Mid Staffordshire NHS Foundation Trust's Books

Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry

Executive Summary

By: Mid Staffordshire NHS Foundation Trust Public Inquiry,Robert Francis

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Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry

Executive Summary

By: Mid Staffordshire NHS Foundation Trust Public Inquiry,Robert Francis

This public inquiry report into serious failings in healthcare that took place at the Mid Staffordshire NHS Foundation Trust builds on the first independent report published in February 2010 (ISBN 9780102964394). It further examines the suffering of patients caused by failures by the Trust: there was a failure to listen to its patients and staff or ensure correction of deficiencies. There was also a failure to tackle the insidious negative culture involving poor standards and a disengagement from managerial and leadership responsibilities. These failures are in part a consequence of allowing a focus on reaching national access targets, achieving financial balance and seeking foundation trust status at the cost of delivering acceptable care standards. Further, the checks and balances that operate within the NHS system should have prevented the serious systemic failure that developed at Mid Staffs. The system failed in its primary duty to protect patients and maintain confidence in the healthcare system. This report identifies numerous warning signs that could and should have alerted the system to problems developing at the Trust. It also sets out 290 recommendations grouped around: (i) putting the patient first; (ii) developing a set of fundamental standards, easily understood and accepted by patients; (iii) providing professionally endorsed and evidence-based means of compliance of standards that are understood and adopted by staff; (iv) ensuring openness, transparency and candour throughout system; (v) policing of these standards by the healthcare regulator; (vi) making all those who provide care for patients , properly accountable; (vii) enhancing recruitment, education, training and support of all key contributors to the provision of healthcare; (viii) developing and sharing ever improving means of measuring and understanding the performance of individual professionals, teams, units and provider organisations for the patients, the public, and other stakeholders.

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Page Count

126

Publisher

The Stationery Office

Published Date

ISBN 10

0102981477

ISBN 13

9780102981476

Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry

Executive Summary

By: Mid Staffordshire NHS Foundation Trust Public Inquiry,Robert Francis

Write a review Read reviews Take a Quiz Solve Book Puzzle

Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry

Executive Summary

By: Mid Staffordshire NHS Foundation Trust Public Inquiry,Robert Francis

Average ratings

N/A

Write a review

Solve jigsaw puzzle

Age

Page Count

126

Publisher

The Stationery Office

Published Date

ISBN 10

0102981477

ISBN 13

9780102981476

Independent Inquiry into care provided by Mid Staffordshire NHS Foundation Trust January 2005 - March 2009

By: Mid Staffordshire NHS Foundation Trust Inquiry

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Independent Inquiry into care provided by Mid Staffordshire NHS Foundation Trust January 2005 - March 2009

By: Mid Staffordshire NHS Foundation Trust Inquiry

Concerns about mortality and the standard of care provided at the Mid Staffordshire NHS Foundation Trust resulted in an investigation by the Healthcare Commission which published a highly critical report in March 2009, followed by two reviews commissioned by the Department of Health. These investigations gave rise to widespread public concern and a loss of confidence in the Trust, its services and management. This Inquiry was set up primarily to give those most affected by poor care an opportunity to tell their stories and to ensure that the lessons learned were fully taken into account in the rebuilding of confidence in the Trust. The evidence received about the patient experience covered many areas of basic nursing and medical care, communication and discharge management. The culture of the Trust was not conducive to providing good care for patients or providing a supportive working environment for staff due to: attitudes of patients and staff; bullying; target-driven priorities; disengagement from management; low staff morale; isolation from the wider NHS community; lack of openness; acceptance of poor standards of conduct; reliance on external assessments; denial. The report also looks at the management of significant issues - ward reconfiguration, finance, staff cuts - governance, staff review, the Board, mortality statistics and external organisations. Major themes identified by the Inquiry are: focus on process not outcomes; failure to listen to complaints; insufficient attention to maintenance of professional standards; lack of support for staff; failure to meet the challenge of care for the elderly; lack of transparency; disregard of the significance of mortality statistics.

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