James Titcombe

Starmer’s NHS reforms thrown into chaos by ‘£1bn layoff bill’ Patients could be put at risk as the one-off cost of redundancies, estimated at between £600 million and £1 billion, puts staff and services in limbo

Sir Keir Starmer’s plan to overhaul the NHS has been thrown into chaos after no money has been set aside to cover the costs of making thousands of redundancies at ICBs www.thetimes.com/article/14b7...

#kefalonia day 6

#Asos #Kefalonia

Enjoying a lovely week away in Kefalonia with my youngest daughter :-)

Overdue and urgently needed. The overriding message must be clear: If you make a mistake, be open & learn from it - but if you choose to cover up, suppress concerns or knowingly put safety at risk - look for a job outside the NHS.

It's served :-)

A pivotal moment for maternity safety James Titcombe 10th July 2025 Earlier this month, the government announced two significant steps forward for maternity and neonatal care: a rapid national investigation into maternity and neonatal …

Some thoughts on the recent maternity announcements from @rthonwesstreeting.bsky.social

patientsafetyfirst.wordpress.com/2025/07/11/a...

She will roll back many changes made since the Mid Staffs scandal, returning power to managers & DHSC

Challenged she was giving back control to bodies numerous inquiries had shown had failed, she said: “No, I'm giving back the accountability to them". Right? Or dangerously naive?

It’s been a tough morning - the coffee machine ran out of beans….. but I got through and all is well again now.

YouTube video by Time Team Official Search for the Lost Abbey: Cerne Abbas | Time Team (Dorset)

A week to go before @hugh-willmott.bsky.social's third season of excavations at #cerneabbey! Here's an @timeteam.bsky.social reminder of what a gloriously evocative site it is.
www.youtube.com/watch?v=ctpR...

Talk of Just Culture Without System Change Is a False Promise James Titcombe – May 2025 In recent years, just culture has become a central concept in patient safety. In 2016, the report of the Expert Advisory Group set up by the government to advise on …

Talk of Just Culture Without System Change Is a False Promise

patientsafetyfirst.wordpress.com/2025/05/16/w...

Tell us about your interventions to improve patient safety This survey aims find out about interventions implemented in NHS hospitals to improve patient safety - and how effective you think they have been.

Take part today 👉 bit.ly/4knzexP

Patient Safety Watch: NHS plan sets out bold new patient safety agenda HSJ hosts the Patient Safety Watch newsletter, written by Patient Safety Watch chief executive James Titcombe

“Nobody designed today’s NHS landscape; it evolved over many years of successive governments with new initiatives, often in response to past inquiries and scandals. While often well intentioned, this patchwork has created unnecessary complexity…”

www.hsj.co.uk/patient-safe...

🩺 Helped improve inpatient care in the NHS? We want to hear from you!
Share your experiences with @patientsafetywatch.bsky.social via a short survey to help build a shared library of what works.
🗣️ @jamestitcombe.bsky.social
📅 Closes 3 Aug
📄 CPD certificate available
Take part using the link 👇

Lovely afternoon mountain biking :-)

A raining afternoon - drinking coffee and reading a book I probably should have read along time ago....

11 children died from whopping cough last year and there were more measles cases than any year back to 2012.

A little self-promotion: it’s nearly 10 years since Joshua’s Story was published. I wish it had become outdated—but sadly, the cultural issues it exposes are still relevant to healthcare today. If you haven’t read it, please consider. It’s available on Amazon and other retailers.

I'd be very grateful not to be copied into posts including Patient Safety Learning and it's 'Chief Executive'. As a person harmed by healthcare - I suffered a huge amount of further harm as a consequence of being exploitated, manipulated and used by them.

Lovely light on my evening bike ride - looking out over Pennington reservoir towards the Isle of Man

NHS bosses warn Labour cuts to safety budgets risk more maternity scandals Trust leaders share mounting concern over patient safety after the money ringfenced for maternity care reduced from £95m overall in 2024-25 to just £2m this year

“There’s a dangerous contradiction in current policy. We claim to prioritise maternity safety, yet fail to provide the resources to make real progress.”

inews.co.uk/news/health/...

UK maternity services face serious challenges in addressing the persistent health inequalities that directly undermine quality of care.

Our report calls for urgent action and support to achieve equitable, safe maternity care.

Read our report 👉 nhsproviders.org/resources/bo...

Link to report isn’t working?

Britain’s maternity services crisis two thirds now rated 'dangerous' or 'poor' "Despite numerous costly inquiries and reports Britain's maternity services continue to fail leading to mother and baby deaths."

“The cost of harm in maternity services is now around £4 billion a year — that’s £126 every second. Just a fraction of that, invested upfront in safer care, could deliver transformational improvements”

Talk of Just Culture Without System Change Is a False Promise James Titcombe – May 2025 In recent years, just culture has become a central concept in patient safety. In 2016, the report of the Expert Advisory Group set up by the government to advise on …

Talk of Just Culture Without System Change is a False Promise

patientsafetyfirst.wordpress.com/2025/05/16/w...

Talk of Just Culture Without System Change Is a False Promise James Titcombe – May 2025 In recent years, just culture has become central to how we talk about patient safety in healthcare. In 2016, the report of the Expert Advisory Group set up by the go…

NHS England launched a new ‘Being Fair’ tool last week, replacing the previous ‘Just Culture’ guidance. Some thoughts from me as to why efforts to foster a just culture in healthcare organisations will fall short without tackling the wider system.

patientsafetyfirst.wordpress.com/2025/05/16/w...

"The fact that government has set aside tens of billions of pounds for clinical negligence payments, its second most costly liability after some of the world’s most complex nuclear decommissioning projects, should give our entire society pause..."

t.co/u3SyXjoaRN

A glorious evening for another mountain bike ride :-)

A lovely late evening bike ride with my daughter :-)

NHS chief Sir Jim Mackey delivers candid message at MJA annual lecture The economic case for tackling health inequalities was a stand-out theme at this year’s MJA Symposium in partnership with the Health Foundation

NHS chief Sir Jim Mackey delivers candid message at MJA annual lecture

Read our story and key extracts from the night: mjauk.org/2025/05/09/n...