Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry
Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry

Author: Mid Staffordshire NHS Foundation Trust Public Inquiry

Publisher: The Stationery Office

Published: 2013-02-06

Total Pages: 126

ISBN-13: 9780102981476

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This public inquiry report into serious failings in healthcare that took place at the Mid Staffordshire NHS Foundation Trust builds on the first independent report published in February 2010 (ISBN 9780102964394). It further examines the suffering of patients caused by failures by the Trust: there was a failure to listen to its patients and staff or ensure correction of deficiencies. There was also a failure to tackle the insidious negative culture involving poor standards and a disengagement from managerial and leadership responsibilities. These failures are in part a consequence of allowing a focus on reaching national access targets, achieving financial balance and seeking foundation trust status at the cost of delivering acceptable care standards. Further, the checks and balances that operate within the NHS system should have prevented the serious systemic failure that developed at Mid Staffs. The system failed in its primary duty to protect patients and maintain confidence in the healthcare system. This report identifies numerous warning signs that could and should have alerted the system to problems developing at the Trust. It also sets out 290 recommendations grouped around: (i) putting the patient first; (ii) developing a set of fundamental standards, easily understood and accepted by patients; (iii) providing professionally endorsed and evidence-based means of compliance of standards that are understood and adopted by staff; (iv) ensuring openness, transparency and candour throughout system; (v) policing of these standards by the healthcare regulator; (vi) making all those who provide care for patients , properly accountable; (vii) enhancing recruitment, education, training and support of all key contributors to the provision of healthcare; (viii) developing and sharing ever improving means of measuring and understanding the performance of individual professionals, teams, units and provider organisations for the patients, the public, and other stakeholders.

Patients First and Foremost
Patients First and Foremost

Author: Great Britain: Department of Health

Publisher: The Stationery Office

Published: 2013-03-26

Total Pages: 84

ISBN-13: 9780101857628

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This is a Government response to (HCP 898, (ISBN 9780102981469)), the inquiry into the Mid Staffordshire NHS Foundation Trust on the failure of care. It sets out a collective commitment and a plan of action to eradicate harm and aspire to excellence and to ensure that patients are "the first and foremost consideration of the system and everyone who works in it" and so restore the NHS to its core humanitarian values. This response sets out a five point plan, under the following headings: (A) Preventing problems; (B) Detecting problems quickly; (C) Taking action promptly; (D) Ensuring robust accountablity; (E) Ensuring staff are trained and motivated.

How Did Britain Come to This?
How Did Britain Come to This?

Author: Gwyn Bevan

Publisher: LSE Press

Published: 2023-10-23

Total Pages: 327

ISBN-13: 191171211X

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If every system is perfectly designed to get the results it gets, what is wrong with the design of the systems that govern Britain? And how have they resulted in failures in housing, privatisation, outsourcing, education and healthcare? In How Did Britain Come to This? Gwyn Bevan examines a century of varieties of systemic failures in the British state. The book begins and ends by showing how systems of governance explain scandals in NHS hospitals, and the failures and successes of the UK and Germany in responding to Covid-19 before and after vaccines became available. The book compares geographical fault lines and inequalities in Britain with those that have developed in other European countries and argues that the causes of Britain’s entrenched inequalities are consequences of shifts in systems of governance over the past century. Clement Attlee’s postwar government aimed to remedy the failings of the prewar minimal state, while Margaret Thatcher’s governments in the 1980s in turn sought to remedy the failings of Attlee’s planned state by developing the marketised state, which morphed into the financialised state we see today. This analysis highlights the urgent need for a new political settlement of an enabling state that tackles current systemic weaknesses from market failures and over-centralisation. This book offers an accessible, analytic account of government failures of the past century, and is essential reading for anyone who wants to make an informed contribution to what an innovative, capable state might look like in a post-pandemic world.

House of Commons: Sessional Returns - HC 1
House of Commons: Sessional Returns - HC 1

Author: Great Britain: Parliament: House of Commons

Publisher: The Stationery Office

Published: 2013-09-13

Total Pages: 350

ISBN-13: 9780215062277

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On cover and title page: House, committees of the whole House, general committees and select committees. On title page: Returns to orders of the House of Commons dated 14 May 2013 (the Chairman of Ways and Means)