RESUMO
Following the events at Mid Staffordshire NHS Foundation Trust, Sir Robert Francis was commissioned to undertake a public inquiry. During this process, from speaking to NHS workers and from the evidence submitted to the inquiry, he found that staff had tried to speak up about their concerns, but that they had been ignored, or victimised as a result. This experience was not confined to Mid Staffordshire and a further report, Freedom to speak up, was commissioned. Freedom to speak up made two recommendations, which were accepted by all NHS organisations and the Department of Health. The report included principles and actions about the culture and practice in the NHS, the appointment of freedom to speak up guardians in NHS trusts and foundation trusts and a national guardian to lead this network, undertake case reviews and provide support and challenge to the system. In this article, I will describe the work of freedom to speak up guardians and the National Guardian's Office, the impact of these on workers in NHS trusts and other organisations, and the next steps in the journey to make speaking up business as usual.
Assuntos
Comitês Consultivos/ética , Segurança do Paciente/normas , Qualidade da Assistência à Saúde/normas , Medicina Estatal , Denúncia de Irregularidades , Comitês Consultivos/legislação & jurisprudência , Inglaterra , Ética Profissional , Humanos , Segurança do Paciente/legislação & jurisprudência , Bode Expiatório , Local de TrabalhoRESUMO
Mothers and their partners have a range of options to consider for use postnatally. Clinicians may help couples to make a decision by describing the options available and discussing the advantages and disadvantages of each, taking into account the particular demands of the post-delivery period. The options they may consider include: lactational amenorrhoea, combined oral contraception, the progesterone-only pill, injectable methods, implants, intrauterine devices and systems, barrier methods and sterilisation. Emergency contraception may also be needed.
Assuntos
Anticoncepção/métodos , Serviços de Planejamento Familiar/organização & administração , Período Pós-Parto , Comportamento de Escolha , Anticoncepção/enfermagem , Anticoncepção/psicologia , Comportamento Contraceptivo , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Folhetos , Educação de Pacientes como Assunto , Período Pós-Parto/psicologia , Educação Sexual , Materiais de EnsinoRESUMO
Following the birth of a child many physical, emotional and hormonal changes occur which can all have an impact. These include painful sex due to healing stitches or infection, low mood and depression and physiological changes due to breast-feeding or contraception. These can all affect the woman's sexual needs and impact on her relationship with her partner. Surveys of women postnatally suggest that there is an unmet need for discussing these issues and offering sensitive help and advice.