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Responding to the Francis Report

This document discusses the urgent need for reforms in the Mid Staffordshire NHS Foundation Trust following the revelations in the Francis Report. The report highlighted severe failings in patient care from 2005 to 2009, with high mortality rates and systemic issues in staffing and management. The inquiry exposed the organizational dysfunction and lack of responsiveness to whistleblowers. As we navigate towards a healthier future, the focus is on fostering better care and a responsive health system, ensuring that patient voices are prioritized in clinical governance.

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Responding to the Francis Report

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  1. Responding to the Francis Report Putting Patients First Evonne Harding Head of Clinical Governance/Lead Nurse

  2. Background & Timeline • Mid Staffordshire NHS Foundation Trust: • manages two hospitals: Stafford Hospital & Cannock Chase Hospital  • provides healthcare for people in Stafford, Cannock, Rugeley and the surrounding areas, • serving a local population of over 276,500 people. • Appalling long term failure and suffering of many patients (2005 – 2009): HCC investigation brought scandal to light, high mortality rates among patients  • Whistleblowing not acted on: Royal College Surgeons say dysfunctional surgical department • Financial recovery = staff cuts • FT: financial focus rather than quality • New Government announced new public inquiry, chaired by Robert Francis QC CHI 3 stars to zero stars Final Report published Full scale investigation • Peer Reviews raised concerns about cancer & children’s services • HCC raised concerns re children’s services • Auditors reports identified deficiencies in risk management systems, • Staff & Patient surveys – worst 20% in country Andrew Burham announced further independent inquiry

  3. What went wrong? Organisational • Staffing Issues • Voice of People • Lack of Care • Data issues • Systems issues • Board issues

  4. What went wrong 2? Other Agencies Many Agencies failed to protect patients • PCT/SHA/Monitor issues • HCC/CQC • Local MPs & GPs • Professional Regulation (RCN, NMC, GMC) • Others: Department of Health, Deanery/universities, HPA

  5. Overarching Recommendations Themes

  6. Better Care and a Healthier Future for Wandsworth Wandsworth CCG’s Mission Statement

  7. CCG’s Framework for Action Approach

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