Libsyn Directory

Patient safety 1 - How can we build a culture of safety in paediatric healthcare?

Release Date: 01/10/2024

Leading the Way 13: Leading change, with Dr Nadeem Moghal

RCPCH Podcasts

How can we build services that better understand population needs? In this episode, Dr Jonathan Darling speaks to Dr Nadeem Moghal, Director and Chief Medical and Innovation officer at Strasys. The discussion moves beyond traditional leadership theory and focuses on the practical realities of leading in complex environments, particularly where transformation and service improvement are required. The two explore the challenge of building better services in increasingly complex systems. Using the example of paediatric services, Nadeem discusses the fragility that can exist within healthcare...

Understanding the RCPCH Assessment Review - changes to workplace-based assessments

RCPCH Podcasts

Want to know more about the RCPCH’s Assessment Review particularly what, why, when and how it’s going to affect you? This podcast episode aims to do just that by bringing together some of the College faculty who have been involved through the planning, development and pilot stages. Dr Cathryn Chadwick, outgoing Vice President for Training and Assessment, Dr Josh Hodgson, Chair of the RCPCH Trainee Committee and Dr Sarah Hallett, Trainee Representative for Assessment at the RCPCH, discuss proposed changes to workplace-based assessments which are designed to better reflect real clinical...

Leading the Way 12: The quiet power of SAS doctor leadership, with Dr Kumar Swamy

RCPCH Podcasts

Representing around 30% of the medical workforce in the NHS, SAS doctors are essential to delivering high-quality care. Yet their role is still evolving in terms of recognition and development. In this episode, Dr Jonathan Darling, who has recently completed tenure as RCPCH Vice President for Education and Professional Development, speaks with Dr Kumar Swamy, neonatology specialist and RCPCH SAS Joint Chair about how the RCPCH SAS committee works to amplify the impact and recognition of SAS doctors through consistent and persuasive messaging. The two discuss how leadership rarely begins...

Child health research 1: Digital health technologies, with Professor Paul Dimitri

RCPCH Podcasts

How can we use digital technology to address children's physical and mental health needs and shift from reactive to anticipatory, personalised care? This episode is the first of a series on research and child health and discusses the role of technology in transforming child health. Professor Paul Dimitri, Director of Research and Innovation at Sheffield Children’s NHS Foundation Trust and paediatric endocrinology consultant talks with Nish Talawila Da Camara, Head of Research and Evidence. Paul outlines how digital tools, data and artificial...

Influencing the Children’s Wellbeing and Schools Act

RCPCH Podcasts

How does the College combine paediatric and policy expertise to influence legislation? Professor Andrew Rowland, Officer for Child Protection, talks about our work with colleagues from RCPCH and NSPCC. The UK Government introduced the Children’s Wellbeing and Schools Bill in 2024. This proposed measures to improve information sharing between services, strengthen safeguarding, reform children’s social care and raise standards and protections in schools. This received Royal Assent in early May 2026. Andrew invites Elizabeth Collin, RCPCH Public Affairs and Campaign Manager and Joanna...

Leading the Way 11: Trust, courage and diversity in medical leadership, with Dr Erum Jamall

RCPCH Podcasts

How can we overcome the transition from clinical practice to managerial roles? In this episode, Dr Jonathan Darling, RCPCH Vice President for Education and Professional Development, speaks with Dr Erum Jamall, a consultant paediatrician and currently the Divisional Medical Director for Women's, Children and Core Services at Dartford and Gravesham NHS Trust. The two discuss leadership within NHS trusts and the crucial role of medical management. A key theme was the importance of viewing medical management as an essential part of trust leadership, particularly by building networks and...

Leading the Way 10: Leading through advocacy and collaboration, with Dr Kay Tyerman

RCPCH Podcasts

How can we be firm, fair, and tenacious in standing up for our teams and those we serve? In this episode, Dr Jonathan Darling, RCPCH Vice President for Education and Professional Development, speaks with Dr Kay Tyerman, a paediatric nephrologist. Kay’s approach to leadership is rooted in advocacy and collaboration, qualities that are essential in shaping effective health systems. Kay and Jonathan talk about how hard knowledge has helped her build a valid argument to invest in child health, how she’s been encouraged by a simple thank you, and how she’s learned when to hand over a role to...

Leading the way 9: Compassionate leadership in challenging times, with Will Clement

RCPCH Podcasts

We are working in a period of sustained challenge. Many colleagues across the health system are stretched, fatigued and, in some cases, bordering on burnout. In this episode, Will Clement, a leadership consultant, executive coach and facilitator who has worked across the NHS and with RCPCH, tell us how compassionate leadership offers more than kindness; it delivers measurable improvements in wellbeing, team cohesion and outcomes. The views, thoughts and opinions expressed in this podcast relates only to the speaker and not necessarily to their employer, organisation, RCPCH or any other...

Leading the way 8: Strategic leadership in safeguarding, with Dr Vicki Walker

RCPCH Podcasts

All child health professionals, no matter their role, must have knowledge and skills in safeguarding. As a designated doctor in child protection, Vicki has particular leadership experience in this area and has recently led the redevelopment of intercollegiate competencies for safeguarding and children in care. Vicki speaks with host Dr Jonathan Darling about her career, which often took an unconventional path; she worked as a teaching fellow, got involved with the RCPCH trainees’ committee and became head of service of a growing community paediatrics team. Leadership often starts with saying...

Leading the way 7: Stepping up when opportunities arise, with Professor Steve Turner

RCPCH Podcasts

Failure, Steve tells us, is a good teacher, and when you get involved in leadership, expect to make mistakes (and learn from them). In this episode of our monthly series of leadership conversations, Dr Jonathan Darling, RCPCH VP for Education and Professional Development, speaks with Steve about how his academic and leadership roles evolved, starting with a thin CV and stepping up as opportunities arose. He became involved in child health research, first in small groups, and then collaborating with colleagues across the UK and globe. His route to RCPCH President began with other College roles,...

More Episodes

Healthcare is inherently risky and so as child health professionals we need to make patient safety a priority in all our actions. We need to think about safety all the time.

In episode 1 of our series on paediatric patient safety, we speak with Dr Peter Lachman, who develops and delivers programmes for clinical leaders in quality improvement at the Royal College of Physicians in Dublin.

As Peter explains on the podcast, we healthcare professionals need to know patient safety theory - but, more importantly, we need to know how to apply it, drive improvement and create a workplace culture that fosters safe working practices.

Everyone - from the most junior member of the team to the most senior paediatric clinical leader - needs to think about patient safety all day every day. A safe culture takes time to build. Shared activities such as handover, huddles and debrief can model good behaviour and benefit performance. Repeating behaviours that represent a safe culture can create a virtuous cycle which can change deeply held attitudes and beliefs, then ultimately the safe culture overall.

Thank you for listening.

Dr Natalie Wyatt, RCPCH Clinical Fellow and Jonathan Bamber RCPCH Head of Quality Improvement

Produced by 18Sixty

Please be advised that this series contains stories relating to child death and harm. All views, thoughts and opinions expressed in this podcast series belong to the guests and not necessarily to their employer, linked organisations or RCPCH.

Download transcript (PDF)

About the Patient safety podcast series

As doctors we ‘first, do no harm’. However, the systems in which we work are rife with safety issues and resultant harm. In thinking about how to improve this, we have brought together leaders in the field to discuss challenging and thought-provoking issues around keeping our children safe in healthcare settings. We hope you will be entertained, educated, and energised to make strides in improving the safety of the children that you care for.

There are lots of resources that expand on this on the RCPCH Patient Safety Portal, including the theory of patient safety culture and examples of how people across the UK are doing this well. Visit at https://safety.rcpch.ac.uk.

More about Dr Peter Lachman

Dr Peter Lachman develops and delivers programmes to develop clinical leaders in quality improvement at the Royal College of Physicians in Dublin. He works with HSE Global in Africa, and he was Chief Executive Officer of the International Society for Quality in Healthcare (ISQua) from 1 May 2016 to 30 April 2021. Peter was a Health Foundation Quality Improvement Fellow at IHI in 2005-2006 and then went on to be the Deputy Medical Director with the lead for Patient Safety at Great Ormond Street Hospital 2006-2016. Peter was also a Consultant Paediatrician at the Royal Free Hospital in London specialising in the challenge of long-term conditions for children.

Peter is the lead editor of the OUP Handbook on Patient Safety published in April 2022; Co-Editor of the OUP Handbook on Medical Leadership and Management published in December 2022; and Editor of the OUP Handbook on Quality Improvement to be published in 2024.

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