The Short-Life Working Group on Hospital Reports, Chaired by Professor Alan Paterson OBE, from the Academy of Medical Royal Colleges (AoMRC) and Faculties in Scotland (Scottish Academy) examined recent reports concerning failings / poor quality care in hospitals; including Mid-Staffordshire NHS Foundation Trust, Lanarkshire, Vale of Leven and Aberdeen Royal Infirmary.
This working group concludes that problems were caused predominantly by failures in the ability of senior clinical staff and NHS management to work collaboratively, specifically regarding:
- Poor leadership from senior medical staff often resulting in a defective culture.
- Poor leadership from Board Management frequently resulting in a defective culture.
- Staff shortages, inappropriate use of inexperienced staff or failure to supervise.
- Poor staff morale and motivation.
- Patient experience (feedback / evidence not acted on).
- Inadequate complaints handling.
- Limitations of external assessments of the hospitals.
The main section headings in this report comprise:
- Section 1: Background.
- Section 2: Key Issues from the Four Reports.
- Section 3: Other Issues.
- Section 4: Responses to the Four Reports.
- Section 5: Recommendations.
- Appendix 1: Matrix of Scottish Academy Members’ Responses.
Short-Life Working Group on Hospital Reports, Chaired by Professor Alan Paterson OBE. Learning from serious failings in care: main report. Scotland: Academy of Medical Royal Colleges and Faculties in Scotland (Scottish Academy), [May 2015] July 7th 2015.
July 2020 Update
The Independent Medicines and Medical Devices Safety Review (Baroness Cumberlege) report, First Do No Harm: the report of the Independent Medicines and Medical Devices Safety Review, tends to reinforce some of the underlying assumptions.