Culture change in the NHS: applying the lessons of the Francis Inquiries – February 2015

Posted on February 13, 2015. Filed under: Patient Safety | Tags: , |

Culture change in the NHS: applying the lessons of the Francis Inquiries – February 2015

Full report

Cm 9009

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The Francis Report one year on – Nuffield Trust – 6 February 2014

Posted on February 6, 2014. Filed under: Clin Governance / Risk Mgmt / Quality, Patient Safety | Tags: , |

 

The Francis Report one year on – Nuffield Trust – 6 February 2014

 

“Summary

 

To mark the first anniversary of the publication of the report of the Mid Staffordshire NHS Foundation Trust Public Inquiry (the Francis Inquiry), the Nuffield Trust has published a new piece of research exploring its impact.

 

This study has been published to coincide with an event hosted by the Trust on 6 February 2014, exactly a year after the Francis Inquiry reported.

 

The study offers a snapshot into how acute trusts have responded to the Francis Inquiry Report. It is aimed at policy-makers, national statutory bodies, acute trusts, health representative groups and trade unions, patient groups and charities, and health service commissioners. Robert Francis QC, who acted as an adviser to the research, has written a foreword to the study.”

 

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After Francis: making a difference – House of Commons Health Committee – published 18 September 2013

Posted on September 19, 2013. Filed under: Clin Governance / Risk Mgmt / Quality, Patient Safety | Tags: |

After Francis: making a difference – House of Commons Health Committee – published 18 September 2013

Future of the NHS rests on wholesale shift to an open culture warn MPs

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Putting Patients First: The NHS England Business Plan for 2013/14 – 2015/16 – NHS England

Posted on April 8, 2013. Filed under: Health Mgmt Policy Planning, Health Policy | Tags: , |

Putting Patients First: The NHS England Business Plan for 2013/14 – 2015/16 – NHS England

NHS England’s business plan for 2013/14 – 2015/16, called Putting Patients First, explains how its commitment to transparency and increasing patients’ voice are fundamental to improving patient care.

The plan describes an 11 point scorecard which NHS England will introduce for measuring performance of key priorities, focused on receiving direct feedback from patients, their families and NHS staff.

This supports the cultural change needed to put people at the centre of the NHS, a key theme in the report by Robert Francis QC, by making sure that patients’ voices are heard and used to deliver better services.

This plan builds on Everyone Counts: Planning for Patients 2013/14, our earlier planning guidance for commissioners which was published in December 2012.

There is also a summary document available – Putting Patients First: The summary NHS England business plan for 2013/14 – 2015/16.”

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Patients First and Foremost – Government publishes initial response to the Mid Staffordshire NHS Public Inquiry Report – 26 March 2013

Posted on March 27, 2013. Filed under: Clin Governance / Risk Mgmt / Quality, Patient Safety | Tags: , |

Patients First and Foremost – Government publishes initial response to the Mid Staffordshire NHS Public Inquiry Report – 26 March 2013

The policy paper response: Patients First and Foremost: the Initial Government Response to the Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry

Francis response includes Ofsted-ratings – eHealthInsider – 26 March 2013

Lis Evenstad and Lyn Whitfield

“Health secretary Jeremy Hunt has confirmed that an ‘Ofsted style’ system of summary ratings for hospitals and care homes will be adopted by the NHS.

The decision, which goes against the spirit of advice from the Nuffield Trust that Hunt asked the think-tank to produce, forms part of the government’s response to Robert Francis QC’s final report into the scandal at Mid Staffordshire NHS Foundation Trust.

Hunt asked the Nuffield Trust to investigate whether an ‘Ofsted-style’ report system could and should be introduced to the NHS.

The think-thank concluded in a report last week that this might work for “simpler” services such as care homes and GP practices, but not for complex organisations such as hospitals.

It also warned that any new ratings would need to be carefully aligned with NHS performance and regulatory regimes.

Despite this, the government says it will push ahead with the idea for hospitals and care homes, but not GP practices, for which it argues more choice and quality information is already available.

In a nod towards the Nuffield Trust’s concerns, it says that departmental ratings will also be developed.

However, another part of its response to Francis says that ‘fundamental standards’ will also be developed for the NHS, and that these will be subject to their own inspection and failure regime.

This may create scope for confusion about what is being judged by the different systems, and which regulators get priority.”

… continues on the site

 

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After Francis: Doing Justice – A National Voices paper on ensuring safe and high quality patient care – March 2013

Posted on March 14, 2013. Filed under: Patient Safety | Tags: , |

After Francis: Doing Justice – A National Voices paper on ensuring safe and high quality patient care – March 2013

“Immediate Changes to Get the Ball Rolling

On NHS Change Day National Voices has issued a report, After Francis: Doing Justice, demanding a proper response to the Francis report and highlighting some of the urgent changes we need to see.

These include a legal duty of honesty so that hospitals and other NHS bodies must tell patients and their families if harm has been done.”

… continues

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Making it better? Assuring high-quality care in the NHS – NHS Confederation – 11 February 2013

Posted on February 22, 2013. Filed under: Clin Governance / Risk Mgmt / Quality, Patient Safety | Tags: , |

Making it better? Assuring high-quality care in the NHS  – NHS Confederation – 11 February 2013

“The Francis report painted a shocking picture of appalling standards of patient care. This paper aims to start a constructive debate, leading to concrete proposals about how to tackle these issues and find ways of reinforcing both organisational and individual accountability for delivering and improving the quality of NHS patient care.

The Francis report highlighted poor management practices, and an organisational focus on national financial and performance imperatives to the detriment of the quality of patient care.

It also challenged the effectiveness of the regulatory and oversight mechanisms in identifying and tackling poor quality patient care proactively and systematically.

This has focused attention on who is responsible for ensuring patients receive high-quality care, and for acting if appropriate standards are not met. It has particularly highlighted how the decisions and actions of managers at all levels can affect the quality of care patients receive.

This has fuelled calls to make NHS organisations, their boards and individual staff, including managers, more accountable for the quality of care.

We have structured this paper to assess the current position and take account of some of the main recommendations of the Francis report. It presents for consideration some of the options for improvements. We welcome your feedback on this paper and the questions it asks.”

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Mid Staffordshire NHS Foundation Trust Public Inquiry Chaired by Robert Francis QC – Final report – 6 February 2013

Posted on February 19, 2013. Filed under: Clin Governance / Risk Mgmt / Quality, Patient Safety | Tags: , |

Mid Staffordshire NHS Foundation Trust Public Inquiry Chaired by Robert Francis QC – Final report – 6 February 2013

Extract from the press statment of the Chairman

“This is a story of appalling and unnecessary suffering of hundreds of people. They were failed by a system which ignored the warning signs and put corporate self interest and cost control ahead of patients and their safety. I have today made 290 recommendations designed to change this culture and make sure that patients come first.

We need a patient centred culture, no tolerance of non compliance with fundamental standards, openness and transparency, candour to patients, strong cultural leadership and caring, compassionate nursing, and useful and accurate information about services.”

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