Learning from mistakes league
Monitor and the NHS Trust Development Authority have launched the Learning from mistakes league. The league table identifies levels of openness and transparency within NHS trusts and foundation trusts.  It has been drawn together by scoring providers based on the fairness and effectiveness of procedures for reporting errors; near misses and incidents; staff confidence and security in reporting unsafe clinical practice; and the percentage of staff who feel able to contribute towards improvements at their trust.

• View the Trust’s Lessons Learned pages on the intranet site

Training for patient safety
Health Education England has published Improving Safety Through Education and Training.  Produced by the Commission on Education and Training for Patient Safety and supported by Imperial College the report sets out ambitions, the case for change, what is working well including case studies and where improvements need to be made to make the greatest difference to patient safety both now and in the future. It sets out the future of education and training for patient safety in the NHS over the next ten years, making twelve recommendations to Health Education England and the wider system.

Maternity safety equipment funding
Department of Health has allocated funding to invest in new maternity safety equipment to more than 90 trusts.   The money will enable trusts to purchase new equipment, including ultrasound machines and mother and baby monitoring equipment, so any problems can be detected and addressed earlier. This is part of the government’s campaign to halve the number of stillbirths, neonatal deaths, maternal deaths and brain injuries occurring during or soon after birth, by 2030.

NICE Shared Learning
NICE has published a new shared learning case study:
The Royal Liverpool IV Fluid Team  

NICE guidance updated: antenatal care
NICE has partially updated Antenatal care for uncomplicated pregnancies (CG62).  Recommendations 1.9.1.1–1.9.1.3 have been deleted as the guideline they were taken from has since been updated.

Eyes on Evidence
The latest edition of Eyes on Evidence (March 2016) includes the following items:

• Bystander CPR for out-of-hospital cardiac arrest
• Effects of antimicrobial stewardship and infection control measures on MRSA infections
• Epidemiology of vivax malaria in the UK
• Delirium in critically ill people
• Smoke-free legislation and respiratory tract infections in children
• Evidence summaries from NICE’s Medicines and Prescribing Programme

NICE quality standard: preventing excess winter deaths
NICE has issued a quality standard Preventing excess winter deaths and illness associated with cold homes (QS117).  This standard covers people of all ages, and takes into account that some people are particularly vulnerable to the effects of the cold, such as people with cardiovascular or mental health conditions, young children and older people.

What’s going on in A&E?
The King’s Fund has updated its web article on What’s going on in A&E? The key questions answered.  Quarter 3 data for 2015/16 has been added to the article which looks at how A&E waiting times have changed over the past few years and explores the impact of different factors.