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Tag Archives: Gagging Clause Culture
Whistleblowing in the NHS: Light at the End of the Tunnel? (BBC News / NHS England)
Summary The review of NHS reporting culture led by Sir Robert Francis QC, which has been working achieve better protection of NHS whistleblowers who raise concerns, will report later today. The “Freedom and Responsibility to Speak Up” review was expected … Continue reading →
Posted in Acute Hospitals, BBC News, Community Care, Department of Health, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Local Interest, National, NHS, NHS Employers, NHS England, Quick Insights, Standards, UK, Universal Interest
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Tagged ACAS: Advisory Conciliation and Arbitration Service (UK), Accountability, Adversarial and Defensive Culture, Alternative Dispute Resolutions (ADRs), Avoidable Harm, BBC Health News, Behaviours to Enable Whistleblowing, Black and Minority Ethnic (BME), Black and Minority Ethnic (BME) Groups, Blacklisting, Blacklisting and Kangaroo Courts, Character Assassination of Whistleblowers, Closed Ranks Culture (Mid Staffordshire Public Inquiry), Compromise Agreements, Confidentiality Clauses, Continuous Improvement, Coordinated Regulatory Action, CQC Recognition of Well-Led Organisations, Culture Change, Culture Free From Bullying, Culture of Raising Concerns, Culture of Reflective Practice, Culture of Safety, Culture of Valuing Staff, Culture of Visible Leadership, Defensive Leadership, Duty of Candour (DoC), Eight Step Model (Acronym: EVIDENCE) for Raising and Escalating Concerns: Escal8, Employment Rights Act 1996 (ERA), Enterprise and Regulatory Reform Act 2013, Escal8: Model for Raising and Escalating Concerns, EVIDENCE: Mnemonic for Escal8 - Eight Step Model for Raising and Escalating Concerns, Extending Legal Protection, External Review, FPPT: Fit and Proper Person Test, Francis Freedom to Speak Up Report, Freedom and Responsibility to Speak Up (Francis Review Whistleblowing), 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? (Whistleblowing Review), Gagging Clause Culture, Good Governance, Governance, Haraldsplass Deaconess University College (Bergen: Norway), Harassment of Whistleblowers, Healthcare Governance Systems, History of Raising Concerns: a Positive Characteristic in Potential Employees, Honesty, Implications of the Francis Inquiry Report, Incident Reporting, Independent National Officer, Independent National Officer (INO), Independent National Whistleblowing Officer, Investigations, Legal Protection, Lives Ruined by Poor Handling of Staff Raising Concerns, Local Risk Management Systems (LRMS), Maintaining High Professional Standards (MHPS), Mediation and Dispute Resolution, Mid Staffordshire NHS Foundation Trust Public Inquiry, Mistreatment of Whistleblowers, Monitor, NHS Culture, NHS Managerial Self-Interest, Nursing Times, Open and Honest Incident Reporting, Open Culture, Openness, Parliamentary and Health Services Ombudsman, Patient Safety, PIDA: Public Interest Disclosure Act, Primary Care, Professional Regulators and Complaints, Programme to Identify Whistleblowers Who Have Suffered Detriment, Protected Characteristics: Age; Disability; Gender Reassignment; Marriage and Civil Partnership; Race; Religion or Belief; Sex; and Sexual Orientation, Protected Disclosure, Public Concern at Work, Public Concern at Work (PCaW), Public Interest Disclosure Act 1998 (PIDA), Quality Accounts, Quality Governance, Quality Improvement, Raising and Reporting Concerns, Raising Concerns, Reflective Practice, Repercussions From the Francis Inquiry Report, Reporting Culture, Reporting Culture in the NHS, School of Health and Social Care: University of Teesside, School of Nursing and Midwifery: Staffordshire University, Severance Payments (Gagging Clauses), Shrewsbury and Telford Hospital NHS Trust, Sir Robert Francis QC, Speaking Up Charter, Staffordshire University, Structures to Enable Whistleblowing, Students and Trainees, Support to Find Alternative Employment in the NHS, Suspensions and Special Leave, System Regulators: Financial and Quality Regulators of NHS Services, Systems to Support Whistleblowing, Training, Training Bodies, Transparency, University of Teesside, Vulnerable Groups, Well-Led (CQC Inspection Question), Well-Led Indicators (CQC), Whistleblowing, Whistleblowing in the NHS
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Patient-Centred Leadership: Rediscovering NHS Purpose (King’s Fund)
Summary This report explores findings from the Francis Inquiry about failings of care at Mid Staffordshire NHS Foundation Trust regarding NHS leadership and culture. It discusses what steps might help to avoid comparable failures in future, and looks into three … Continue reading →
Posted in Acute Hospitals, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), King's Fund, National, NHS, NHS Confederation, NHS England, Patient Care Pathway, Person-Centred Care, Quick Insights, RCN, Royal College of Physicians, Standards, UK, Universal Interest
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Tagged Acute Care, Acute Hospitals, Boards, Bullying, Candour, Care in General Hospitals, Care Quality, Care Quality Commission, Clinical Leadership, CNO Summit (2014), Command-and-Control Leadership, Commission for Patient and Public Involvement in Health (CPPIH), Consequences of the Francis Inquiry Report, Contractual Duty of Candour, Culture, Culture Change, Culture of Compassionate Care, Culture of Zero-Harm, Defensive Leadership, DIMPLE (Diabetes Improvement through Mentoring and Peer-led Education) Project, Doctors as Clinical Leaders, Experience-Based Co-Design (EBCD), Faculty of Medical Leadership and Management, Foundation Trust Status, Francis Inquiry, Francis Inquiry Report: Executive Summary, Francis Inquiry Report: Full Report, Francis Report, Friends and Family Test (NHS), Fundamental Standards, Gagging Clause Culture, General Hospitals, Jane Cummings: Chief Nursing Officer for England, King’s Fund Leadership Survey 2013, Kingston General Hospital: Ontario, Leadership, Leadership and Culture, Leadership by Patients, Leadership Concept, Leadership Development, Leadership for Culture Change, Leadership in the NHS, Leadership: Professionals From BME Backgrounds, Listening into Action (LiA), Low Morale, Managers in Partnership, Mid Staffordshire NHS Foundation Trust, Mid Staffordshire NHS Foundation Trust Inquiry, Mid-Staffordshire NHS Trust, Monitor, National NHS Leadership, NHS Constitution, NHS Culture, NHS England (Formerly the NHS Commissioning Board), NHS Leadership, NHS Leadership Academy, NHS Leadership Academy (NHS LA), NHS Professionals, NHS Quest, NHS Trust Development Authority (NHS TDA), NHS Trust Development Authority (NTDA), Nurses as Clinical Leaders, Nursing Standards, Openness, Patient and Public Involvement Forums (PPIFs), Patient Experience, Patient-Centred Culture, Patient-Centred Leadership, Patients First and Foremost, Patients Not Heard, Poor Governance, Positive Culture, Preventable Hospital Mortality, Professional Disengagement, Putting Patients First: NHS England Business Plan 2013/14 – 2015/16, Quality Improvement, RCGP, Reactions to the Francis Inquiry Report, Rediscovering NHS Purpose, Repercussions From the Francis Inquiry Report, Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry, Responses to the Francis Inquiry Report, Royal College of General Practitioners (RCGP), Royal College of Midwives, Sandwell and West Birmingham Hospital NHS Trust, Shaping Culture, Sir Robert Francis QC, Six C’s (Jane Cummings: Chief Nursing Officer for England), Staff Motivation, Stafford, Statutory Duty of Candour, Target-Driven Priorities, Task-Centred Care, Teams, Tick Box Culture, Time-Task Culture, Warning Signs, West Midlands
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NHS Constitution for England Updated (Department of Health)
Summary An updated NHS Constitution has been released to coincide with publication of the Department of Health’s official response to the Francis Inquiry report, “Patients first and foremost”. The NHS Constitution encapsulates the principles and values of the NHS in … Continue reading →
Posted in Acute Hospitals, Community Care, Department of Health, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Management of Condition, National, NHS, Patient Care Pathway, Person-Centred Care, Practical Advice, Quick Insights, Standards, UK, Universal Interest
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Tagged Accountability, Acute Care, Acute Hospitals, Article 56 of the Treaty on the Functioning of the European Union, Ban on Clauses Intended to Prevent Public Interest Disclosures, Commitment, Communication, Compassion, Competence, Complaint and Redress, Confidentiality, Consent, Constitution (NHS), Contractual Duty of Candour, Criminal Sanctions, Culture, Culture Change, Delivering Dignity, Detecting Problems Quickly, Dignity, Dignity and Respect, Disclosure and Barring Service (DBS), Everyone Counts, Francis Inquiry, Francis Inquiry Report: Executive Summary, Francis Report, Friends and Family Test (NHS), Fundamental Standards, Gagging Clause Culture, Gagging Orders, Gaming the System, General Hospitals, Government Response to the Consultation on the NHS, Handbook to the NHS Constitution, Informed Choice, JHWSs: Joint Health and Wellbeing Strategies, Joint Committee on Vaccination and Immunisation (JCVI), Joint Health and Wellbeing Strategy (JHWS), Joint Strategic Needs Assessments, JSNAs: Joint Strategic Needs Assessments, Judicial Review, Local Government Ombudsman, Making Every Contact Count, Mandate to the NHS Commissioning Board, Measuring Culture, Mid Staffordshire NHS Foundation Trust, Mid Staffordshire NHS Foundation Trust Inquiry, Mid-Staffordshire NHS Trust, NHS Constitution and Whistleblowing, NHS Constitution Team, NHS Constitution: Updated 2012, NHS Values, Parliamentary and Health Service Ombudsman, Patient Advice and Liaison Services (PALS), Patient and Staff Feedback, Patient Safety, Patients First and Foremost, Patients Not Heard, Penalties for Disinformation, Perverse Incentives, Poor Governance, Positive Culture, Public Interest Disclosure Act 1998, Regulation (EC) No 883/2004, Respect, Staff Legal Duties, Staff Pledges, Standards To Avoid Perverse Incentives, Statutory Duty of Candour, Transparency, Transparency and Accountability, UK National Screening Committee, Whistleblowing
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Patients First and Foremost: Government Response to the Mid Staffordshire NHS Public Inquiry Report (Department of Health)
Summary The government’s official response to the Francis Inquiry report, entitled “Patients first and foremost” was published today. It defines the Department of Health‘s commitment and action plan for the health and care system. The main recommendations / resolutions include: Ofsted-style ratings for hospitals … 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), For Social Workers (mostly), In the News, Management of Condition, National, NHS, NHS Confederation, Patient Care Pathway, Person-Centred Care, Practical Advice, Quick Insights, Standards, UK, Universal Interest
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Tagged Accountability, Acute Care, Acute Hospitals, Allied Health Professionals (AHPs), Ban on Clauses Intended to Prevent Public Interest Disclosures, Barbara’s Story: Increasing Awareness of Dementia, Barring System, Barring System for Healthcare Assistants, Berwick Review, Blame Culture, Burdett Trust, Bureaucracy, Candour, Care, Care Assistants, Care in General Hospitals, Care Quality Commission (CQC), Chief Inspector of Social Care, Clinically-Led Commissioning, Code of Conduct and Minimum Training for Health and Care Assistants, Commissioning for Quality and Innovation (CQUIN) Indicators, Commitment, Communication, Compassion, Competence, Contractual Duty of Candour, Courage, CQUINs, Creating Time to Care, Creating Time to Lead, Criminal Sanctions, Cultural Care Barometer, Culture, Culture Change, Delivering Dignity, Detecting Problems Quickly, Dignity, Dignity and Respect, Disclosure and Barring Service (DBS), Everyone Counts, Expert Inspectors, Foundation Trust Status, Foundation Trust Status Distractions, Francis Inquiry, Francis Inquiry Report: Executive Summary, Francis Report, Friends and Family Test (NHS), Fundamental Standards, Gagging Clause Culture, Gagging Orders, Gaming the System, General Hospitals, General Medical Council, Health and Social Care Act (2012), Health and Social Care Information Centre (HSCIC), Healthcare Assistants, Healthwatch, Healthwatch England, House of Commons Library, Human Rights and Nursing, Increasing Awareness of Dementia, Independent Chief Inspector of Hospitals, Informatics Services Commissioning Group (ISCG), Leadership, Leadership in the NHS, Local HealthWatch, Mandate to the NHS Commissioning Board, Measuring Culture, Mid Staffordshire NHS Foundation Trust, Mid Staffordshire NHS Foundation Trust Inquiry, Mid-Staffordshire NHS Trust, NHS Confederation Review of Bureaucratic Burdens, NHS Constitution, NHS Constitution and Whistleblowing, NHS Constitution: Updated 2013, NHS Culture, NHS Friends and Family Test, NHS Health and Social Care Act (2012), NHS Mandate, NHS Outcomes Framework, NHS Safety Thermometer, Nurse Education, Nursing and Midwifery Council (NMC), Ofsted-Style Inspections, Ofsted-Style Ratings for Care Homes, Ofsted-Style Ratings for Hospitals, Openness, Patient and Public Involvement Forums (PPIFs), Patient and Staff Feedback, Patient Safety, Patients First and Foremost, Patients Not Heard, Penalties for Disinformation, Perverse Incentives, Poor Governance, Positive Culture, Proactive Professional Regulation, Problem Detection, Problem Prevention, Professional Disengagement, Professional Regulation, Public Interest Disclosures, Putting Patients First, QSGs: Quality Surveillance Groups, Quality Improvement, Quality Surveillance Groups (QSGs), Reduced Gaming of the System, Report of Mid Staffordshire NHS Foundation Trust Public Inquiry, Restorative Supervision, Revalidation for Nurses, Royal United Hospital Bath NHS Trust, Schwartz Rounds: Royal Free London NHS Foundation Trust, See It My Way, Shaping Culture, Sir Robert Francis QC, Six C’s of Nursing, Staff Motivation, Staff Training, Staffing Levels, Standards To Avoid Perverse Incentives, Statutory Duty of Candour, Supervisory Nurse Ward Managers, Supporting Staff to Care, Teaching Agency: Barring Scheme, The 6Cs, Tick Box Culture, Time Limited Failure Regime, Transparency, Transparency and Accountability, Whistleblowing, Zero Harm
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NHS Gagging Clauses Banned by Health Secretary (BBC News / NAO / House of Commons Committee of Public Accounts)
Summary Health Secretary Jeremy Hunt has ruled that “gagging clauses” in severance agreements for NHS staff in England are banned by the government with immediate effect. Read more: BBC News: NHS ‘gagging clauses’ banned by health secretary. Reference NHS ‘gagging clauses’ banned … Continue reading →
Posted in Acute Hospitals, BBC News, Department of Health, For Doctors (mostly), In the News, National, National Audit Office, NHS, Proposed for Next Newsletter, Quick Insights, Standards, UK, Universal Interest
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Tagged Acute Care, Acute Hospitals, BBC Health News, Bureaucracy, Candour, Care in General Hospitals, Care Quality, Care Quality Commission (CQC), Confidentiality Clauses, Contractual Duty of Candour, Culture, Feeding the Beast, Former Health Secretary Jeremy Hunt, Foundation Trust Status, Francis Inquiry, Francis Inquiry Report, Francis Inquiry Report: Full Report, Francis Report, Friends and Family Test (NHS), Fundamental Standards, Gagging Clause Culture, Gagging Orders, Gary Walker: Former Chief Executive of United Lincolnshire Hospitals Trust (ULHT), General Hospitals, HC 477: Confidentiality Clauses and Special Severance Payments, Hospital Mortality, Hospital Mortality Rates, House of Commons Committee of Public Accounts, Inspections and Bureaucracy, Leadership, Mandate to the NHS Commissioning Board, Mid Staffordshire NHS Foundation Trust, Mid Staffordshire NHS Foundation Trust Inquiry, Mid-Staffordshire NHS Trust, Mortality, Negative Culture, NHS Constitution, NHS Litigation Authority (NHSLA), Nursing Standards, Openness, Patients Not Heard, Poor Governance, Preventable Hospital Mortality, Quality Accounts, Quality Improvement, Report of Mid Staffordshire NHS Foundation Trust Public Inquiry, Scrutiny, Severance Payments (Gagging Clauses), Sir Robert Francis QC, Special Severance Payments, Stafford, Statutory Duty of Candour, Strategic Health Authorities (SHAs), Transparency, United Lincolnshire Hospitals Trust (ULHT), Warning Signs, West Midlands, Whistleblowing
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Jeremy Hunt Warns NHS Health Trusts Over Gagging Orders (BBC Health News)
Summary Health Secretary Jeremy Hunt has found it necessary to write to all English NHS Trusts to remind them that the use gagging clauses and pay-offs to stop staff raising concerns over care quality would be contrary to the duty of candour and … Continue reading →
Posted in Acute Hospitals, BBC News, Department of Health, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Social Workers (mostly), In the News, Local Interest, National, NHS, Quick Insights, Standards, UK, Universal Interest
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Tagged Acute Care, Acute Hospitals, BBC Health News, Bureaucracy, Candour, Care in General Hospitals, Care Quality, Care Quality Commission (CQC), Contractual Duty of Candour, Culture, East Midlands Strategic Health Authority (SHA), Feeding the Beast, Former Health Secretary Jeremy Hunt, Foundation Trust Status, Francis Inquiry, Francis Inquiry Report, Francis Inquiry Report: Full Report, Francis Report, Friends and Family Test (NHS), Fundamental Standards, Gagging Clause Culture, Gagging Orders, Gary Walker: Former Chief Executive of United Lincolnshire Hospitals Trust (ULHT), General Hospitals, Hospital Mortality, Hospital Mortality Rates, Inspections and Bureaucracy, Leadership, Lincolnshire Trust, Mandate to the NHS Commissioning Board, Mid Staffordshire NHS Foundation Trust, Mid Staffordshire NHS Foundation Trust Inquiry, Mid-Staffordshire NHS Trust, Mortality, National Patient Safety Agency, Negative Culture, NHS Constitution, NHS Litigation Authority (NHSLA), Nursing Standards, Openness, Patient and Public Involvement Forums (PPIFs), Patient Experience, Patients Not Heard, Poor Governance, Preventable Hospital Mortality, Professional Disengagement, Quality Accounts, Quality Improvement, Report of Mid Staffordshire NHS Foundation Trust Public Inquiry, Scrutiny, Sir Robert Francis QC, Stafford, Statutory Duty of Candour, Strategic Health Authorities (SHAs), Transparency, United Lincolnshire Hospitals Trust (ULHT), Warning Signs, West Midlands, Whistleblowing
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Francis Inquiry Report: Full Report (Mid Staffordshire NHS Foundation Trust Inquiry)
Summary High mortality rates and poor standards of care provided at the Mid Staffordshire NHS Foundation Trust resulted in concern about services and management in the Trust. This three-volume Francis Inquiry report investigates the causes and lessons learned. “…[the widespread] disconnect between … Continue reading →