National Confidential Enquiry into Patient Outcome and Death

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The National Confidential Enquiry into Patient Outcome and Death (NCEPOD) is a registered charity based in London, with Dr Marisa Mason as the Chief Executive and Ian Martin as the Chair of the Trustees. [1] [2] The organisation started from a pilot study of mortality associated with anaesthesia in five regions in England, Wales and Scotland published in 1982. A joint venture was established between surgery and anaesthesia, named the Confidential Enquiry into Perioperative Deaths. It became the National Confidential Enquiry into Perioperative Deaths (NCEPOD) in 1988 and published its first report in 1990. It now covers all specialities and covers all outcomes as well as deaths. [3]

Contents

It is a condition of registration with the General Medical Council as a doctor, that registered medical practitioners in the UK must participate in the work of confidential enquiries. [4] All NHS Trusts in England are required to participate in NCEPOD studies as part of Quality Accounts. [5] The Department of Health and the Scottish Government require NHS Trusts and health boards to participate. [6] It is commissioned by the Healthcare Quality Improvement Partnership on behalf of NHS England, Northern Ireland, Scotland, Wales and the Channel Islands to undertake the Medical & Surgical Clinical Outcome Review Programme. [7]

Published reports

Its 2015 report on gastrointestinal bleed services demonstrated major deficiencies in the diagnosis and subsequent treatment of the condition, and called for 24-hour access to specialists. [8]

Its report "Mental Health in General Hospitals: Treat as One" was published on 26 January 2017. It identified factors affecting the quality of care of patients aged 18 years or older with a significant mental disorder who are admitted to a general hospital. [9]

In July 2017 it published a study which found that many patients who needed non-invasive ventilation for acute respiratory failure had problems in the quality of their care. [10] There was a high mortality rate - over a third of patients treated with NIV. The British Thoracic Society supported the recommendation for NIV to be administered in a dedicated clinical area in every hospital. [11] Lack of ventilators in hospitals was a common problem, even though a basic machine costs less than £2,000. [12]

Each and Every Need, published in March 2018, looked at the care provided to children, young people and young adults with cerebral palsy and included national data analysis provided by Cardiff University.

Since then, NCEPOD has published numerous reports such as Acute Heart Failure: Failure to Function (2018), [13] Cancer in Children, Teens and Young Adults: On the Right Course? (2018), [14] Perioperative Diabetes: High and Lows (2018), [15] Mental Healthcare in Young People and Young Adults (2019), [16] Pulmonary Embolism: Know the Score (2019), [17] Acute Bowel Obstruction: Delay in Transit (2020), Long Term Ventilation: Balancing the Pressures (2020), [18] In Hospital Care of Out-of-Hospital Cardiac Arrests: Time Matters (2021) [19] and Dysphagia in Parkinson’s Disease (2021). [20]

Their latest report to be published is How data captured by NCEPOD supports the identification of healthcare inequalities - A Review, published in early 2022. [21]

Related Research Articles

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<span class="mw-page-title-main">Non-invasive ventilation</span> Breathing support administered through a face mask

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Professor Sir Bruce Edward Keogh, KBE, FMedSci, FRCS, FRCP 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 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.

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Ramani Moonesinghe OBE MD(Res) FRCP FRCA FFICM SFFMLM is Professor of Perioperative Medicine at University College London (UCL) and a Consultant in Anaesthetics and Critical Care Medicine at UCL Hospitals. Moonesinghe was Director of the National Institute for Academic Anaesthesia (NIAA) Health Services Research Centre between 2016 and 2022, and between 2016 and 2019 was Associate National Clinical Director for Elective Care for NHS England. In 2020 on she took on the role of National Clinical Director for Critical and Perioperative care at NHS England and NHS Improvement.

References

  1. ↑ "About >Trustees". www.ncepod.org.uk. Retrieved 19 February 2023.
  2. ↑ "NCEPOD - National Confidential Enquiry into Patient Outcome and Death".
  3. ↑ "NCEPOD". Association of Anaesthetists of Great Britain and Ireland. Retrieved 18 July 2017.
  4. ↑ General Medical Council (2013). Good Medical Practice, section 23a (PDF). p. 10. Retrieved 19 July 2017.{{cite book}}: |website= ignored (help)
  5. ↑ "NHS England".
  6. ↑ "The remit of NCEPOD". NCEPOD. Retrieved 18 July 2017.
  7. ↑ "NCEPOD Medical and surgical outcome review call for topics". HQIP. 9 August 2016. Retrieved 18 July 2017.
  8. ↑ "NCEPOD report shows major shortfall in the care of GI bleed patients". Royal College of Anaesthetists. 3 July 2015. Retrieved 18 July 2017.
  9. ↑ "Mental Health in General Hospitals: NCEPOD report". Health Care Conferences. 27 January 2017. Retrieved 18 July 2017.
  10. ↑ Juniper, M; Ellis, G; Smith, NCE; Protopata, KL; Mason, M (July 2017). "Non-Invasive Ventilation: Inspiring Change (2017)". NCEPOD. Retrieved 19 July 2017.
  11. ↑ "Lung Specialists welcome new report into non-invasive ventilation as a milestone to help improve patient care". British Thoracic Society. 13 July 2017. Retrieved 19 July 2017.
  12. ↑ Sick patients dying ‘unnecessarily’ in NHS because of poor care The Guardian
  13. ↑ "NCEPOD - Acute Heart Failure: Failure to Function (2018)".
  14. ↑ "NCEPOD - Cancer in Children, Teens and Young Adults (2018)".
  15. ↑ "NCEPOD - Perioperative Diabetes: High and Lows(2018)".
  16. ↑ "NCEPOD - Mental Healthcare in Young People and Young Adults (2019)".
  17. ↑ "NCEPOD - Pulmonary Embolism: (2019)".
  18. ↑ "NCEPOD - Long Term Ventilation: (2020)".
  19. ↑ "NCEPOD - Out of Hospital Cardiac Arrests: (2019)".
  20. ↑ "NCEPOD - Dysphagia in Parkinson's Disease:: (2021)".
  21. ↑ Healthcare Inequalities ncepod.org.uk
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