Publications by authors named "L Sheard"

Background: There is a growing international policy focus on involving those affected by healthcare safety incidents, in subsequent investigations. Nonetheless, there remains little UK-based evidence exploring how this relates to the experiences of those affected over time, including the factors influencing decisions to litigate.

Aims: We aimed to explore the experiences of patients, families, staff and legal representatives affected by safety incidents over time, and the factors influencing decisions to litigate.

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Background In England online services in general practice encompass a range of provision from ordering repeat medication to having a consultation. Some groups of individuals may find accessing and/or using such services difficult and may require 'digital facilitation', that is the range of processes, procedures, and personnel which seeks to support NHS patients in their uptake and use of online services. Aim To gain insight, from the perspective of general practice staff and patients/carers, into how and why digital facilitation might lead to benefits, and the key processes involved in supporting patients to use online services.

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Background: People in prison are generally in poorer health than their peers in the community, often living with chronic illness and multimorbidity. Healthcare research in prisons has largely focused on specific problems, such as substance use; less attention has been paid to conditions routinely managed in primary care, such as diabetes or hypertension. It is important to understand how primary care in prisons is currently delivered in the United Kingdom and how it can be improved, in order to reduce health inequalities.

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Article Synopsis
  • The study shifts from blaming individuals in healthcare to promoting a system-wide approach that values the involvement of those affected by serious incidents, highlighting the importance of understanding current policies related to this involvement.
  • A documentary analysis of 43 local serious incident investigation policies from the English NHS revealed a significant lack of direct reference or support for involving affected individuals, which undermines the active learning process needed after incidents.
  • While policies stress the importance of learning from serious incidents, the language used is vague, focusing more on generating arbitrary recommendations rather than fostering a participatory approach that addresses the underlying systems and processes involved.
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Background: Addressing the upstream social determinants of health (e.g. built environment, education) can reduce the burden of non-communicable diseases.

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