70-644: The Keogh Review into patient safety was carried out by Professor Sir Bruce Keogh in July 2013. This review was ordered by the Prime Minister in response to the Francis Inquiry into poor care at Mid Staffordshire Hospitals NHS Foundation Trust. 14 NHS Trusts which were persistent outliers in measures of hospital mortality were investigated: As a result of the review six NHS Foundation Trusts were put into special measures by Monitor and five by
140-932: A British Heart Foundation junior research fellow, senior lecturer, member of the Research Grants Committee and Council member. Prior to becoming medical director of the National Health Service, he served on the National Coronary Heart Disease Taskforce, the NHS Standing Medical Advisory Committee, and was chairman of the NHS Information Taskforce on Clinical Outcomes for the Department of Health. He has also served as Commissioner on
210-550: A cardiac surgeon with a special interest in reconstructive mitral valve surgery. He earned a Bachelor of Science degree and MB BS degree from Charing Cross Hospital Medical School part of the University of London in 1977 and 1980 respectively. He was a demonstrator in anatomy at Charing Cross Hospital Medical School before training in general surgery in London and Sheffield and gaining his FRCS in 1985. He then opted for
280-590: A career in cardiac surgery, returning to the Hammersmith Hospital as a registrar. During this time he spent a year as a laboratory-based British Heart Foundation Junior Research Fellow which led to the award of the MD higher degree in 1989 for research into laser coronary angioplasty. He was appointed as senior registrar on the West London training rotation where he spent time at St George's Hospital and
350-403: A doctor he referred in 2017 was a whistleblower. They stated that his action risked "bringing the profession into disrepute ". The GMC took no further action against the doctor reported and they went on to win an employment tribunal for wrongful dismissal. The board is ethnically diverse with 7 out of 17 directors from ethnic minority groups. There has not been a director who was not white in
420-504: A finding endorsed by a subsequent European report in 2013. In 2012 Keogh ordered a review of the national quality assurance frameworks and governance for pathology services with the aim of making the process more robust and transparent. This was prompted by a series of misdiagnoses at Kingsmill Hospital, which had negatively affected the care of a number of women with breast cancer. The review reported in 2014. In 2013, he published four significant reports: In 2017 he wrote to Jeremy Hunt
490-698: A letter from Keogh to the BMA which made reference to the November 2015 Paris attacks . The letter sought reassurance regarding the impact of the proposed strike, including clarification that the BMA would call off the strike in the event of a terrorist attack. On 7 January 2016, The Independent newspaper revealed details of involvement from the Department of Health and the Secretary of State for Health, Jeremy Hunt . The Independent article stated: "In one email, sent
560-628: A medical director for specialised commissioning, regional medical directors and pharmacists, area medical directors, over 20 expert national clinical directors and junior doctors, pharmacists and dentists through the National Medical Director's Clinical Fellowship Scheme. In 2015 he established and chaired the NHS National Innovation Acelerator to help innovators and promote innovation in the NHS. With
630-592: A national taskforce to improve neonatal services. In 2012 he co-chaired a review of medical and dental school intakes, with Sir Graeme Catto , on behalf of the Higher Education Funding Council and the Department of Health. In 2012 he was asked by the Secretary of State for Health to investigate the safety of PIP breast implants, a product of fraudulent quality, but concluded that although they were more likely to rupture than other implants they did not pose significant health risk to women
700-656: A place for treatment and 70% recommended it as a place to work. In March 2016 the Trust's cardiac surgery service was heavily criticised in a Care Quality Commission report, having been identified as a significant mortality outlier when compared to similar services. In September 2016, the trust was selected by NHS England as one of twelve Global Digital Exemplars . Birmingham was close to target for planned operations and care but missed targets for seeing A&E patients within 4 hours and also missed targets for cancer care which should start within 62 days. In December 2019, as
770-519: A result of changes to the NHS tariff. In June 2014 the trust reported that Accident and Emergency Department activity had continued to rise with more than 102,000 attendances, a 4.9% increase over the previous year. It was named by the Health Service Journal as one of the top hundred NHS trusts to work for in 2015. At that time it had 7712 full-time equivalent staff and a sickness absence rate of 3.86%. 82% of staff recommend it as
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#1732791817847840-473: A short episode of care e.g. broken leg, an operation or infection. Fourthly, the NHS should treat you well. The experience should be as positive as possible, ranging from participation in decisions about your treatment to decent customer service. Finally, the NHS should treat you safely. All of these are measurable at different levels. They also dovetail with the definition of quality in the three domains of effectiveness, safety, and experience. The five domains of
910-562: A small subset of goods and services they buy. The Value Added Tax Act 1994 provides a mechanism through which NHS trusts can qualify for refunds on contracted out services. The trust has one of the 11 Genomics Medicines Centres associated with Genomics England which were planned to open across England in February 2014. All the data produced in the 100,000 Genomes project will be made available to drugs companies and researchers to help them create precision drugs for future generations. It
980-446: A turnover of £1.6bn and 2,700 beds across four main hospitals. In December 2013 it emerged that the Trust was interested in expanding into Primary Care , a proposal which was not welcomed by all the local General Practitioners . In 2013 the trust established a subsidiary company, UHB Facilities Ltd, to which 3 staff were transferred. The intention was to achieve VAT benefits which arise because NHS trusts can only claim VAT back on
1050-741: Is a Rhodesian -born British surgeon who specialises in cardiac surgery . He was medical director of the National Health Service in England from 2007 and national medical director of the NHS Commissioning Board ( NHS England ) from 2013 until his retirement early in 2018. He is chair of Birmingham Women's and Children's NHS Foundation Trust and chairman of The Scar Free Foundation . Keogh was born on 24 November 1954 in Salisbury, Rhodesia (now Harare , Zimbabwe),
1120-788: Is consistently ranked as one of the most powerful people in the NHS and in 2014 he was included in the Sunday Times and Debretts list of Britain's 500 most influential people. As of 2015, Keogh was paid a salary of between £190,000 and £194,999 by NHS England, making him one of the 328 most highly paid people in the British public sector at that time. Keogh and wife, Ann Keogh, have been married since they met in medical school. The couple has four sons. University Hospital Birmingham The University Hospitals Birmingham NHS Foundation Trust provides adult district general hospital services for Birmingham as well as specialist treatments for
1190-670: Is extremely concerning and will only serve to worsen junior doctor’s lack of trust in the Government’s handling of negotiations". He chairs Sensyne Health an AIM listed clinical AI biotechnology company and is a director of LumiraDx , a point-of-care diagnostic company. He is a non executive director of the National Institute for Health and Care Excellence and the UK Government sponsored Cell and Gene Therapy Catapult promoting advanced medicinal therapy development in
1260-587: Is one of the biggest providers of specialised services in England, which generated an income of £327.7 million in 2014/5. It arranged a deal with Hospital Corporation of America in 2017 to build 138 bed specialist hospital on the trust's Edgbaston campus. The £65 million development will have 66 private beds, run by HCA Healthcare, and 72 NHS beds, run by the trust, a new radiotherapy unit and operating theatres. Construction, by Vinci Construction UK started in May 2019. The Department of Health and Social Care lent
1330-486: Is responsible for promoting a focus on quality, clinical leadership and innovation. To facilitate these aims he was responsible for overseeing the establishment of Academic Health Science Networks , Strategic Clinical Networks and Clinical Senates . He put clinicians at the heart of NHS England through the Chief Pharmaceutical, Dental, Scientific and Allied Health Professions officers, a primary care deputy,
1400-1004: The American Association for Thoracic Surgery and a Fellow of the European Society of Cardiology . In addition, he has served as a member of the Civil Aviation Authority Medical Advisory Panel, and on the trustee board for the National Confidential Enquiry into Patient Outcome and Death and the Board of the Picker Institute. He has sat on the editorial boards of Heart and the Journal of the Royal Society of Medicine. He has been
1470-738: The American Surgical Association , the British Society of Interventional Radiology and the British Association of Aesthetic and Plastic Surgeons. He has been a visiting professor at universities in Japan, China and North America. Closer to home he has been King James IV Professor of the Royal College of Surgeons of Edinburgh (2005) and Tudor Edwards lecturer (2007), and Hunterian Orator (2013) for
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#17327918178471540-608: The Commission for Health Improvement and the Healthcare Commission , where he chaired the Clinical Strategy Group. Given his long-standing interest in measuring and publishing clinical outcomes as a driver for improving quality, in 2007 he was asked by Patricia Hewitt , then Secretary of State for Health, to assist Tim Kelsey in establishing a new health website, "NHS Choices". Keogh's role
1610-677: The Healthcare Quality Improvement Partnership (HQIP)a joint venture between the Academy of Medical Royal Colleges and the Royal College of Nursing to develop and run the national clinical audits. Keogh's role also included oversight of the medicines supply chain into the UK, policy relating to the pharmaceutical industry, drug pricing, prescriptions and the role of pharmacy in England and sponsorship of
1680-508: The NHS Trust Development Authority . Blackpool Teaching Hospitals NHS Foundation Trust , Colchester Hospital University NHS Foundation Trust and The Dudley Group NHS Foundation Trust were not put in special measures. Bruce Keogh Charing Cross Hospital Medical School Professor Sir Bruce Edward Keogh , KBE , FMedSci , FRCS , FRCP ( / ˈ k j oʊ / KEE -oh ; born 24 November 1954)
1750-582: The Queen's Birthday Honours on 11 June 2005, his knighthood became substantive (back dated to 5 February 2004). Keogh is an honorary Fellow of the Royal College of Physicians of London , the Royal College of General Practitioners , the Royal College of Anaesthetists , the Royal College of Paediatrics and Child Health , the Royal College of Surgeons in Ireland , the American College of Surgeons ,
1820-594: The Royal College of Surgeons of England and Kinmonth Lecturer (2013) jointly for the Royal College of Surgeons of England and the Vascular Society of Great Britain and Ireland. In 2009 he delivered the Hunterian Society Oration. In 2014 he delivered the inaugural John Snow Oration for the Royal College of Anaesthetists. He holds honorary medical doctorates from the universities of Birmingham and Sheffield and Doctorates of Science from
1890-657: The University of Toledo and Coventry University . On World Thrombosis Day in 2016 he received an Outstanding Achievement Award in Parliament from Thrombosis UK for establishing and overseeing a national strategy for reducing venous thromboembolism in hospitals in England In 2013, 2014 and 2015 he was ranked by the Health Service Journal as the most influential clinician in the English NHS. He
1960-618: The West Midlands . The trust operates the Queen Elizabeth Hospital in Edgbaston (QEHB), adjacent to its older namesake and connected to it by a footbridge. QEHB began receiving patients at its Emergency Department on 16 June 2010, and replaced Queen Elizabeth Hospital and Selly Oak Hospital . The trust is under the leadership of Chair Dame Yve Buckland and chief executive Jonathan Brotherton On 30 June 2004,
2030-859: The 1990s and Mid Stafforshire in the 2000s when some people argued over data while other people were harmed. In 2014 he told the Parliamentary Health Select Committee that there was "extreme skepticism" in the NHS that the £1.6 billion of NHS money being transferred to local government as the Better Care Fund would be used for the benefit of NHS patients. He expressed concern that it would "be used for filling in potholes" as local councils grappled with their priorities and funding cuts. The remark attracted opprobrium from local government and support in equal measure from NHS commentators. Ahead of proposed industrial action in England by junior doctors , NHS England published
2100-486: The COVID pandemic, the trust made numerous changes and reorganisations to its hospital services to ensure patient care in safe environments while also treating COVID-19 patients. In March 2020, a Birmingham children's A&E department was temporarily shut. In April 2020 supportive care and chemotherapy treatment of cancer patients was relocated to Solihull . At the same time Heartlands Hospital 's Gynaecology Assessment Unit
2170-553: The Clinical Advisor Scheme in the Department of Health, thereby ensuring a long-term home for the programme. The following year, he helped to establish a shadowing period for new Foundation Trainees. Following the election of a coalition Government in 2010, he was tasked with making clinical outcomes the currency of NHS business. In response, his team developed the NHS Outcomes Framework which
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2240-681: The Digital Health's Autumn Leadership Summit reported that the trusts' digital programmes, which included Babylon's Ask A&E chat service had cut the number of preventable hospital visits by 63%. In December 2021, as the Trust reported an increase of nearly 50% demand on A&E to pre-pandemic levels, as well as highlighting its knock-on effect that COVID-19 had on ward space and how COVID-19 measures affected patient flow through A&E, it increased capacity opening two additional wards at Good Hope , Heartlands and Queen Elizabeth hospitals as well as further theatres at Solihull Hospital as
2310-958: The Harefield Hospital training in cardiac, pulmonary and oesophageal surgery. He was subsequently appointed a university Senior Lecturer in cardiothoracic surgery at the Royal Postgraduate Medical School and honorary consultant surgeon at the Hammersmith Hospital between 1991 and 1995. He then took an NHS consultant position in Birmingham where he became the clinical service lead for cardiothoracic surgery and Associate Medical Director for Clinical Governance at University Hospital Birmingham before being appointed Professor of cardiac surgery at University College London and director of surgery at The Heart Hospital in 2004. In 1994 he established
2380-598: The NHS "High Quality Care for All" published in 2008. This review has been credited with refocusing the NHS on quality of care. Keogh's team also developed the Quality Framework for the NHS (based on the work of Sheila Leatherman ) and included in Darzi's review. The principles were simple: Define what is meant by quality, measure it, publish it for everyone to see, reward those who do well, regulate for minimum standards, promote and develop leadership for quality within
2450-637: The NHS Outcomes Framework have formed the basis of the Government's Mandate to NHS England and NHS England's planning guidance for the NHS where they give clarity of purpose and direction to the NHS in a way that was previously undefined. He has argued that the role of NHS England is to "turn taxpayers money into good clinical outcomes". Following the Lansley reforms of the NHS, he was appointed National Medical Director in NHS England from 2013, where he
2520-477: The NHS and promote research and innovation within the NHS, by drawing on and linking with the best British universities and biotechnology companies in to form academic science networks. The resultant definition of healthcare quality based on the provision of effective care, safe care and a positive experience became widely accepted and was subsequently enshrined in the Health and Social Care Act (2012). In 2011, after
2590-400: The NHS on a path to electronic health records. He also recommended a National Quality Framework based on clinical metrics. The lack of a national set of clinical outcome and quality measures had impeded progress towards a culture of continuous quality improvement. On handing over to his successor, Christine Connelly, Keogh emphasised 3 priorities for NHS IT. The first was the need to focus on
2660-557: The National Adult Cardiac Surgical Database and as a consequence, he is perhaps best known for his work promoting the measurement, analysis and public disclosure of clinical outcomes. But he has also published numerous peer-reviewed scientific articles on coronary artery vasomotor tone, the effect of cardiopulmonary bypass on gut blood flow and function, myocardial protection during surgery, surgery for patients with poor left ventricular function and
2730-532: The Secretary of State for Health recommending changes to the way ambulance response times were monitored in order to ensure the sickest patients received the quickest response. The recommendations based on a rigorous review of 14 million 999 calls were accepted and implemented. In 2019 he led a review for the Independent Healthcare Providers Network aimed at improving clinical governance in independent healthcare providers in
2800-883: The Society for Cardiothoracic Surgery in Great Britain and Ireland, Secretary General of the European Association for Cardio-Thoracic Surgery and president of the Cardiothoracic Section of the Royal Society of Medicine and served on the Council of the Royal College of Surgeons of England and the board of directors of the Society of Thoracic Surgeons in the US. He is an elected member of
2870-478: The Trust plummeted to its lowest performance, amongst the worst nationally, in their treatment of A&E patients it encouraged patients to consult Ask A&E for guidance on where to go after providing their symptoms. In July 2021, the General Medical Council issued a warning to the trust's then medical director David Rosser after falsely reporting to the regulator that he was not aware that
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2940-610: The Trust received authorisation to become one of the first NHS Foundation Trusts in England, under the leadership of ex-chief executive Dame Julie Moore , who succeeded Mark Britnell . From 2006 to November 2013 the Chair of the Trust was Sir Albert Bore . Former Home Secretary Jacqui Smith took over as chair in December 2013. On 1 April 2018 it merged with the Heart of England NHS Foundation Trust . The combined organisation will have
3010-426: The UK. In 2012 Keogh was asked by Jeremy Hunt , Secretary of State for Health, to reassure him that there had been adequate clinical consultation on proposals to reconfigure services in south London. In a letter to Hunt Keogh concluded that there had been adequate clinical consultation, but he also included a warning about closing Lewisham A&E. His advice was seen by some as an intervention to protect and prevent
3080-860: The UK. He chairs a medical research charity The Scarfree Foundation , the British Heart Foundation Clinical Research Collaborative , the Birmingham Women's and Children's Hospitals charity and the Ex Fide Fiducia Trust supporting his old school in Zimbabwe. Keogh was appointed as an honorary Knight Commander of the Order of the British Empire (KBE) in 2003. He subsequently became a British citizen , and as part of
3150-405: The advent of medical revalidation, he became the senior responsible officer for doctors in England. In November 2014 Keogh oversaw the publication of around 5,000 consultant surgeons' mortality and procedure related-complication rates. He warned that a further 2,500 who did not share this information would face penalties. In April 2017, Keogh announced that he would be stepping down at the end of
3220-435: The closure of Lewisham A&E and by others as the opposite. Much debate centred around a projection regarding the number of lives that might be saved, a calculation of unknown origin – attributed by some to Keogh and by others to work conducted by the London Clinical Senate. In 2013 Keogh provoked the suspension of children's heart surgery in Leeds just before the Easter weekend, based on evidence from Professor Roger Boyle,
3290-402: The collapse of the British Association of Medical Managers, he established the Faculty of Medical Leadership and Management under the jurisdiction of the Medical Royal Colleges in order to ensure access to all doctors, not just those in leadership or management positions. He subsequently asked the Faculty to administer the National Medical Director's Clinical Fellows Scheme which had grown out of
3360-441: The combined trust £162 million in May 2018. £87 million was for a new ambulatory care and diagnostics centre at Heartlands Hospital. The trust opened an office in Beijing in October 2018, hoping to find business opportunities in China, which could include consultancy, the trust's in-house clinical software, and advice about the construction of new hospitals. In May 2019 it was negotiating with Babylon Health with plans to use
3430-451: The country they were within normal statistical boundaries. His intervention was widely regarded as sensible and preemptory given the evidence, but some thought it precipitous. Keogh remained unrepentant, arguing he would rather be remembered for preventing an avoidable disaster and embedding the "precautionary principle" in NHS safety culture, than responsible for not acting on reasonable doubt. He cited examples of "prevarication" at Bristol in
3500-600: The day before the strike was declared, Sir Bruce was told by a DoH official that the risk of a “major incident” would be “pressed quite hard in the media once the strike is formally announced” and he was advised that “the more hard-edged you can be on this, the better”. The leak also revealed that Hunt agreed Sir Bruce would not be asked to speak to the media on the day the strike was declared “so long as” his letter reiterated his opposition to strike action. A British Medical Association spokesperson has since openly condemned these actions by saying: "This level of political interference
3570-715: The development of essential functionality that would create a pull effect from clinicians by ensuring NHS IT was useful in conducting day-to-day business. The idea was to create a create a ‘tipping point’ in the acceptability and demand for strategic IT systems. The five key elements (the ‘Clinical 5’) for secondary care were: a Patient Administration System (PAS) with integration with other systems and sophisticated reporting; Order Communications and Diagnostics Reporting (including all pathology and radiology tests and tests ordered in primary care; letters with coding (discharge summaries, clinic and Accident and Emergency letters); scheduling (for beds, tests, theatres etc.); e-Prescribing. This set
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#17327918178473640-518: The effects of social deprivation on cardiac surgical outcomes. He has co-authored a book on the Evidence for Cardiothoracic Surgery (2005) and another on Normal Surface Anatomy (1984). While at UCL he brought the national registries on adult and pediatric cardiac surgery, myocardial infarction, coronary angioplasty and pacemakers into a new National Institute for Cardiovascular Outcomes Research. His work with Paolo Camici using PET scanning to identify hibernating myocardium in people with heart failure in
3710-437: The establishment of the Cancer Drugs Fund which he believed would undermine NICE and the quest for an evidence based NHS. He was subsequently responsible for drawing together NICE, cancer charities and the pharmaceutical industry to lay the groundwork for a revised evidence driven CDF which went live under NICE in 2017. Keogh's team was responsible for implementing the majority of the recommendations from Lord Darzi 's review of
3780-400: The former national heart czar and director of the National Institute for Cardiovascular Outcomes Research, that the mortality rate was 2.75 times higher than might be expected for their practice. Keogh was also concerned that one consultant surgeon was suspended from operating, that the senior consultant was on holiday and that the remaining surgeons were locums. The hospital could not contradict
3850-475: The mid 1990s helped transform surgery for heart failure worldwide. He performed the first successful transabdominal, off pump gastroepiploic artery bypass graft to the heart in the UK and was among the first to adopt minimally invasive, direct coronary artery bypass surgery, thoracoscopic mitral valve surgery and warm blood cardioplegia for myocardial protection. Keogh has been active on many medical and professional committees. He has been secretary and president of
3920-422: The mortality figures, so he suggested suspending surgery till the full facts could be verified. It subsequently turned out that Leeds had submitted poor data, 20 times more missing data than any other unit in the country, despite the fact that one of their cardiologists ran the national registry. After Leeds had submitted accurate and complete data, analysis showed that although they still had the highest mortality in
3990-405: The need to "focus on clinical metrics that improve quality, in the context of patient safety, patient experience and patient outcomes. The lack of a national set of clinical outcome and quality measures has slowed progress towards a culture of continuous quality improvement. It has prevented meaningful institutional comparisons and deprived the public of essential information...". In 2009 Keogh led
4060-431: The son of Gerald and Marjorie Beatrice Keogh (née Craig). His father held a senior position in the Civil service, having been Chief Inspector of Public Services for the Federation of Rhodesia and Nyasaland while his mother was a Hansard reporter in parliament. He attended the private Catholic boys school St George's College, Harare . Prior to becoming full-time NHS Medical Director in November 2007, Keogh practised as
4130-404: The technology for virtual outpatient consultations, chronic disease management, and triage both before and after patients arrived at the emergency department using Babylon's symptom checker app. The ambition was that the symptom checker could refer patients directly to specialist clinics, avoiding its accident & emergency (A&E) department. The Birmingham Local Medical Committee said this
4200-430: The trust because of capacity problems. The Trust had been forced to fully re-open the former Queen Elizabeth Hospital, which was supposed to be closed after the new site was opened in 2010. In October 2014 Julie Moore called for a major overhaul of financial rules to help popular hospitals cope with the extra demand their reputations attract. The trust expected to finish 2015–16 with a deficit of more than £31 million as
4270-486: The work programmes of the National Institute for Health and Clinical Excellence (NICE), the NHS regulator the Healthcare Commission and the National Patient Safety Agency (NPSA), including the National Confidential Enquiries and the National Research Ethics Service. Through sponsorship of Medical Education England (MEE) a product of the 2008 Darzi review of the NHS, he had oversight of postgraduate education of doctors, dentists, pharmacists and clinical scientists, but this
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#17327918178474340-402: The year and in January 2018, left NHS England to become chair of Birmingham Women's and Children's NHS Foundation Trust . In 2008, while interim Director General for Informatics in the Department of Health, Keogh undertook a National Health Informatics review. He argued for a Chief Information Officer for Health and the development of associated career structures in the NHS. He also highlighted
4410-425: The £12.4 billion worth of contracts within the National Programme for IT in the NHS. The second was the need to get the technology right for clinicians who use it. The third was the need to focus on the patient, saying “Most importantly, we must not lose sight that the technology is about underpinning the interaction between citizens of this country and health and social care services.” As Medical Director he opposed
4480-408: The ‘cold’ Covid-free site for elective surgery. In January 2022 it became known that the Trust had submitted plans to Birmingham City Council to build a top-class training centre at Good Hope Hospital , which was needed due to the increased number of medical students. The 1.9m investment would provide support to existing and future staff as well as the local community. In December 2013 the Trust
4550-550: Was "a truly frightening prospect that is going to be nothing but massively damaging for healthcare in Birmingham". The trust was one of the biggest beneficiaries of capital funding for the NHS in August 2019, with an allocation of £97.1 million for a purpose built building for outpatient, treatment and diagnostic services. It began trials of a Remote Diagnostic Station in 2020. This enables multi-disciplinary teams to give remote clinical support using digital stethoscopes and ECGs to review and provide diagnoses for patients. During
4620-441: Was based on the observation that all healthcare systems should do five things well: Firstly, the NHS should stop you dying prematurely from things they could influence through treatment or prevention through immunisations e.g. stroke, heart attacks, measles. Secondly, the NHS should look after you well if you have a long-term medical condition such as diabetes, asthma, arthritis. Thirdly, the NHS should treat you effectively if you need
4690-403: Was one of thirteen hospital trusts named by Dr Foster Intelligence as having higher than expected mortality indicator scores for the period April 2012 to March 2013 in their Hospital Guide 2013. In August 2014 the trust wrote to local Clinical Commissioning Groups advising them that it would no longer accept referrals into pain, dermatology and general surgery from GPs outside the boundary of
4760-452: Was superseded by Health Education England (HEE) in 2012 to ensure a balanced and integrated approach to all healthcare professionals. In 2008, Keogh succeeded Matthew Swindells as Interim Director General for Informatics in the Department of Health. During this time he set out a vision for NHS IT and Informatics that would learn from successful GP systems and inform future direction for the National Programme for IT. This review recommended
4830-524: Was temporarily moved to Good Hope with home-birth services being suspended. In June 2021, a senior delegation of NHS England and NHSX visited University Hospitals Birmingham to assess the feasibility of a comprehensive extension of an AI triage model, based on that used by Babylon, which had already been used by NHS University Hospitals Birmingham NHS Foundation Trust (UHB) since April 2020. In October 2021, Professor David Rosser, chief executive at University Hospitals Birmingham NHS Foundation Trust, at
4900-581: Was to ensure credible clinical content. He chaired the clinical advisory group and subsequently went on to chair the NHS Choices Board. As medical director of the NHS (2007–13) he was a director general in the Department of Health where he led the Medical Directorate, which had oversight for clinical policy and strategy in the NHS. This included the work of the National Clinical Directors and their associated strategies such as those for coronary heart disease, stroke, cancer, respiratory disease, renal disease, liver disease, trauma, and transplantation. He established
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