Physicians worried about patient safety

A new survey from the Royal College of Physicians (RCP) shows that 74% of physicians are worried about the ability of their service to deliver safe patient care in the next 12 months.

The survey results are published in a report being launched today (16 March) at the RCP’s annual conference in Manchester.

Over 2,100 RCP members responded to the survey entitled ‘NHS Reality Check: delivering care under pressure’. It asked questions about their experiences of delivering healthcare, and their confidence in being able to raise concerns about patient care. The results, which included free text comments, show doctors overwhelmed by rising need in hospitals running at such high occupancy levels that there is no longer slack in the system.

They shared their experiences of care over the past 12 months:

•             78% say demand for their service is rising.

•             Over half of physicians believe patient safety has deteriorated.

•             Over a third say the quality of care has lowered.

•             84% have experienced staffing shortages in their team.

•             82% believe the workforce is demoralised.

Doctors said they were ‘firefighting’, ‘papering over the cracks’ and ‘hanging on by their claws’, other comments included ‘I feel like I’m on the Titanic’, ‘55 escalation beds in operation today with no extra medical or nursing staff.  Completely unsafe.’

In her speech to the RCP’s annual conference Medicine 2017, RCP president Professor Jane Dacre will say: “I am sure these figures will not come as a surprise to anyone in the room.  The physicians I know, and I include myself, are optimistic, positive, can do people who produce work round solutions to intransigent problems.  However, they are being pushed to their limits and no longer are optimistic about the future.

“We worry that there are inherent safety risks in a hospital running at full or over capacity – from an increase in hospital acquired infections to the impact of burnout from overworked staff. Doctors and other staff need to know how to raise and escalate safety concerns.”

In the same survey physicians were asked if they were aware of the Freedom to Speak Up Guardian at their Trust and whether they felt confident in raising issues – the results are sobering:

  • Only one in five doctors know who their Freedom to Speak Up Guardian is - and of those who do:
  • Less than a third believe the Guardians have helped improve the culture of transparency and raising concerns in their organisation.
  • Less than half believe that doctors in their Trust are confident at speaking out.

RCP president Professor Dacre continued: “NHS staff should feel empowered to bring legitimate concerns over patient safety – the evidence shows that where this happens, patient safety incidents decrease.”


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