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7 reasons why nurses should care about the upcoming Francis Report


As a nurse why should you be bothered about the upcoming Francis Report? Here’s seven reasons why

  1. Whether you’re on the ward, in the community or sitting in a director’s office, the Francis inquiry is likely to impact on how essential nursing care is delivered in your organisation. It is expected to discuss areas including: neglect of privacy and dignity, continence care, pressure area care, hygiene, nutrition and hydration, safety, record keeping and communication
  2. There will be much talk of how nurse education and training needs to change, for example whether students need to be taught “compassion” and how much continual professional development registered nurses need to carry out each year
  3. If you’re a health care assistant or you work with health care assistants, the report could recommend tighter rules on delegation and regulation
  4. Patients and relatives may want to talk with you about the findings of the Francis Report and seek reassurance about the standards of care they are receiving
  5. The Francis Report will question – are you capable of providing compassionate care?
  6. Next week there will be an onslaught of public and media criticism of nurses. As a nurse you will need to communicate nursing’s core values and work to win back public confidence
  7. This report is your opportunity to discuss your concerns about standards of care and how core patient centred values can be embedded into health services

Do you want to keep up to date with the latest from the Francis Report into the Mid Staffordshire Foundation Trust? Visit our tailored Francis Report channel with the latest rolling news and analysis


Readers' comments (97)

  • In the light of the upcoming Francis Report, I know that there will probably be a case for Corporate Manslaughter, but not being a lawyer, will this mean that individuals could be held to account? I hope so. But I think that some nurses may also find themselves in the firing line, particularly nurse managers.

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  • Anonymous | 2-Feb-2013 4:23 pm

    I have no intention of going anywhere in face of such delusional ranting and extremely poor judgement.

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  • Anonymous | 2-Feb-2013 4:23 pm
    everyone has a right to participate in the discussion at hand. even you.

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  • You mean in the face of your delusional ranting. Phew your analysis of the situation is based on the most slovenly and pedestrian understanding of nursing. Where I see processes and systems, you see bad people and place yourself on an imaginary pedestal. If only other people were like me, you think. Me. The paragon of virtue.
    I laugh at your febrile lack of knowledge and poor grasp on healthcare as a whole. Until you can see the big picture you will always assume that is only bad characters that tarnish our profession rather than sequences and causes. That is why your whiny moaning won't carry you any further than criticism of people and situations you neither know or deign to understand. It us this lack of depth that keeps you in a nice tidy box for everybody to move you around in.

    I cannot take you seriously at all mommy bear. Not at all.

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  • Anonymous | 2-Feb-2013 4:42 pm

    "I cannot take you seriously at all mommy bear. Not at all."

    Then, try not to get so upset, dear.

    By all means continue with your ranting, moaning and complete lack of solutions. You are only a problem for yourself.....and unfortunately, those being looked after in your malfunctioning environment, which you obviously tolerate.

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  • And of course everyone has a right. But not everybodies old fashioned ideals have value any more

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  • My environment is perfectly fine mostly because my clinical areas are stocked with modernist and scientifically minded nurses who dont feel the need to identify with outdated stereotypes or play the guilt game with each other. You assume too much.

    I know you know you have lost hence your broken record style of posting. If carefully worded arguments means ranting to you then by all means please go on. But do find out the meaning of rant just to satisfy that you know what the word means.

    I tolerate nothing but then again I've got the halls to challenge and change... which obviously you do not. Sad really.

    The only problem i have is people with battered wife syndrome like yourself who constantly think 'it must be me who's to blame'.
    Anybody with an ounce of knowledge of the history of British nursing knows that this was a long time coming. So you know, do some reading around the subject and come back to me. I'm very forgiving

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  • Also there's nothing in my postings that implies in upset. Again you're projecting

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  • Anonymous | 2-Feb-2013 4:28 pm

    We were discussing this at work yesterday. Forgive the copying and pasting, but this is what I got from the HSE site.

    "The Corporate Manslaughter and Corporate Homicide Act 2007 is a landmark in law. For the first time, companies and organisations can be found guilty of corporate manslaughter as a result of serious management failures resulting in a gross breach of a duty of care. The Act, which came into force on 6 April 2008, clarifies the criminal liabilities of companies including large organisations where serious failures in the management of health and safety result in a fatality."

    Reading on a bit, it stated that,
    "Prosecutions will be of the corporate body and not individuals, but the liability of directors, board members or other individuals under health and safety law or general criminal law, will be unaffected. And the corporate body itself and individuals can still be prosecuted for separate health and safety offences."

    It will be interesting to see how specific will be the evidence in the report. I find it difficult to conceive that some managers won't be held to account. But I wonder how far reaching the consequences will be for all.

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  • Anonymous | 2-Feb-2013 5:00 pm

    "My environment is perfectly fine mostly because my clinical areas are stocked with modernist and scientifically minded nurses who dont feel the need to identify with outdated stereotypes or play the guilt game with each other. You assume too much."


    "I tolerate nothing but then again I've got the halls to challenge and change...."

    From your original post, Anonymous | 1-Feb-2013 9:45 pm

    "7. We are be never asked our opinions about anything crucial or strategic. So if we are asked about this, we all kind of know it is simply to pay lip service to issues secondary to what we care about."

    You've taken to arguing with yourself and your own points! Now go and do some reading, reflect and come back with at least one coherent point. Your aggression is getting in the way of reason. And you'd be better with 'balls' not 'halls'

    This isn't about blame. It is about accepting the responsibility to change things and acting upon it. But I realise that you are struggling with the concept.

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  • The problem is that change requires money at a time when most trusts have made a commitment to the opposite.
    Thus it is likely that change will be geared towards threatening nursing as a whole and relying on additional 'prove you care' paperwork that on its own does nothing.
    Really it is the lack of structure and the jumbled nature of nursing education and supervision that creates the issue at heart here.
    It is likely that the weakness of the service at large was allowed to bleed into all areas and demoralised staff gave up, which with a realistic stance on human behaviour, is hardly surprising.
    If we allow ourselves to examine this free from emotive and punitive baggage we can see cause and effect. It is likely that the opposite will happen and people who did the best they could muster in what were obviously bad circumstances will be demonised and isolated from the larger root causes which is always going to happen until we permit ourselves a cold hard analysis of the facts free from guesswork as to what peoples motivations were

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  • Umm no there's no arguing with myself there so nice try??? this is sort of a waste of your time isn't it. So far you have failed to do anything other than embarrass yourself in attempting to make some kind of point.
    If you can explain how 'my clinical environment is stocked....' with ' we are never asked about our opinions....' I will be amazed.
    the two things are even contradictory as they are separate subjects.

    The only thing you have been right about is that I meant halls not halls. Sort of a pyrrhic victory there I believe. Congratulations on your singular achievement.
    But beware of conflating sardonic and sarcastic writing with aggression. They also are also different things. I did suggest you stop but I admire your commitment to making me sound good.
    Seriously, a dictionary and thesaurus are really going to help you.

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  • Lol halls not balls. Phone keeps auto-correcting. Victory is mine!

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  • Argh! Balls not halls! Lol. Funny

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  • Financial considerations have always come before patient care. The current government, though none are blameless, have accelerated the process of handing over healthcare to the cheapest provider and to hell with the consequences.

    However, the period covered by the Francis Report pre-dates the latest mob and the recession. There was deeply ingrained cultural bullying and gross under-staffing in Mid-Staffs. Undoubtedly, there were failures on multiple levels.

    For their part, nurses (not only in Stafford Hospital), but everywhere, will have to really look at ourselves with honesty and decide on how we move on. That isn't about blame, but it will not be comfortable. I think that this is an opportunity for the nursing profession to use the Francis Report as a tool for change. This is the time to demand better staffing, skill mixes, etc. Make it public and it will be difficult for the government to argue against our demands. Nurses do have to play their part, and that doesn't include propping up the current system. But they need to do it together and let the unions know that they need to dramatically step up their game. If the public want to be looked after in well staffed, well resourced environments whether at home or in hospital, then they will have to get on side too.

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  • Anonymous | 2-Feb-2013 5:33 pm
    Anonymous | 2-Feb-2013 5:35 pm
    Anonymous | 2-Feb-2013 5:36 pm

    No. You're fine, matey. I'll just let you do you own damage! Just make sure you let your scientifically minded colleagues deal with IT and machinery. You're incompetent.

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  • Tinkerbell

    Anonymous | 2-Feb-2013 5:33 pm

    I realise you are a wind up, but sorry loss of points for repetition and over use of the word 'conflate'.

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  • My concern is that it will be labelled as an organisational / cultural-wide problem of the healthcare sector, with nobody ultimately responsible. Isn't it the Chief Exec of the Trust responsibility to ensure safe care at a Trust, and then higher the Health Secretary who takes ultimate responsibility of the country's healthcare. Im sure they'll pass the buck to say that everyone's responsible.

    But like most people in similar senior roles, they seem to move sideways pretty effectively - dodge the limelight for a few weeks, then resurface somewhere else in another senior role with mega bonuses. Even the administrator sent in to coordinate change management such as for the failing London trust, has probably secured a top job in another trust. No worries about his future job prospects.

    The rest of us plebs working up and down the country with direct patient care and managing responsibilities, will find things very challenging after publication of this report, and then get asked why things haven't improved yet.

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  • Tinkerbell

    mags | 2-Feb-2013 5:03 pm


    i hope the NHS are no longer covered by 'crown immunity'. I think it was withdrawn some years ago, cos' if it wasn't then it remains legalised murder.

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  • tinkerbell | 2-Feb-2013 7:34 pm

    I think you are right, Tink. I seem to remember that around the time of the Community Care Act, the NHS Trusts were deemed not to be Crown bodies and Crown Immunity was removed.

    andy | 2-Feb-2013 7:31 pm

    I share your concerns, Andy. However, I think that the fallout from the Francis Report will be considerable. There hopefully won't be anywhere to hide for those responsible. Only time will tell.

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