Tag Archives: Implications of the Francis Inquiry Report

Latest NHS Whistleblowing Policy (NHS Improvement)

Posted on April 21, 2016 by Dementia and Elderly Care News

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 →

Commissioning Guidance on Improving Nutrition and Hydration (NHS England)

Posted on October 9, 2015 by Dementia and Elderly Care News

Summary It is estimated that one-third of patients admitted to hospitals or living in care homes are malnourished (or at risk of malnourishment). Malnutrition affects more than three million people in the UK, and has remained an ongoing concern in … Continue reading →

Posted in Acute Hospitals, Age UK, Charitable Bodies, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, Models of Dementia Care, National, NHS, NHS England, Non-Pharmacological Treatments, Nutrition, Person-Centred Care, Practical Advice, Quick Insights, Standards, UK, Universal Interest | Tagged 5YFV: NHS Five Year Forward View, Achieving Dementia Friendly Acute care, Acute Care, Acute Hospital Care, Acute Hospitals, BAPEN: British Association of Parenteral and Enteral Nutrition, British Association of Parenteral and Enteral Nutrition (BAPEN), Cambridge CCG, Care Homes, Care Homes Wellbeing, Care of Vulnerable Adults, Care Quality Commission (CQC), City Healthcare Partnership CIC Nursing and Care Home Provision, Commissioning Excellent Nutrition and Hydration 2015 – 2018, County Durham and Darlington NHS Foundation Trust, County Durham and Darlington NHS Foundation Trust (CDDFT), Creating Dementia Friendly Hospitals, Dehydration, Dehydration in Frail Older People, Dementia Care in Acute District General Hospitals, Dementia Care in Acute Settings, Dementia Care in Care Homes, Dementia Care in General Hospitals, Dementia Friendly Acute Hospitals, Dementia in General Hospital Inpatients, Dementia-Friendly Hospitals, Dementia-Friendly Wards, Dianne Jeffrey: Chair of Age UK, Dianne Jeffrey: Chair of Malnutrition Task Force, Dianne Jeffrey: Chairman of Age UK, Dietetics, Dignity, Dignity and Wellbeing, Dignity in Care, Fluid Intake, Francis Inquiry Report, Hard Truths, Holistic Care, Hospital Food Standards SC19 in NHS Contract, Hydration, Hydration and Nutrition, Implications of the Francis Inquiry Report, Improving Patient Experience, Improving Patient Safety, Improving Standards in Care Homes, Jane Cummings: Chief Nursing Officer for England, Malnutrition and Dementia Patients, Malnutrition Universal Screening Tool (MUST), MUST Nutrition Screening, National Strategic Advisory Group, NHS Aylesbury Vale CCG, NHS Bedfordshire CCG, NHS Chiltern CCG, NHS East and South East England Specialist Pharmacy Services, NHS England Guidance on Commissioning Excellent Nutrition and Hydration 2015 – 2018, NHS England's Five Year Forward View (2014), NHS Five Year Forward View (5YFV), NHS Greenwich CCG, NHS Greenwich Clinical Commissioning Group, NHS Luton CCG, NHS Trust Development Authority (TDA), Nutrition and Hydration, Nutrition Nurse Specialists, Nutrition Support in Adults (NICE CG32), Nutritional Care, Nutritional Care and the Patient Voice, Nutritional Care Standards, Older People Living in Care Homes, Patient and Public Participation, Patient Experience, Patient Safety, Patients Admitted to Hospitals From Care Homes, Person-Centred Nutritional Care, Plasma Sodium Levels, Prevalence of Dehydration in Patients Admitted to Hospitals From Care Homes, Repercussions From the Francis Inquiry Report, Royal Berkshire Hospital, Salford Together, Screening for Malnutrition, Six C’s (Jane Cummings: Chief Nursing Officer for England), Southampton Hospital Foundation Trust, Staffordshire County Council, Undernourishment, University Hospital Southampton NHS Foundation Trust, Urinary Tract Infections, Urinary Tract Infections (UTIs) | Leave a comment

NHS Leadership Review (BBC News / Department of Health)

Posted on August 6, 2015 by Dementia and Elderly Care News

Summary Lord Rose, formerly of Marks & Spencer, was commissioned by the Secretary of State for Health to review leadership in the NHS. This controversial and independent report covers how to attract and develop capable leaders, whether from inside or … Continue reading →

The Foundations for a Patient-Centred NHS Learning Culture? (Department of Health / BBC News)

Posted on July 21, 2015 by Dementia and Elderly Care 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 →

Seven Day Working and Much More: Aiming for a More Patient-Centred, Transparent and Safe NHS (Department of Health)

Posted on July 17, 2015 by Dementia and Elderly Care News

Summary Health Secretary Jeremy Hunt has re-asserted his intention to pursue the New Deal for GPs, and seven day NHS services generally; if necessary by removing the weekend working opt-out in new hospital consultants’ contracts. NHS Improvement Plans for the … 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, Integrated Care, Management of Condition, National, NHS, NHS Improvement, Northern Ireland, Nuffield Trust, Patient Care Pathway, Person-Centred Care, Personalisation, Quick Insights, Scotland, Standards, Statistics, UK, Universal Interest, Wales | Tagged Alzira (Spain), Apollo (India), BBC Northern Ireland, BBC Northern Ireland Health News, BBC Wales, Booking Appointments, British Medical Association, Care Seven Days a Week, Clinical Incident Investigations, Competition Based on Patient Choice, Consequences of the Francis Inquiry Report, Continuous Learning Culture, Crowd Effect (Crowd Psychology), Crowd Herding, Culture and Leadership, Culture Change in the NHS, Culture of Safety, DDRB Recommendation for Removal of Consultant Weekend Opt-Out, Department of Cardiothoracic Surgery: University Hospitals Birmingham NHS Foundation Trust, Department of Informatics: University Hospitals Birmingham NHS Foundation Trust, Department of Primary Care and Population Health: University College London, DevoManc, Digital Innovation, Digital Innovations in Health, Dr Dan Poulter (Former Conservative Health Minister), Dr Johann Malawana: Former Chair of BMA Junior Doctors Committee, Dr Mike Durkin: NHS England’s Director of Patient Safety, Dr Mike Durkin: Patient Safety Investigation Service, Electronic Booking, Elevated Weekend Hospital Mortality, Extra Payments for Unsociable Working, Farr Institute of Health Informatics Research: University College London, Financial Sustainability in the NHS, 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 Report, Freedom to Speak Up? (Whistleblowing Review), Gary Caplin: Chief Executive of Virginia Mason Hospital (Seattle), Greater Manchester, Healthcare Financial Management Association, Healthcare Financial Management Association (HFMA), HFMA: Healthcare Financial Management Association, Honesty and Transparency, Implications of the Francis Inquiry Report, Independent National Officer, Independent National Officer (INO), Independent Patient Safety Investigation Service, Intelligent Transparency, International Buddying Programme, Junior Doctors Balloted on Seven Day Working Terms and Conditions, Junior Doctors: Contract Dispute of 2015, Kaiser Permanente, Keogh Review, Learning Culture, Learning Not Blaming, Lord Rose Report into NHS Leadership, Lord Rose Report on Leadership in the NHS, Lord Rose Report: Better Leadership for Tomorrow, Martha Lane Fox, Mayo Clinic, Medical Director of NHS England: Professor Sir Bruce Keogh, Medical Directorate: NHS England, Monitor, Morecambe Bay Investigation Report, Mortality at the Weekend, Never Events, New Deal, New Deal for General Practice, New Deal for Primary Care, News Manipulation and Intransigence, NHS Culture, NHS England, NHS Five Year Forward View (5YFV), NHS Leadership Academy Moved From NHS England to Health Education England, NHS National Information Board, NHS Patient Safety Culture, NHS Pay Review Body, NHS Pay Review Body (NHSPRB), NHS Services Seven Days a Week, NHS Trust Development Authority (NHS TDA), NHS Trust Development Authority (NTDA), NHS Trust Development Authority (TDA), Nigel Edwards: Nuffield Trust, No Harm Culture, Open and Supportive Culture, Opt-Outs (Consultant Contracts), Oral Statement to Parliament: Improving Safety Culture in the NHS (July 2015), Orchestrated Intransigence, Patient Choice, Patient Power 2.0, Patient Safety, Patient Safety in the NHS, Policy Issues Posed by Devolution, Procurement Patient Choice and Competition Regulations, Professional Standards, Professor Sir Bruce Keogh, Public Administration Select Committee Report into Clinical Incident Investigations, Public Administration Selection Committee, Quality and Outcomes Research Unit: University Hospitals Birmingham NHS Foundation Trust, QUORUM Metric for Comparing Hospital Death Rates, RCGP, Reduction in Bureaucracy, Repercussions From the Francis Inquiry Report, Report of the Morecambe Bay Investigation, Review Body on Doctors’ and Dentists’ Remuneration, Review Body on Doctors’ and Dentists’ Remuneration (DDRB), Royal College General Practice (RCGP), Rt Hon Jeremy Hunt MP: Former Secretary of State for Health, Scottish Government, Service Redesign, Seven Day Care in England, Seven Day NHS Pledge: Problem of Resources, Seven Day NHS Pledge: Problem of Staff Shortages, Seven Day NHS Pledge: Problem of Unwillingness or Incapacity for Doing More With Less, Seven Day NHS Pledge: Problem of Workforce Overload, Seven Day NHS Pledge: Problems Identified in Leaked Confidential Department of Health Review, Seven Day Services, Seven-Day GP Access, Seven-Day Hospital Services, Seven-Day NHS Services, Seven-Day Opening, Seven-Day Working, Simon Hamilton: Northern Ireland's Health Minister, Survivorship Models, Sustainability, Sustainable Funding, Sustainable Health and Care Services, System Re-Design, Transparency, Transparency and Accountability, Transparency and Devolution, Transparent Learning Culture, University College London, University Hospitals Birmingham NHS Foundation Trust, Unsociable Hours Payments, Virginia Mason Hospital: Seattle, Weekend Effect, Weekend Mortality Rates, Weekend Services, Weekend Working, Welsh Government | Leave a comment

Professional Duty of Candour: Openness and Honesty When Things Go Wrong (NMC / GMC / Nursing Times / BBC News)

Posted on July 2, 2015 by Dementia and Elderly Care News

Summary The General Medical Council (GMC) and the Nursing and Midwifery Council (NMC) have jointly published guidance explaining the standards expected of doctors, nurses and midwives in the UK when things go wrong during healthcare. Professionals, in turn, require the … Continue reading →

Posted in Acute Hospitals, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), In the News, National, Northern Ireland, Person-Centred Care, Practical Advice, Quick Insights, Scotland, Standards, UK, Universal Interest, Wales | Tagged Apologising to Patients, BAPEN: British Association of Parenteral and Enteral Nutrition, British Association of Parenteral and Enteral Nutrition (BAPEN), Buckinghamshire Healthcare Trust, Candour, Candour: Safety and Improvement, Common Professional Standards (NMC / GMC), Consent, Consent: Patients and Doctors Making Decisions Together, Consequences of the Francis Inquiry Report, Culture Change in the NHS, Culture of Candour, Culture of Raising Concerns, Culture of Reflective Practice, Culture of Safety, Dehydration, Dehydration in Frail Older People, Duty of Candour, Ethical Considerations, Face to Face Explanations / Apologies from Doctors Nurses and Midwives, 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, General Medical Council (GMC), GMC: General Medical Council, GMC’s Good Medical Practice, Good Medical Practice, Hampshire Hospitals Foundation Trust, Health and Social Care Services in Northern Ireland, Healthcare Quality Strategy for NHS Scotland, Honesty, Honesty and Transparency, Hospital Nurse Staffing and Quality of Patient Care, Hydration and Nutrition, Implications of the Francis Inquiry Report, Incident Reporting, Incidents Errors and Near Misses, Learning Culture, Learning From Mistakes, Misdiagnosis, Moderate Harm, National Health Service (Concerns Complaints and Redress Arrangements) (Wales) Regulations 2011, Near Misses, NHS Culture, NHS Patient Safety Culture, Nurse Staffing Levels, Nursing and Midwifery Council (NMC), Open and Honest Working Environment, Openness, Openness and Honesty When Things Go Wrong, Openness and Honesty When Things Go Wrong (GMC / NMC), Openness and Transparency, Patient Harms, Patient Safety, Professional Duty of Candour, Professional Duty of Candour: NMC's Nursing Case Studies, Professional Standards, Professional Standards and Ethics, Professional Standards of Practice and Behaviour for Nurses and Midwives, Prolonged Psychological Harm, Protection From Unfair Criticism Detriment or Dismissal, Repercussions From the Francis Inquiry Report, Reporting Culture in the NHS, Reporting Systems, Scottish Patient Safety Programme, Severe Harm, Severe Harm Attributable to Problems in Healthcare, Severe Harm Leading to Death, Statutory Duty of Candour, Statutory Duty of Candour For Care Organisations (UK), Transparency, Transparency and Public Trust, Transparent Learning Culture, Welsh Government’s Health and Care Standards Framework | 1 Comment

Government Consultation on Francis Freedom to Speak Up Report (Department of Health)

Posted on March 13, 2015 by Dementia and Elderly Care News

Summary The Government has launched a public consultation to assess recommendations from the Francis Freedom to Speak Up review, to support NHS staff in speaking up about poor care and patient safety. This open consultation allows staff, patients and the … Continue reading →

More on the NHS Culture of Openness: Lessons From Two Francis Inquiries (Department of Health)

Posted on February 13, 2015 by Dementia and Elderly Care News

Summary The Government has published a report explaining progress in the NHS since the Francis Inquiry report (February 2013) . It supports the full adoption, in principle, of Freedom to Speak Up review recommendations to protect whistleblowers who raise legitimate … Continue reading →

Posted in Acute Hospitals, Commissioning, Community Care, CQC: Care Quality Commission, Department of Health, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Local Interest, Management of Condition, National, NHS, Patient Care Pathway, Person-Centred Care, Practical Advice, Quick Insights, Standards, UK, Universal Interest | Tagged Acute Care, Acute Hospitals, Assessing Risk of Harm (Not Just Past Harm), Avoidable Harm, BBC Health News, Behaviours to Enable Whistleblowing, Berwick Review, Berwick Review of Patient Safety, Better Care for Older Patients With Dementia, Building Capability, Candour, Care Certificate, Cavendish Review, Centrally-Driven Proposals, Challenges of Reconfiguration, Character Assassination of Whistleblowers, Closed Ranks Culture (Mid Staffordshire Public Inquiry), Clwyd and Hart Review Into Hospital Complaints, Code of Conduct for Healthcare Support Workers, Commonwealth Fund, Compassion in Practice, Compassionate Care, Configuration of Services, Consequences of the Francis Inquiry Report, Culture Change, Culture Change in the NHS, Culture Change in the NHS: Lessons of Two Francis Inquiries, Culture of Compassionate Care, Dementia Care in Acute General Hospitals, Dementia Care in Acute Settings, Dementia Care in General Hospitals, Dementia Care in Hospitals, Duty of Candour, EU Council’s Recommendations on Patient Safety and Health Care Associated Infections, Fit and Proper Persons Requirement for Directors, Francis Effect, Francis Inquiry, Francis Inquiry Report, Francis Report, Francis Report: Part of a Linked Set of Reports on Quality, Freedom and Responsibility to Speak Up (Francis Review Whistleblowing), Freedom to Speak Up Guardians, Freedom To Speak Up Review (Sir Robert Francis QC), Freedom to Speak Up? (Whistleblowing Review), Fundamental Standards, General Hospitals, General Medical Council (GMC), Government Response to Francis Inquiry Report, Harassment of Whistleblowers, Hard Truths, Health Education England Commission on Education and Training for Patient Safety, Health Education for Safety, Helene Donnelly OBE: Ambassador for Cultural Change at Staffordshire and Stoke on Trent Partnership NHS Trust, Honesty, Honesty and Transparency, Implications of the Francis Inquiry Report, Incident Reporting, Initiatives and Reviews into Quality of Hospital Care 2012/13, James Titcombe: National Advisor on Patient Safety and Culture & Quality at Care Quality Commission, Jane Cummings: Chief Nursing Officer for England, Keogh Mortality Review, Listening to Patients, Listening to Staff, Local Patient Safety Collaboratives, Medical Schools Council, Mid Staffordshire NHS Foundation Trust, Mid Staffordshire NHS Foundation Trust Inquiry, Mid Staffordshire NHS Foundation Trust Public Inquiry, Mistreatment of Whistleblowers, MyNHS Website: Comparing Safety Data, National Patient Safety Alerting System (NPSAS), NHS Culture, NHS England National Patient Safety Alerting System, NHS Leadership Academy’s Executive Fast Track Programme, NHS Litigation Authority, NHS Managerial Self-Interest, NHS Reform, NHS Safe Staffing, NHS Trust Development Authority, NHS Trusts and Foundation Trusts in Special Measures: 18 Months On, Nurse Staffing Levels, Nursing and Midwifery Council (NMC), Nursing Standards, Open and Honest Incident Reporting, Open Culture, Openness, Openness and Transparency, Outcome Metrics, Overbearing NHS Managerial Style, Patient Safety, Patient Safety Collaboratives Programme, Patient Safety Improvement, Patient-Centred Leadership, Patients First and Foremost, Person-Centred Model of Care for Patients with Dementia, Preventing Poor Care, Professor Don Berwick, Professor Sir Mike Richards: Former Chief Inspector of Hospitals (CQC), Professor Sir Norman Williams: President of Royal College of Surgeons, Professor Steve Field: Former Chief Inspector of General Practice (CQC), Public Interest Disclosure (Prescribed Persons), Putting Patients First, Quality Improvement, Quality Standards, Quality: Above Money, Raising Concerns, Reactions to the Francis Inquiry Report, Reconfiguration of Emergency Care System, Repercussions From the Francis Inquiry Report, Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry, Reporting Culture, Reporting Culture in the NHS, Review of NHS Complaints System, Safe Staffing, SAFE: Safety Action for England, Safety Action for England Team (SAFE), Safety and Quality Standards, Safety Metrics, Safety Surveillance, Salford Royal NHS Foundation Trust, Serious Incident Framework, Sign Up to Safety Campaign, Sir David Dalton: Chief Executive of Salford Royal NHS Foundation Trust, Sir Robert Francis QC, Speaking Up Charter, Special Measures, Staff Whistleblowing Rights, Staffing, Standards of Care, State of Care 2013/14 (CQC), Structures to Enable Whistleblowing, Surgical Never Events Task Force Reference Group, Systems to Support Whistleblowing, Technology Enhanced Learning, Transparency, Ward Staffing Levels, Whistleblowing, Whistleblowing Helpline, Whistleblowing in the NHS | Leave a comment

Whistleblowing in the NHS: Light at the End of the Tunnel? (BBC News / NHS England)

Posted on February 11, 2015 by Dementia and Elderly Care News

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 →

More on Barriers to Effective Whistleblowing (BBC News / Patients First / Health Select Committee)

Posted on September 22, 2014 by Dementia and Elderly Care News

Summary Whistleblowers who “speak out” about their concerns concerning care standards in the health service may still face obstacles, problems and intimidation, despite recent progress in the creation of a more open and transparent NHS culture. Patients First has submitted … 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, National, NHS, Quick Insights, Standards, UK, Universal Interest | Tagged Ann Clwyd MP, BBC Health News, Behaviours to Enable Whistleblowing, Cathy James: Chief Executive of Public Concern, Closed Ranks Culture (Mid Staffordshire Public Inquiry), Clwyd and Hart Review Into Hospital Complaints, Complaint Advocacy Services, Complaint Handling, Complaint Handling by Providers, Complaint Handling in Social Care, Complaints and Raising Concerns, Complaints Handling in Primary Care, Complaints Matter, Complaints Programme Board (CPB), Complaints Wales, Culture, Culture Change, Defensive Leadership, Duty of Candour, Failure to Act, Fear of Raising Concerns About Care, Francis Inquiry, Francis Inquiry Report, Francis Report, Freedom and Responsibility to Speak Up (Francis Review Whistleblowing), Freedom To Speak Up Review (Sir Robert Francis QC), Freedom to Speak Up? (Whistleblowing Review), Gagging Orders, General Medical Council (GMC), Handling of Complaints by Commissioners, Harassment of Whistleblowers, Hard Truths, Health Select Committee (HSC), Health Service Ombudsman, Healthwatch and Public Involvement Association (HAPIA), Healthwatch England: Power to Act as Supercomplainant on Behalf of Consumers, Honesty, House of Commons Health Committee, House of Commons Health Committee Report on Complaints and Raising Concerns, House of Commons Health Select Committee, Implications of the Francis Inquiry Report, Incident Reporting, Katherine Murphy: Chief Executive of the Patients Association, Local Ward Cultures, Mid Staffordshire NHS Foundation Trust Public Inquiry, Mistreatment of Whistleblowers, Negative Culture, NHS Constitution, NHS Constitution and Whistleblowing, NHS Corporate Self-Interest, NHS Culture, NHS Managerial Self-Interest, No Wrong Door Policy, Nurse Helene Donnelly, Nursing and Midwifery Council (NMC), Nursing and Midwifery Council’s Raising Concerns, Open and Honest Incident Reporting, Open Culture, Openness, Openness and Transparency, Organisational and Professional Cultures, Organisational Culture and Climate, PALS and NHS Complaints Advocacy Arrangements, Parliamentary and Health Service Ombudsman, Patient Advice and Liaison Service (PALS), Patients First (Support Organisation), Patients First and Foremost, Positive Culture, Principles of Good Complaint Handling, Professional Regulators and Complaints, Professor Sir Mike Richards: Former Chief Inspector of Hospitals (CQC), Programme to Identify Whistleblowers Who Have Suffered Detriment, Proposal for Single Complaints Gateway for Health and Social Care, Proposal for Single Health and Social Care Ombudsman for England, Public Administration Select Committee (PASC), Public Concern at Work, Public Interest Disclosure Act (PIDA), Public Services Ombudsman for Wales, Putting Patients First, Raising Concerns, Raising Concerns Policy, Raising Standards, Relatives and Residents Association, Reluctance to Raise Concerns About Care, Repercussions From the Francis Inquiry Report, Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry, Role of Commissioners in Complaints, Sarah Wollaston: Chair of the House of Commons Health Select Committee, Shaping Culture, Sir Robert Francis QC, Staff Awareness, Staffordshire & Stoke on Trent Partnership NHS Trust, Statutory Duty of Candour, Structures to Enable Whistleblowing, Supercomplainant on Behalf of Consumers, Systems to Support Whistleblowing, Treatment of Staff Raising Concerns, Trust Blame and the Culture of Defensiveness, Victimisation of Whistleblowers, Whistleblowing, Whistleblowing Guidance, Whistleblowing Helpline, Whistleblowing in the NHS, Whistleblowing in the Public Sector | Leave a comment

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