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Tag Archives: Corporate Self-Interest (Ahead of Patients)
Difficult Reflections on Certain Aspects of the NHS: Be Prepared to Look-Away Now (BBC News)
Summary You don’t want to know: Full Text Link Reference Gosport hospital deaths: prescribed painkillers ‘shortened 456 lives’. London: BBC Health News, June 20th 2018. You don’t want to know: Full Text Link Reference Triggle, N. (2018). Shipman, Bristol, Stafford, … Continue reading →
Posted in Universal Interest
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Tagged Accountability, Accountability and Transparency, Adults at Risk of Harm, Ageing in the UK, Ageing Population, Ageism, Attitudes to Ageing, Availability of Opioid Painkillers, Avoidable Harm, Avoidable Hospital Mortality, Avoidable Premature Mortality, Baker Report, BBC News Hampshire and Isle of Wight, BBC Panorama, BBC Panorama: Killed in Hospital, Bullying of Whistleblowers, Bureaucracy, Candour, Character Assassination of Whistleblowers, Closed Ranks Culture (Cover-Ups), Closed Ranks Culture (Denial), Closed Ranks Culture (Determination Not to Know), Closed Ranks Culture (Misplaced Loyalty), Closing Ranks, Collective Self-Interest (Ahead of Patients), Complaint Handling, Complaint Handling by Providers, Corporate Accountability, Corporate Self-Interest (Ahead of Patients), Culture and Leadership, Culture of Complacency, Culture of Delay and Denial, Defensive Culture, Diamorphine, Disregard for Human Life, Dr Katherine Sleeman: Cicely Saunders Institute at King's College London, Failings in Care in Hospitals, Faith-Shattering NHS Scandals, Former Minister of Care Services Norman Lamb, Freedom to Speak Up Report: Principle 3: Culture Free From Bullying, Fundamental Standards of Behaviour, Gosport Hospital Deaths: Timeline, Gosport Independent Panel, Gosport War Memorial Hospital, Gosport War Memorial Hospital: Report of the Gosport Independent Panel, Hampshire Constabulary, Harassment of Whistleblowers, Harms of Too Much Medicine, Hospital Mortality, House of Commons, In-Hospital Mortality, Inappropriate Prescribing, Inappropriate Prescribing of Painkillers, Institutionalised Determination Not to Know (Sir Brian Jarman: Allegation), Institutionalised Neglect, Institutionalised Unkindness, Matthew McClelland: Director of Fitness to Practise at Nursing and Midwifery Council, Negative Culture, NHS Corporate Self-Interest, NHS Managerial Self-Interest, Norman Lamb MP (Former Minister of State for Care and Support), Norman Lamb: Former Liberal Democrat Health Minister, Organisational Culture, Painkillers, Parliamentarians, Patient Harm, Patient Safety, Patient Safety Improvement, Peer Pressure, Postcode Lottery of Hospital Death Rates, Potentially Inappropriate Prescribing, Premature Mortality, Preventable Hospital Deaths, Preventable Hospital Mortality, Preventing Premature Mortality, Principles of Good Complaint Handling, Professor Richard Baker: Leicester University, Professor Sir Brian Jarman, Professor Sir John Strang: Director of National Addiction Centre at King's College London's Institute of Psychiatry Psychology and Neuroscience, Rachel Power: Chief Executive of Patients Association, Reducing Avoidable Premature Mortality, Reducing Premature Mortality, Right Reverend James Jones KBE: Chair of Gosport Independent Panel, Rt Hon Jeremy Hunt MP: Former Secretary of State for Health and Social Care, Super-Strength Painkillers, Syringe Drivers: Opioid Delivery, Top-Down Managerial Culture, Treatment of Whistleblowers (Shoddy), Unnecessary In-Hospital Deaths, Unresponsive Culture, USA Opioid Epidemic, Values, Victimisation of Whistleblowers, Warning Signs, Whistlelowing, Willful Blindness
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Latest NHS Whistleblowing Policy (NHS Improvement)
Summary NHS Improvement has released a summary of NHS whistleblowing policy, in the form of a practical handbook. The aim is to promote an open and supportive culture which encourages staff to raise concerns about patient care quality or safety … Continue reading →
Posted in Commissioning, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Local Interest, National, NHS, NHS Improvement, Quick Insights, Standards, UK, Universal Interest
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Tagged Accountability, Advancing Change Team, Avoidable Harm, Behaviours to Enable Whistleblowing, CHKS Ltd, Corporate Self-Interest (Ahead of Patients), Culture Change, Culture Change in Health and Care, Culture Change in the NHS, Culture Free From Bullying, Culture of Raising Concerns, Culture of Reflective Practice, Culture of Safety, Culture of Valuing Staff, Data Quality in England (CHKS), Defensive Culture, Francis Freedom to Speak Up Report, Freedom and Responsibility to Speak Up (Francis Review Whistleblowing), Freedom to Speak Up (FTSU), Freedom to Speak Up Guardian, Freedom to Speak Up Guardians, Freedom to Speak Up Report, Freedom to Speak Up Report: Principle 10: Training, Freedom to Speak Up Report: Principle 11: Support, Freedom to Speak Up Report: Principle 12: Support to Find Alternative Employment in the NHS, Freedom to Speak Up Report: Principle 13: Transparency, Freedom to Speak Up Report: Principle 14: Accountability, Freedom to Speak Up Report: Principle 15: External Review, Freedom to Speak Up Report: Principle 16: Coordinated Regulatory Action, Freedom to Speak Up Report: Principle 17: Recognition of Organisations, Freedom to Speak Up Report: Principle 18: Students and Trainees, Freedom to Speak Up Report: Principle 19: Primary Care, Freedom to Speak Up Report: Principle 1: Culture of Safety, Freedom to Speak Up Report: Principle 20: Legal Protection, Freedom to Speak Up Report: Principle 2: Culture of Raising Concerns, Freedom to Speak Up Report: Principle 3: Culture Free From Bullying, Freedom to Speak Up Report: Principle 4: Culture of Visible Leadership, Freedom to Speak Up Report: Principle 5: Culture of Valuing Staff, Freedom to Speak Up Report: Principle 6: Culture of Reflective Practice, Freedom to Speak Up Report: Principle 7: Raising and Reporting Concerns, Freedom to Speak Up Report: Principle 8: Investigations, Freedom to Speak Up Report: Principle 9: Mediation and Dispute Resolution, Freedom To Speak Up Review (Sir Robert Francis QC), Freedom to Speak Up Self-Review Tool, Freedom to Speak Up: Guidance for NHS Trust and NHS Foundation Trust Boards, Freedom to Speak Up? (Whistleblowing Review), FTSU Guardian, FTSU Guardian Reports, Hospital Mortality Rates, Implications of the Francis Inquiry Report, Incident Reporting, Independent National Officer, Independent National Officer (INO), Independent National Whistleblowing Officer, Independent Patient Safety Champion, Independent Staff Concerns Advocate, Inspections and Bureaucracy, Intensive Support Teams, Investigations, Leadership for Culture Change, Legal Protection, Lives Ruined by Poor Handling of Staff Raising Concerns, Mid Staffordshire NHS Foundation Trust, Monitor, National Guardian’s Office, National Reporting and Learning System, NHS Corporate Self-Interest, NHS Culture, NHS Managerial Self-Interest, NHS TDA: NHS Trust Development Authority, NHS Trust Development Authority (NHS TDA), NHS Trust Development Authority (NTDA), NHS Trust Development Authority (TDA), NHS Whistleblowing Policy, Open and Honest Incident Reporting, Open Culture, Openness, Oversight and Monitoring, Patient Safety, Quality Improvement, Raising and Reporting Concerns, Raising Concerns, Raising Concerns (Whistleblowing) NHS Policy, Reduction in Bureaucracy, Reflective Practice, Regulation, Repercussions From the Francis Inquiry Report, Reporting Culture, Reporting Culture in the NHS, Royal Wolverhampton NHS Trust, Verita, Verita: Improvement Through Investigation, Vision for Raising Concerns in NHS, Well-Led Framework for Governance Reviews, Whistleblowing, Whistleblowing in the NHS, Whistleblowing Protection for Doctors in Training
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Care Home Residents’ Access to GPs For Basic Health Care: Far Sighted or Short Sighted GP Contract Changes? (BBC News)
Summary Care home residents are generally 50% more likely to be admitted to hospital as an emergency than other older persons, and might be expected to be a high priority for primary care. Paradoxically, there are reports that GPs have … Continue reading →
Posted in Acute Hospitals, BBC News, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, Models of Dementia Care, National, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest
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Tagged Access and Equity For Care Home Residents to Local NHS Services, Access to Care, Access to General Practice, Access to GP Services, Access to Hospital Services, Access to Primary Care, Access to Services, Age Discrimination, Ageing Policy in the UK, Ageing Population, Avoidable Acute Hospital Admission in Older People, Avoidable Admissions, Avoidable Harm, Avoidable Mortality, Avoidable Rehospitalisations, Barriers to Integration, Barriers to Joined-Up Care, Barriers to Older People Accessing Help and Support, Barriers to Support, Barriers: Access to Funding, Barriers: Discrimination, Barriers: Inconsistency in Care Standards, Barriers: Lack of Continuity of Care, Barriers: Lack of Timely and Appropriate Diagnosis, Barriers: Potential Age Discrimination, Care England, Care for Vulnerable Older People, Care Home Residents, Care Home Sector, Care Homes, Care Homes Wellbeing, Care Homes: Quality Indicators, Care of Vulnerable Adults, Charges for GP Visits, Clinical Input Into Care Homes, Consumer Vulnerability, Corporate Self-Interest (Ahead of Patients), Dementia-Friendly Care Homes, Empowering GPs to Help Vulnerable Patients (and Carers) to Access Services, Enhanced Health in Care Homes, Factors Contributing to Vulnerability, General Practice, GP Access, GP Contracts, GPs, Health Care for Older Care Home Residents, Health Care Needs of Care Home Residents, High Quality Health Care for Older Care Home Residents, Improving Standards in Care Homes, Integrated Primary and Acute Care Systems (PACS) Vanguard Sites, NHS Managerial Self-Interest, Nursing Homes, Older Care Home Residents, Patient Experience, Patient Safety, Preventable Harm, Preventable Hospital Admissions, Preventing Avoidable Emergency Admissions, Primary and Acute Care Systems (PACS), Primary Care: GP Consultations / Visits, Quality and Continuity of Care for Vulnerable Patients (New Deal), Rationing, Rationing Care, Residential Homes, Retainer Fees for GPs, Support to Care Home Residents, Supporting Vulnerable People, Targeting Resources on Vulnerable Populations, Vulnerable and Disadvantaged Groups
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The Foundations for a Patient-Centred NHS Learning Culture? (Department of Health / BBC News)
Summary This “Learning Not Blaming” report presents the government’s response to (i) the Francis Freedom to Speak Up review, (ii) the Morecambe Bay Investigation, and (iii) the Public Administration Select Committee’s report on clinical incidents. The common theme for addressing … Continue reading →
Posted in Acute Hospitals, Commissioning, Community Care, Department of Health, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, Local Interest, Management of Condition, National, NHS, NHS Improvement, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest
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Tagged Authority Gradients vs Freedom to Speak Up, Aviation Industry, Avoidable Harm, Avoidable Mortality, Avoidable Premature Mortality, BBC Leicester News, BBC Panorama, BBC Panorama: Doctors on Trial, Capacity and Capability of Regulators, Care Quality Commission, Care Quality Commission (CQC) Inspection Regime, Care Seven Days a Week, Charlie Massey: Chief Executive of GMC, Clinical Incident Investigations, Clinical Incidents in the NHS, Clinical Risk Recognition and Planning, Comfort Seeking Organisations, Commons Public Administration Select Committee (PASC), Complaints and Raising Concerns, Complaints Handling, Complexity in the Complaints System, Consequences of the Francis Inquiry Report, Continuous Learning Culture, Corporate Self-Interest (Ahead of Patients), Cover-Ups (Attributed), Culture, Culture and Leadership, Culture Change in the NHS, Culture of Candour, Culture of Safety, Cumbria, Cumbria Partnership NHS Foundation Trust, Delayed Problem Recognition, Doctor Hadiza Bawa-Garba, Dr Bill Kirkup CBE, Dr Mike Durkin: NHS England’s Director of Patient Safety, Dr Mike Durkin: Patient Safety Investigation Service, Duty of Candour, Elevated Weekend Hospital Mortality, Five Year Forward View, Five Year Forward View (NHS England), Former Health Secretary Jeremy Hunt, Francis Freedom to Speak Up Report, Freedom to Speak Up (FTSU) Report, Freedom to Speak Up Guardian, Freedom to Speak Up Guardians, Freedom to Speak Up Report, Freedom to Speak Up Report: Principle 1: Culture of Safety, Freedom to Speak Up Report: Principle 2: Culture of Raising Concerns, Freedom to Speak Up Report: Principle 7: Raising and Reporting Concerns, Freedom to Speak Up? (Whistleblowing Review), Furness General Hospital, Furness General Hospital Dementia Unit, Furness General Hospital in Cumbria, Furness General Hospital: Ramsay Unit, Health Systems in Transition (HiT), Healthwatch, Honesty and Transparency, Hospital Mortality, Hospital Mortality Rates, House of Commons Public Administration Select Committee (PASC), Implications of the Francis Inquiry Report, Improving Services For Patients: Not Defending the System, Incident Reporting, Independent National Officer, Independent National Officer (INO), Independent Patient Safety Investigation Service, Independent Patient Safety Investigation Service (IPSIS), Intelligent Transparency, IPSIS: Independent Patient Safety Investigation Service, Just Culture, Learning Culture, Learning for Improvement, Learning from Complaints, Learning From Errors and Failures in Care, Learning Not Blaming, Listening to Patients Families and Staff, Local Freedom to Speak Up Guardians, MBRRACE-UK (Mothers and Babies – Reducing Risk Through Audits and Confidential Enquiries Across the UK), Monitor, Morecambe Bay Inquiry, Morecambe Bay Investigation Report, Mortality at the Weekend, National Clinical Assessment Service (NCAS), Negative Culture, Never Events, NHS Accountability, NHS Corporate Self-Interest, NHS Culture, NHS England Never Events Taskforce, NHS Five Year Forward View (5YFV), NHS Managerial Self-Interest, NHS Micro-Climates, NHS Patient Safety Culture, NHS Trust Development Authority (NHS TDA), NHS Trust Development Authority (NTDA), NHS Trust Development Authority (TDA), No Harm Culture, Open and Honest Incident Reporting, Open and Supportive Culture, Openness, Over-Complexity, Over-Reliance on External Approval, Over-Reliance on External Judgments, Over-Reliance on Judgments of Others, Panorama (BBC TV), Panorama: Doctors on Trial, Parliamentary and Health Service Ombudsman, Patient Safety, Patient Safety in the NHS, Police: Complaints, Preventable Hospital Mortality, Problem Sensing, Problem Sensing Organisations (Versus Comfort Seeking Organisations), Public Administration Select Committee (PASC), Public Administration Select Committee Report into Clinical Incident Investigations, Recommendations for the University Hospitals of Morecambe Bay NHS Foundation Trust, Reducing Complexity, Reduction in Bureaucracy, Regulating Healthcare Systems, Regulating Healthcare Systems: Monitor, Regulation, Regulators, Regulators Sharing Information, Regulatory and Professional Bodies, Regulatory Gaps in Healthcare, Regulatory System, Repercussions From the Francis Inquiry Report, Report Into Maternity Care at Cumbria’s Furness General Hospital, Report of the Morecambe Bay Investigation, Reporting Culture, Reporting Mistakes, Rhona Flin: Aberdeen University, Rt Hon Jeremy Hunt MP: Former Secretary of State for Health, Scrutiny of Perinatal and Maternal Deaths, Second Mid Staffs: Furness General Hospital Parallels, Serious and Untoward Incidents (SUIs), Service Redesign, Seven Day Care in England, Seven Day Services, Small Business Enterprise and Employment Act 2015 (SBEEA), Speaking Up: Resolving NHS Complaints and Preventing Problems Recurring, Surgical Never Events, Target Culture, Target-Chasing (Hitting the Target Missing the Point), Transparency, Transparency and Accountability, Transparent Learning Culture, University Hospitals of Morecambe Bay NHS Trust, Unnecessary In-Hospital Deaths, User Complaints, Valuing Complaints, Weekend Effect, Weekend Mortality Rates, Weekend Services, Weekend Working, Whistleblowing, Workplace Culture
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Improvements for Patients at NHS Trusts in Special Measures (Monitor / CQC / NHSTDA)
Summary Monitor, the Care Quality Commission and the NHS Trust Development Authority have published a report on the progress made at the 11 trusts placed in special measures in July 2013. Practical measures resulting in significant changes include recruitment of extra staff, use of … Continue reading →
Posted in Acute Hospitals, CQC: Care Quality Commission, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, National, NHS, Person-Centred Care, Quick Insights, Standards, UK
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Tagged Acute Care, Acute Hospital Care, Acute Hospitals, Addenbrookes and the Rosie Hospitals, Addenbrookes Hospital, Avoidable Harm, Barts Health NHS Trust, Basildon and Thurrock University Hospitals NHS Foundation Trust, Buckinghamshire Healthcare NHS Trust, Buddying, Buddying Schemes, Burton Hospitals NHS Foundation Trust, Cambridge University Hospitals NHS Foundation Trust, Care in General Hospitals, Care Quality Commission, Care Quality Commission (CQC), Challenges of Reconfiguration, Chief Inspector of Hospitals, Colchester Hospital University NHS Foundation Trust, Corporate Self-Interest (Ahead of Patients), County Hospital Louth, CQC Report on Addenbrooke's and the Rosie Hospitals (2015), Deaths Associated with Hospitalisation, Dr Keith McNeil: Former Chief Executive of Cambridge University Hospitals Trust (Addenbrooke’s), East Lancashire Hospitals NHS Trust, EPIC IT System for Clinical Records (Addenbrooke’s), Epic's eHospital System, General Hospital Care, General Hospitals, General Medical Wards, George Eliot Hospital NHS Trust, Governance, Governance and Accountability, Grantham and District Hospital, Hospital Standardised Mortality Ratios (HSMRs), Keogh Mortality Review, Keogh Review, Lincoln County Hospital, Medical Director of NHS England: Professor Sir Bruce Keogh, Medway NHS Foundation Trust, Mid Staffordshire NHS Foundation Trust, Monitor, Monitor and TDA’s Quality Governance Framework, NHS Trust Development Authority, NHS Trust Development Authority (NHS TDA), NHS Trust Financial Deficits, NHS Trusts and Foundation Trusts in Special Measures: One Year On, North Cumbria University Hospitals NHS Trust, Northern Lincolnshire and Goole Hospitals NHS Foundation Trust, Northern Lincolnshire and Goole NHS Foundation Trust, Openness and Transparency, Openness. Transparency, Patient and Public Participation, Patient Care, Patient Experience, Patient Flows, Patient Safety, Patient Satisfaction, Pilgrim Hospital Boston, Preventable Hospital Mortality, Professor Sir Bruce Keogh, Professor Sir Mike Richards: Former Chief Inspector of Hospitals (CQC), Provider Regulation, Providers, Quality Improvement, Quality of Care, Sherwood Forest Hospitals NHS Foundation Trust, Special Measures: One Year On (Monitor), Stephen Hay: Managing Director of Provider Regulation at Monitor, Summary Hospital-level Mortality indicator (SHMI), Transparency and Accountability, United Lincolnshire Hospitals NHS Trust, Whipps Cross Hospital
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Whistleblowing in the NHS: Theory Versus Practice? (BBC News / Whistleblowing Helpline / NAO / SCIE)
Summary Dr Raj Mattu, a heart specialist was dismissed by University Hospital of Coventry and Warwickshire NHS Trust in 2010, after almost a decade of alleged unfair treatment by his employers, since exposing the cases of two patients who had … Continue reading →
Posted in Acute Hospitals, BBC News, In the News, National, National Audit Office, NHS, Practical Advice, Quick Insights, Standards, UK, Universal Interest
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Tagged BBC Health News, BBC News: Coventry & Warwickshire, BBC News: Today (Radio 4), BBC Radio 4: Today Programme, Behaviours to Enable Whistleblowing, Bullying of Whistleblowers, Candour, Character Assassination of Whistleblowers, Corporate Self-Interest (Ahead of Patients), Culture of Delay and Denial, Defensive Leadership, Dr Raj Mattu (Consultant), Fear of Raising Concerns About Care, Flowchart of Whistleblowing Process, Freedom To Speak Up Review (Sir Robert Francis QC), Goldman Sachs, Harassment of Whistleblowers, HMRC, Honesty, House of Commons, House of Commons Committee of Public Accounts, Improving Patient Safety, Incentivising Candour, Local Ward Cultures, Margaret Hodge, Mid Staffordshire NHS Foundation Trust, Mid Staffordshire NHS Foundation Trust Inquiry, National Audit Office (NAO), Negative Culture, NHS Constitution, NHS Constitution and Whistleblowing, NHS Corporate Self-Interest, NHS Culture, NHS Hospitals Complaints System, NHS Managerial Self-Interest, Openness, Openness and Transparency, Organisational and Professional Cultures, Organisational Culture and Climate, Parliamentarians, Patient Safety, Patient Safety Incidents, Patients First and Foremost, Public Accounts Committee, Public Concern at Work, Public Disclosure Act (1988), Public Interest Disclosure Act 1998 (PIDA), Putting Patients First, Qualtrics, Raising Concerns, Raising Concerns Around Deaths, Raising Concerns Policy, Reluctance to Raise Concerns About Care, SCIE Social Care TV, Shaping Culture, Sir Robert Francis QC, Social Care Code of Conduct, Social Care Commitment, Social Care TV, Speaking Out, Staff Awareness, Stages in Raising Concerns, Structures to Enable Whistleblowing, Systems to Support Whistleblowing, Treatment of Whistleblowers (Shoddy), Trust Blame and the Culture of Defensiveness, Victimisation of Whistleblowers, Whistleblowing, Whistleblowing Guidance, Whistleblowing Helpline, Whistleblowing in the Public Sector, Whistleblowing In the Wind, Whistleblowing Policy, Winterbourne View Hospital, Workplace Culture, Zero Tolerance Approaches
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CQC Inspection Report Criticises Furness General Hospital Dementia Unit (BBC News)
Summary The Care Quality Commission (CQC) attributed problems in the standards of care in the Ramsay Unit at Furness General Hospital primarily to “chronic staff shortages”. New admissions to the unit were halted by the Cumbria Partnership NHS Foundation Trust briefly, after an … Continue reading →
Posted in Acute Hospitals, BBC News, CQC: Care Quality Commission, For Carers (mostly), For Nurses and Therapists (mostly), In the News, National, NHS, NHS England, Patient Care Pathway, Proposed for Next Newsletter, Quick Insights, Standards, UK, Universal Interest
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Tagged Avoidable Harm, Avoidable Mortality, Avoidable Premature Mortality, Capacity and Capability of Regulators, Care Quality Commission (CQC), Care Quality Commission Monitor and Department of Health Liaison, Central Manchester Report (December 2011), Central Manchester University Hospital Diagnostic Review (2011), Central Manchester University Hospitals NHS Foundation Trust, Centre for Maternal and Child Enquiries (CMACE), Clinical Risk Recognition and Planning, Complexity in the Complaints System, Corporate Self-Interest (Ahead of Patients), Cover-Ups (Attributed), CQC Failings, CQC Hospital Inspections, Culture, Culture Change in the NHS, Cumbria, Cumbria Partnership NHS Foundation Trust, David Behan: Chief Executive of Care Quality Commission, David Bennett: Chief Executive of Monitor, David Flory: Chief Executive of NHS Trust Development Authority, Delayed Problem Recognition, Dr Bill Kirkup CBE, Dr Mike Durkin: NHS England’s Director of Patient Safety, Dr Peter Carter: Chief Executive and General Secretary Royal College of Nursing, Failure of Communications and Inadequate Processes, False Assurance, Fielding Report, Flynn Report, Former Health Secretary Jeremy Hunt, Foundation Trust Status, Foundation Trust Status Distractions, Freedom to Speak Up Report: Principle 1: Culture of Safety, Freedom to Speak Up Report: Principle 2: Culture of Raising Concerns, Freedom to Speak Up Report: Principle 7: Raising and Reporting Concerns, Furness General Hospital, Furness General Hospital Dementia Unit, Furness General Hospital in Cumbria, Furness General Hospital: Ramsay Unit, General Medical Council (GMC), Gold Command, Gold Command Process, Health and Safety Executive (HSE), Health and Social Care (Community Health and Standards) Act 2003, Health Systems in Transition (HiT), Hospital Mortality, Hospital Mortality Rates, Inspection and Regulation, Joshua Titcombe, Kirkup Recommendations for Wider NHS, Lack of Clarity About Roles, Lack of Clarity on Overall Responsibility, Local Supervising Authority, Local Supervising Authority Midwifery Officer (LSAMO), Missed Opportunities, Morecambe Bay Inquiry, Morecambe Bay Investigation Report, Negative Culture, NHS Accountability, NHS Corporate Self-Interest, NHS Culture, NHS Litigation Authority (NHSLA), NHS Litigation Authority’s Clinical Negligence Scheme for Trusts (CNST) Reports, NHS Managerial Self-Interest, NHS Micro-Climates, NHS Regulation, NHSLA Accreditation, North West Health Authority, North West Strategic Health Authority (NW SHA), Nursing and Midwifery Council (NMC), Openness, Over-Complexity, Over-Reliance on External Approval, Over-Reliance on External Judgments, Over-Reliance on Judgments of Others, Parliamentary and Health Services Ombudsman, Patient Safety, Peter Carter: Royal College of Nursing, Preventable Hospital Mortality, PricewaterhouseCoopers (PwC) review of Trust-Wide Governance, Professor Sir Bruce Keogh, Quality Surveillance Groups, Recommendations for the University Hospitals of Morecambe Bay NHS Foundation Trust, Reducing Complexity, Regulating Healthcare Systems, Regulating Healthcare Systems: Monitor, Regulation, Regulators, Regulators Sharing Information, Regulatory and Professional Bodies, Regulatory Gaps in Healthcare, Regulatory System, Report Into Maternity Care at Cumbria’s Furness General Hospital, Report of the Morecambe Bay Investigation, Rt Hon Jeremy Hunt MP: Former Secretary of State for Health, Safe Staffing Levels, Scrutiny, Scrutiny of Perinatal and Maternal Deaths, Second Mid Staffs: Furness General Hospital Parallels, Serious and Untoward Incidents (SUIs), Simon Stevens: Chief Executive of NHS England, Staffing (Hospitals), Staffing Levels, Systems Complexity, Target Culture, Target-Chasing (Hitting the Target Missing the Point), Transparency and Accountability, Una O’Brien: Department of Health, Unannounced Care Quality Commission Inspection, Unannounced Hospital Inspections, University Hospitals of Morecambe Bay NHS Trust, Unnecessary In-Hospital Deaths, Whistleblowing, Workplace Culture
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