Francis II presentation

Gill FindleyDirector of Nursing

Durham Dales, Easington and Sedgefield Clinical Commissioning Group

(DDES CCG)

Sir Robert Francis QCwww.kingsfund.org.uk

The Warning Signs

• Patient stories• Mortality• Complaints• Staff concerns• Whistleblowers• Governance issues• Finance• Staff reductions

Recommendations from Report 1

• Common values (NHS Constitution)• Fundamental standards • Openness, transparency, candour• Compassionate, caring, committed nursing (6Cs)• Strong patient centred healthcare leadership• Accurate, useful relevant information• Culture of change not dependent on government

Francis 1 v Francis 2

Francis 1• Inquiry under NHS Act 2006• Reviews individual cases• The operation of the Mid

Staffordshire Trust

Francis 2• Public inquiry set up under

Inquiries Act 2006• Reviews the broader

monitoring system surrounding Mid Staffordshire NHS Trust

• The chairman can require people to attend

How was the alarm raised?

“persistent complaints made by a very determinedgroup of patients and those close to them”

Terms of reference

“To examine the operation of the commissioning, supervisory and regulatory organisations and other agencies, including the culture and systems of those organisations in relation to their monitoring role at Mid Staffordshire NHS Foundation Trust between January 2005 and March 2009 and to examine why problems at the Trust were not identified sooner, and appropriate action taken.”

Recommendations

• 290 recommendations• These recommendations require every single

person serving patients to contribute to a safer, committed and compassionate and caring service

• Putting the patient first• Fundamental standards of behaviours

Some of the Recommendations• All staff required to report incidents of

concern• Annual report on actions taken • Increased role for Quality Accounts• A set of quality standards to drive

performance improvement• CCG’s power to terminate a service that does

not provide a quality service

Other Recommendations• Openness, transparency and candour• Nursing - strong voice and leadership• Specific standards for healthcare assistants• Regulation of healthcare assistants• The government’s response to the report• Don Berwick appointed as patient safety guru

Issues for the CCG• Do we accept the report?• CCGs must put in place systems for listening to

patients• “Recognisable public bodies, visibly acting on

behalf of the public”• Improved complaints investigation• New, refreshed NHS Constitution

Next steps

• CCG is developing an action plan• CCG has asked all providers to respond to the

report• All cost improvement plans in the provider

organisations are being assessment for the impact on quality of care by the Medical Director, the Director of Nursing and the CCG Directors

How do we get to hear about concerns from patients,

relatives and staff?

Over to you……………