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Volume 2 Journal of Clinical Diagnosis and Treatment Annual Nephrology & Chronic Diseases 2019
May 20-21, 2019
Page 11
Nephrology
Chronic Diseases May 20-21, 2019 London, UK
19th Annual Conference on
3rd International Conference on
&
P Umesh Prabhu, J Clinical Diagnosis and Treatment, Volume 2
Patient safety in nephrology
Health is the wealth of the nation. To create a thriving economy every nation needs healthy people to
work with skills and jobs. It is the duty of each and every nation to create an excellent healthcare
which is safest and the best and is affordable. NHS is a great Institution and each year 360 million patients
are seen by 1.3 Million staff. Most staff work hard and most patients receive safest and the best care.
However, sadly culture of bullying is common in NHS. Staff survey shows that 20 to 30% of staff report
being bullied or seen someone being bullied in the NHS. Bullying culture is common not only in NHS
but throughout the World in healthcare sector. There are complex reasons for the culture of bullying.
When I was the Medical Director of Wrightington, Wigan and Leigh FT (2010-2016) I had to deal with
culture of bullying and we transformed the culture of bullying to kind caring compassionate learning and
supportive culture, we reduced harm to patients by 90% over 8 empowered staff to speak up and
70 staff raised concerns with me and other Directors and this helped us to transform the culture. The Trust
appointed kind caring compassionate leaders to each and every department, created good team working,
implemented good governance and duty of candour. Trust received 45 awards and 450 more patients
survive each year and for staff happiness Trust improved from bottom 20% in 2011 to third best by 2016.
In my presentation I will be presenting as to how we transformed the culture and I will be focusing on
some of the nephrology cases like Diabetes, renal surgery and acute kidney injury and how we reduced
harm and howwe learnt lessons. Leadership is honesty, sincerity, integrity and courage to protect patients
and to support staff. Happy staff – Happy patients is the culture we created to transform the Trust.
Biography
Umesh Prabhu is a senior lecturer at Edgehill University, England. He has been a consultant Paediatrician (1992-2010); Clin-
ical Director of Paediatrics (1992-1998); Medical Director of Bury NHS Trust (1998-2003); Board Member of National Patient
Safety Agency UK (2001-2003) (Now part of NHS Improvement); National Adviser for National Clinical Assessment Service
(2003-2015) (Now part of NHS Resolution); National Adviser for Paediatric Complaints (CHAI – now called Care Quality Com-
mission); Medical Director of Wrightington, Wigan and Leigh FT (2010-2017). He was twice nominated as the top 50 Influen-
tial/Pioneering BME leader 2013 and 2014. In 2017, he received Life Time achievement Award for work on Patient Safety. He
has been also an adviser to GMC, DOH, BMA, NCAS at various stages of my career on BME issues and inclusion and diversity.
P Umesh Prabhu
Edge Hill University, United Kingdom