time or annual leave sadly many pnas still do not the time /neither do they get supervision

debsharding.bsky.social•90 days ago

Absolutely right

drkevinfong.bsky.social•91 days ago

Fully agree *and* we’re also poor at many of the basic workplace hygiene elements: rest areas, shift patterns, food & drink.

debsharding.bsky.social•91 days ago

Yes. We have to value our humans properly if we want them to be there for us, being their brilliant selves when life deals us less unfavourable health cards. Keep influencing this where you can @drkevinfong.bsky.social

realcainmosni.bsky.social•83 days ago

Pretty much axiomatic.

drkevinfong.bsky.social•91 days ago

Thanks to all for engaging with this thread. Can I remind the NHS staff among you that there’s a workforce consultation in process with imminent deadline of Dec 2 I think. It’s your chance to have a say, if you want to put well-being front and centre. https://change.nhs.uk/en-GB/

achakladar.bsky.social•91 days ago

The failed dogma of 'patient first' runs deeply in many trusts.

Of course, the only people that can actually put patients first, the clinicians/staff, are largely ignored.

Staff first?

emergencybod.medsky.social•91 days ago

How about People First

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