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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)

  • Are we suddenly going to see a massive improvement?

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  • Years ago a patient complained straight to the CEO in a letter. She listed her grievances and ended her letter by praising myself and a surgeon by name. The CEO wrote back blatantly dismissing every one of her complaints and I certainly never had any mention of this praise I received, not even a thank you.....little did the CEO know that the patient thought this may happen and she forwarded me a copy of the letter of response she received from the CEO!

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  • it seems patients and the well-being of staff are not the CEO's concern. He is concerned with facts and figures, mainly on paper, which he sees merely from the perspective of running a business and trying to make it, on paper, look efficient otherwise he will be out of a job. He will obviously be somewhat expert at figures or know where to get the best assistance in this,which is one of the prerequisites of the job, and some of the less honest ones will know how to claim generous allowances for their 'expenses' and how to cook the books! The problem is that most of these really clever guys seem to manage to get themselves caught in the end! Usually they get to keep the millions they have already made, many manage to get the sack with very generous rewards for their past efforts and often only to be promoted into another even higher and better job elsewhere!

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  • Saying nothing when you see wrongdoing is almost as bad as being the wrongdoer. Keeping quiet doesn't mean keeping out of trouble! It clearly states in our NMC Code what we must do. It does not say "do not report wrongdoing", it does not say "do whatever management tell you to do". Why or why are nurses afraid of managers? Legally if we go of duty AFTER raising legitimate concerns and leave patients without full support we have done nothing wrong. We have not breached our contract. One way of addressing this issue is to look at how many hours you are working per week. Do your hours exceed the Working Time Directive? Then your employee is in breach of contract. If your contract clearly states a set number of hours per week and you are regularly asked to work over these hours then your employer is in breach of contract. This is legal issue which can be addressed by your union. Staying late to cover short staffing levels is only going to hide the fact and will not in the long term help patients or colleagues. JUST SAY NO!

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  • Management are flawed but they are taking orders from higher up. Everyone is under pressure to "perform". This all comes down from the government. Get rid of greedy, corrupt, immoral politicians. How many of you voted in the Conservatives? Well in that case you only have yourselves to blame.

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  • Tinkerbell

    Anonymous | 3-Feb-2013 12:01 pm

    Exactly. Some of the biggest problems have been caused by saying 'yes' when we should have said 'no'. Saying 'NO' is the only weapon we have against those without any moral conscience/concern for their patients and staff.

    The contempt for the staff pretty much reflects their contempt for the patients.

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  • Sadly this thread only shows the kind of bullying that is inherent within the NHS.

    People who rock the boat or whistleblow are out in their ear & dragged through the mud.

    Staffing levels & slill mix are just the tip of the iceberg.. The government are guilty of compromising patient care because of their financial driven targets, they have NO idea of how it all pans out on the shop floor.. yes it's admirable that patients shouldn't wait more than four hours in A&E on a trolley but the negative impact this has downstream is immense, not to mention that sometimes clinicians in ED need more time to ensure their patients are assessed to at least a good standard & investigations completed! Why should good patient care & patient safety be put at risk because of healthcare professionals turned managers (who all to quickly forget what it's like on the shop floor) putting nurses under pressure to move patients on to wards because the patient in ED is going to breach.. I didn't get into nursing to give a poor quality of care. Instead I try my best to deliver the best care I can, always go the extra mile for my patients, whilst still dealing with all the bulls**t politics and my own health suffers. I go home in tears & suffer migraines & ill health on my days off!! Sadly poor staffing & skill mix only add to the immense pressure nurses are under from their target driven superiors. :'(

    What are we supposed to do, if we AER it, they're ignored. If you approach managers face-to-face they talk the talk bit don't walk the walk & if you go above that your life is made hell but the bullying tactics of senior managers!!

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  • OH & patients are people... NOT bloody numbers!!! We are expected to give "holistic".. "individualised".."person centred care" (what buzz word is currently en vogue?) yet managers treat staff & patients as numbers not human beings!!!

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  • Anonymous | 3-Feb-2013 6:25 pm

    maybe that is all management is!

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  • did this hospital not employ doctors, physios and other professions allied to medicine as well as nurses?

    Are their professional mags running a similar article to this one for them?

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  • Good, hardworking, decent, caring nurses should welcome the Francis Report. It should give us the support and confidence we need to tell those 'in power' that we have had enough. We should stand up to our line-managers who should stand up to their managers.

    Why should a few lazy uncaring nurses spoil it for everyone.

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  • Anonymous | 3-Feb-2013 6:10 pm

    You should probably chuck it and go do something else.

    Anonymous | 3-Feb-2013 9:32 pm

    The failures at Mid Staffs cannot be explained away by '...a few lazy uncaring nurses ....'

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  • We know that wards are understaffed and that skill mix is moving towards less trained staff, wages bill is cut, but what cost a patient's life or a nurses' career.

    And what about nurse education, how can we teach compassion? Is this not learned by role modelling within the practice areas? Here we have the chicken and the egg, be compassionate to your staff, they will have energy and ability to be compassionate to the patient and this scenario will be witnessed by the student and will learn practice of compassion?

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  • Anonymous | 2-Feb-2013 4:19 pm

    Yup...your attitude summed it up.
    See what i mean?..."my Dad's bigger than your Dad"...

    Honestly do you want my name?
    Have you thought about the reason the forum lets you post as 'Anonymous' or 'your name'?...

    If you want to direct a comment, or even SEND ME A MESSAGE to tell me how bad 'my patients have it under my care' (coz you OBVIOUSLY know me, you arrogant cynical 'nurse'), then having a 'name' (real or not) allows you to do that.

    Its SOOOOO hard to send a letter to "Idonthavethegutstoownuptomybigmouth Anonymous".

    Save your games for the playground and direct your enegry to looking after people.
    Do I need to tell you of our success stories to validate what we do??
    The answer is no. Actions speak louder than words, which is why your post puzzles me, as we are fighting on the same side, doing the same thing, getting positive results but yet you still feel the need to put others down to show how you have the answers!?

    Talk about kicking your friends in the teeth.
    You sound nice. I'm sure your patients think you are wonderful (coz I OBVIOUSLY know you.....get it??)

    Use a name. It doesn't have to be your real name. Just a name. You dont need to include your birthdate, pin number or shoe size...just a name so people can follow things in a thread and question, criticice or even support you if need be.

    Well done. You shot from the hip before even knowing what it was you were shooting at.

    Now lets get on with doing something positive before you suck my will to live.

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  • Oh yes that's the answer.. Why didn't I think of that..
    Why should I chuck it all in? I love being a nurse and I am bloody good at my job (I don't often blow my own trumpet).. Why should all the "caring" nurses go do something else?
    There needs to be a complete top down change within the NHS & I for one welcome The Francis Report..

    Anonymous | 3-Feb-2013 11:06 pm

    Anonymous | 3-Feb-2013 6:10 pm

    You should probably chuck it and go do something else.

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  • michael stone

    Anonymous | 3-Feb-2013 11:29 am

    One of the nice things about email, is the CC box - you can decide whether to copy-in a list of people, which often makes the recipient 'think a bit ahrder before responding' !

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  • DH Agent - as if ! | 4-Feb-2013 10:53 am

    in a rush but just an e-mail tip I learned the other day, that group mailing addresses should be typed in the Bcc and not the cc space to prevent people's addresses falling into the hands of hackers or other abuse.

    I found this out on Google as a friend sent me a chain e-mail which I always ignore, even though it was well meant and she is obviously unaware of the hidden dangers, although it still contained a threat of the consequences of not replying, which unfortunately some people are taken in by.

    What concerns me about these group mailings is that your address eventually gets circulated round cyberspace to friends of friends of friends, etc. to those you don't even know you and without your permission. hopefully friends would not do this with your home address, tel. no. or other personal details so why should they do it with your e-mail address where dissemination is faster and far more widespread.

    A few hours later she sent a letter of apology as somebody had pointed out that there was a code in the e-mail against their address which may have crept in through a hacker.

    these codes can attach themselves to directory files on your computer and cannot be found and only sometime later can spread and cause havoc or give access to any or all of your data by hackers.

    Whilst I haven't gone into this problem in great detail I did learn that by using the Bcc box e-mail addresses remain in the group and are not spread out throughout cyberspace.

    If you are more up in this or any of my information is incorrect maybe you too can add add a comment on it.

    Apologies for the digression but maybe it is important information for those, like me, who were previously unaware of this potentially serious problem.

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  • Studelicious | 4-Feb-2013 1:10 am

    Aw diddums. Another aggressive rant. Who'd have thunk it?! You sound lovely....and very anonymous. You are such a brave little keyboard warrior, aren't you? How long have you been off meds now? But I am surprised that you can type at all with all that knuckle dragging. Well done.

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  • Anonymous | 4-Feb-2013 8:19 am
    Anonymous | 3-Feb-2013 11:06 pm

    I'm serious! I wasn't being facetious. Chuck where you are working NOT chuck nursing! Go do something else. One of the few good things about this job is that there are so many areas where you can work. Why should you be going off duty in tears after working yourself into the ground? If someone cares enough to go off duty in such a state, then that nurse should be in an environment where she can do her job properly. Those places still do exist.

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  • Managers do indeed bully staff and ignore staff. I have buried management by providing credible evidence from Audit and Research in practice areas....... I have achieved better staffing levels and resources BUT it takes relentless leadership and never taking your eye off the ball - the most important thing to remember is that nurses are the clinical experts and they must assert themselves as such and BURY unhelpful, power crazy, cost cutting managers.

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