Feedback not integrated
Failure of service providers to systematically collect and integrate feedback from staff, service users, and relatives to inform improvements.
Strongest theme matches
Mixed across source types and ranked by classifier confidence plus text match strength.
Inquiry recommendation
74match
R47 - Quarterly family feedback via external agency
The provider should actively seek family or carer feedback on the service user’s experience on a quarterly basis via an external agency and report the findings to the public part of a Board-level committee minutes (where these exist) and publish them on the provider’s website.
Matched on
terms: feedback
Inquiry recommendation
70match
R46 - Lived experience feedback via external agency
Where people with learning disabilities can participate, the provider should actively seek their lived experience feedback in relation to staff attitudes and behaviours on a quarterly basis through an external and independent agency (perhaps to be undertaken by the PCC), and report this to a public part of a Board-level committee and also publish it on the provider’s...
Matched on
terms: feedback
HSSIB recommendation
69match
Mental health inpatient settings: Creating conditions for learning from deaths in mental health inpatient services and when patients...
Integrated care boards and organisations that provide mental health care can improve safety by involving people with lived experience and family carers in coaching for executive leaders. This could include creating learning networks within provider collaboratives. By embedding these roles, executive teams and non-executive directors would receive direct insights from those with personal experience of mental health services,...
Matched on
terms: integrated
Committee recommendation
65match
#13 - HMCTS user feedback mechanisms exist, but significant user concerns remain unaddressed.
It explained that it had several ways it can gather user feedback. For example, it told us that every director in HMCTS was sponsoring an area of the programme which allowed them to listen to user feedback first-hand. HMCTS also stated that it had “six or seven other new mechanisms” for getting better feedback, including webinars and an...
Matched on
terms: feedback
Committee recommendation
65match
#63 - 1st Report - Cutting crime: better community sentences
Against this âgenerally positive pictureâ, we heard that sentencers âwould like more information on the outcomes of the people they sentenceâ. 104 As Chris Jennings explained, âin usual circumstances the only time sentencers note progress of an order is usually when it is in breachâ, meaning that the offender has been recalled before the Court for non-compliance with...
Matched on
terms: feedback
CQC action
65match
Royal Victoria Infirmary
The trust must ensure that feedback from staff is used to drive improvements to the quality and safety of services, and once improvements are identified they are made without delay.
Matched on
terms: feedback
CQC action
65match
Ellesmere Port Hospital
The trust must ensure staff feedback is captured and responded to appropriately to identify risks and drive improvement in services.
Matched on
terms: feedback
PHSO casework decision
65match
P-002847 - Birmingham and Solihull Integrated Care Board
Miss N complained the ICB failed to implement promised service improvements regarding her father's continuing healthcare and delayed arranging a meeting to discuss her concerns.
Matched on
terms: integrated
Inquiry recommendation
62match
5 - Feedback from corrected defects
Railway Group Standards relating to the maintenance and inspection of safety critical systems should require Railway Group members to assess the value of obtaining performance feedback through recording and analysis of corrected defects, and if necessary introduce appropriate measures as part of inspection and maintenance procedures.
Matched on
terms: feedback
Committee recommendation
62match
#9 - Publish guidance on providing timely, detailed, and consistent feedback for all funding bids.
We recommend that the DLUHC provides better guidance on how it will provide feedback on bids. The guidance must set out that feedback is timely, detailed, and consistent. This is especially important for levelling up funds as the quality of DLUHC’s feedback can hinder future applications which can be to the detriment of local communities. Feedback must also...
Matched on
terms: feedback
PFD report
61match
Ffion Jones
The improvement plan presented did not address specific service shortcomings, and there is no dedicated channel for external healthcare professionals to urgently discuss patient clinical needs with ambulance staff to inform response urgency.
Matched on
classifier match
Inquiry recommendation
61match
BRIS-28 - Routinely seek, act on, and publish patient feedback and experience surveys across NHS
Patients must be given the opportunity to pass on views on the service which they have received: all parts of the NHS should routinely seek and act on feedback from patients as to their views of the service. In addition, formal, systematic structured surveys of patients’ experience of their care (not merely satisfaction surveys) should be routinely conducted...
Matched on
terms: feedback
Committee recommendation
61match
#7 - First Report - Parliamentary and Health Service Ombudsman Scrutiny 2020–21
The Committee recommends that the PHSO learns from and implements best practice at the Local Government and Social Care Ombudsman by publishing feedback scores about its service, split between those complainants who were happy with the result of their case and those who were not. This will allow for a better understanding of the service levels provided by...
Matched on
terms: feedback
CQC action
61match
William Harvey Hospital
The trust should ensure it seeks and acts quickly on feedback from staff for the purposes of continually evaluating and improving services.
Matched on
terms: feedback
CQC action
61match
St Austell Hospital - Penrice Birthing Unit
The service should consider improving how information is displayed on how to give feedback and make a complaint about the service.
Matched on
terms: feedback
CQC action
61match
Queen Elizabeth The Queen Mother Hospital
The trust should ensure it seeks and acts quickly on feedback from staff for the purposes of continually evaluating and improving services.
Matched on
terms: feedback
CQC action
61match
Royal Papworth Hospital NHS Foundation Trust
The service should review the way it collects patient feedback to reflect the views of patients using the diagnostic imaging department.
Matched on
terms: feedback
CQC action
61match
Stamford & Rutland Hospital
The trust must ensure they seek and act on feedback from both staff and patients to improve the service.
Matched on
terms: feedback
HMICFRS recommendation
61match
FRS 2018-19 CoC Recommendations: West Sussex Fire and Rescue Service
Cause of concern: West Sussex FRS doesn’t engage with or seek feedback from staff to understand their needs. We found this to especially be the case with some under-represented groups. When staff raise issues and concerns, the service doesn’t respond quickly enough. Recommendation: The service should improve communications between staff and senior managers, so concerns are responded to...
Matched on
terms: feedback
PFD report
57match
Anne Bradley
The coroner notes that equipment for accurate tumour localisation during routine colonoscopies is not required. Furthermore, St Richards Hospital lacks a formal surgeon-to-endoscopist feedback system for tumour localisation or tattooing issues.
Matched on
terms: feedback
Committee recommendation
57match
#8 - DLUHC lacks a consistent, department-wide process for providing competitive bid feedback.
We heard evidence which brought into question the extent of support provided to applicants or unsuccessful applicants by DLUHC. There is a wide gap in perception between the quality of feedback the DLUHC said it had provided and the quality of feedback applicants said they had received. DLUHC does not appear to have a department-wide process which allows...
Matched on
terms: feedback
Committee recommendation
57match
#66 - 2nd Report - Must do better: the Office for Students and the looming crisis facing higher...
The OfS should establish an annual mechanism for the sector to provide feedback to the regulator, as is established practice within other regulators. This should involve a survey and an annual meeting with providers driven by the sector’s priorities, in addition to those of the regulator.
Matched on
terms: feedback
Committee recommendation
57match
#6 - First Report - Parliamentary and Health Service Ombudsman Scrutiny 2020–21
The PHSO have improved the data output about their own performance in recent years, which the Committee applauds. Nevertheless, the Committee is of the view that even more open and transparent access to feedback data will enable external stakeholders to give an accurate judgement on the work of the PHSO. One of the ways of doing that is...
Matched on
terms: feedback
GIRFT recommendation
57match
Anaesthesia and Perioperative Medicine
Deliver enhanced recovery across all elective inpatient surgical pathways. a Develop (or reinvigorate) an enhanced recovery culture, driven by a team-wide approach covering nurses, doctors, anaesthetists, surgeons, dieticians, physiotherapists and everyone involved in the perioperative pathway. b Ensure quarterly review and feedback of the appropriate metrics related to enhanced recovery. c Join the Perioperative Quality Improvement Programme (PQUIP)...
Matched on
terms: feedback
CQC action
57match
The York Hospital
The trust should ensure that staff receive feedback from incidents.
Matched on
terms: feedback
CQC action
57match
The County Hospital
The service should consider improving the response when requesting patient feedback.
Matched on
terms: feedback
CQC action
57match
Scarborough Hospital
The trust should ensure that staff receive feedback from incidents.
Matched on
terms: feedback
CQC action
57match
Royal Sussex County Hospital
The trust must ensure communication structures for staff are clear, easy to follow, and that there are feedback mechanisms implemented for staff who raise individual concerns.
Matched on
terms: feedback
CQC action
57match
Northwick Park Hospital
The trust should ensure all staff receive feedback from incidents.
Matched on
terms: feedback
CQC action
57match
Castle Hill Hospital
The service should seek to further collate and review patient and family feedback to improve services.
Matched on
terms: feedback
CQC action
57match
Barnet General Hospital
The trust should make sure they initiate changes to services based on feedback received from women and implement the changes with the support of the MVP.
Matched on
terms: feedback
CQC action
57match
St Benedict's Hospice
The service should seek to further collate and review patient and family feedback to improve services.
Matched on
terms: feedback
CQC action
57match
Fairfield General Hospital
The trust should ensure that information to provide feedback, including how to complain, is clearly displayed in all areas.
Matched on
terms: feedback
CQC action
57match
Poole Hospital
Consider how to improve the feedback to staff who report incidents and how feedback from staff on other matters can be shown to be gathered and acted upon.
Matched on
terms: feedback
Committee recommendation
56match
#19 - Thirteenth Report - Initial lessons from the government’s response to the COVID-19 pandemic
Our previous work has shown a mixed picture in terms of the views of end users regarding the satisfaction and success of programmes introduced in response to the pandemic. Gathering feedback from end users and frontline workers is vital for monitoring the effectiveness of interventions and improving existing processes.41 We asked what structures had been put in place...
Matched on
terms: feedback
HSSIB recommendation
56match
Outpatient appointments intended but not booked after inpatient stays
HSIB recommends that NHS England and NHS Improvement develops standards and an operating framework that describes the assurance required for all outpatient appointment booking processes, including after an inpatient stay. The assurance should include feedback mechanisms which provide safeguards that intended outpatient appointments are booked. Ideally, solutions will use technology and automation to create resilience and efficiency so...
Matched on
terms: feedback
Inquiry recommendation
56match
BRIS-166 - PCTs must involve public in commissioning hospital services and gather feedback
Primary care trusts (and groups), given their capacity to influence the quality of care in hospitals, must involve patients and the public, for example through each PCG/T’s Patient and Advocacy Liaison Service. They must make efforts systematically to gather views and feedback from patients. They must pay particular attention to involving their local community in decision-making about the...
Matched on
terms: feedback
PHSO casework decision
56match
P-002807 - North Cumbria Integrated Care NHS Foundation Trust
Miss L complained staff failed to escalate concerns about her baby's heart rate, denied a scan, missed placenta abruption signs, and delayed delivery, leading to her son's death.
Matched on
terms: integrated
PHSO casework decision
56match
P-003162 - Tameside and Glossop Integrated Care NHS Foundation Trust
Mrs N complained the Trust's account of service improvements was insufficient following missed antibiotic doses, lack of consultant input, and poor critical care decisions for her mother.
Matched on
terms: integrated
PFD report
53match
Gary Richards
Psychiatric staff did not properly assess the patient's risk of self-harm or communicate vulnerabilities, and there were failures in follow-up due to unreliable communication. Previous recommendations regarding risk assessment and follow-up had not been completed eighteen months later.
Matched on
classifier match
PFD report
53match
Venkata Kagga
The coroner noted insufficient safety features for button batteries in household devices and a lack of understanding of their risks. Concerns were also raised about non-compliance with policies for young children in emergency services, inadequate medical assessments, and poor information sharing across NHS services.
Matched on
classifier match
Committee recommendation
53match
#48 - 2nd Report - Must do better: the Office for Students and the looming crisis facing higher...
It was deeply concerning to hear allegations that the OfS issued veiled threats regarding the future of the Student Panel because members raised issues deemed to be of importance to students. This is precisely the sort of activity that the Student Panel would be expected to do, and it suggests that the OfS is not open or responsive...
Matched on
terms: feedback
Committee recommendation
53match
#123 - 2nd Report - The impact of environmental regulations on development
The Government should introduce targets for stakeholder satisfaction for its arm’s-length bodies as part of the proposed new planning performance framework. Feedback from developers and infrastructure promoters should be regularly sought and acted on.
Matched on
terms: feedback
Committee recommendation
53match
#118 - 2nd Report - The impact of environmental regulations on development
As part of an announcement on planning fees in July 2023, the Government said that it was developing proposals for a new planning performance framework, which will include considering the use of qualitative metrics such as customer feedback. It is unclear if this framework will apply to statutory consultees as well as local planning authorities. 162
Matched on
terms: feedback
Committee recommendation
53match
#33 - 2nd Report - The impact of environmental regulations on development
The Government should introduce targets for stakeholder satisfaction for its arm’s-length bodies as part of the proposed new planning performance framework. Feedback from developers and infrastructure promoters should be regularly sought and acted on.
Matched on
terms: feedback
Committee recommendation
53match
#30 - Eighth Report: Economic impact of coronavirus: the challenges of recovery
One of the clear strengths of the Treasury’s response in the initial stages of the crisis has been its willingness to listen and adjust its policies in response to feedback. However, we are disappointed in its refusal to implement recommendations from our first Report and hope that this does not indicate growing intransigence going forward. The continued uncertainty...
Matched on
terms: feedback
GIRFT recommendation
53match
Maternity and Gynaecology
Consider including PROMs for gynaecology surgery in the national PROMS programme or other established national audit. a) Review existing PROMs to identify those that could be included in the national PROMS programme or other established audit. Identify any gaps and establish follow-up outcome measures at 12 months initially and then to develop further. b) Consider including PROMS identified...
Matched on
terms: feedback
CQC action
53match
Kidderminster Hospital and Treatment Centre
Develop processes to ensure that cross division feedback and learning can be shared following the reporting of incidents in the outpatient department, which are investigated by different divisions.
Matched on
terms: feedback
CQC action
53match
Withington Community Hospital
Provide patient feedback at a local level.
Matched on
terms: feedback
Inquiry recommendation
52match
AFA-1 - Patient focus and complaints
The Inquiry recommends that the Trust and Department work together to ensure there is: • A specific programme of work to strengthen patient involvement, improve communication, and ensure patients and families are treated as partners in care. • Direct communication with patients as standard practice. • More effective handling of concerns and complaints, with an emphasis on early...
Matched on
classifier match