Transcript Gill-Findley-Francis-II-Presentation

Francis II presentation
Gill Findley
Director of Nursing
Durham Dales, Easington and Sedgefield Clinical
Commissioning Group
(DDES CCG)
Sir Robert Francis QC
www.kingsfund.org.uk
The Warning Signs
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Patient stories
Mortality
Complaints
Staff concerns
Whistleblowers
Governance issues
Finance
Staff reductions
Recommendations from Report 1
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Common values (NHS Constitution)
Fundamental standards
Openness, transparency, candour
Compassionate, caring, committed nursing (6Cs)
Strong patient centred healthcare leadership
Accurate, useful relevant information
Culture of change not dependent on government
Francis 1 v Francis 2
Francis 1
• Inquiry under NHS Act 2006
• Reviews individual cases
• The operation of the Mid
Staffordshire Trust
Francis 2
• Public inquiry set up under
Inquiries Act 2006
• Reviews the broader
monitoring system
surrounding Mid
Staffordshire NHS Trust
• The chairman can require
people to attend
How was the alarm raised?
“persistent complaints made by a very determined
group of patients and those close to them”
Terms of reference
“To examine the operation of the
commissioning, supervisory and regulatory
organisations and other agencies, including the
culture and systems of those organisations in
relation to their monitoring role at Mid
Staffordshire NHS Foundation Trust between
January 2005 and March 2009 and to examine
why problems at the Trust were not identified
sooner, and appropriate action taken.”
Recommendations
• 290 recommendations
• These recommendations require every single
person serving patients to contribute to a
safer, committed and compassionate and
caring service
• Putting the patient first
• Fundamental standards of behaviours
Some of the Recommendations
• All staff required to report incidents of
concern
• Annual report on actions taken
• Increased role for Quality Accounts
• A set of quality standards to drive
performance improvement
• CCG’s power to terminate a service that does
not provide a quality service
Other Recommendations
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Openness, transparency and candour
Nursing - strong voice and leadership
Specific standards for healthcare assistants
Regulation of healthcare assistants
The government’s response to the report
Don Berwick appointed as patient safety guru
Issues for the CCG
• Do we accept the report?
• CCGs must put in place systems for listening to
patients
• “Recognisable public bodies, visibly acting on
behalf of the public”
• Improved complaints investigation
• New, refreshed NHS Constitution
Next steps
• CCG is developing an action plan
• CCG has asked all providers to respond to the
report
• All cost improvement plans in the provider
organisations are being assessment for the
impact on quality of care by the Medical
Director, the Director of Nursing and the CCG
Directors
Over to you……………
How do we get to hear about
concerns from patients,
relatives and staff?