The Francis report is hugely important !
Awful things happened at Mid Staffs, and on the wards those things were hidden in plain sight: there were nurses and doctors at Mid Staffs. There were senior managers, at Mid Staffs.
The hospital itself, was also hidden in plain sight: it isn’t as if it was ‘a stealth hospital’ and it couldn’t be seen by the regulatory bodies.
Did these professionals, bring the scandal to light ? According to a report of Francis I’ve been reading in the press –
The truth was finally uncovered partly because of the high mortality rates at the hospital, which were 27 to 45 per cent above what they should have been, but "mainly because of the persistent complaints made by a very determined group of patients and those close to them".
The ‘professionals’ pretty much all get laid into –
Robert Francis QC's 1,782-page report into the "disaster" catalogued failures at every level, from nursing staff through layers of management and watchdog bodies up to the Department of Health. Between 2005 and 2009, up to 1,200 patients died unnecessarily and many more were "failed by a system which ignored the warning signs and put corporate self-interest and cost control ahead of patients and their safety".
Nurses and doctors who attempted to raise concerns were silenced by managers who were interested in figures, not patient care; regulators didn’t look hard enough; laymen who complained were given the brush off (well, they aren’t ‘professionals’, are they, so obviously they can’t know what they are talking about !), etc.
Even before the report came out, in anticipation we have seen the slow roll-out of the Family and Friends test, and nurses and doctors have been told loudly that they are professionally obliged to raise concerns about patient safety (a duty they had at the time – but clearly did not act on).
It is far too easy, in a huge hierarchical structure/system, for everyone to just concentrate on ‘my bit’ in isolation of the overall objective: in this case, the objective is supposed to be GOOD PATIENT CARE ! This report makes it obvious, that left to their own devices, professionals often drift away from that objective – the only way to prevent that, is a stronger patient voice, and openness and transparency about concerns, etc.
'What do you think makes you a good nurse?
I always try to put myself in the position of the service user and understand the way the world looks through their eyes.'
This is almost always an informative thing to do, if any type of interaction with someone else is the situation.
Comment on: 'It’s time to change the culture of the NHS'
Anonymous | 20-Oct-2012 11:36 am
The medics have now started to accept that consultants need to be around the place all 24 hours to deal with emergencies - fits with your:
I do not understand why there is also less staff on the late shift as this is when it gets dangerous for falls, the relatives are around as visiting time and they want to talk to he nurse taking care of their love ones.
Anonymous | 20-Oct-2012 10:55 am
'how i have quickly learnt ....do as told.'
Irrespective of 'nurses are no longer handmaidens for doctors', there are tensions between the concepts of nurses being autonomous professionals, something such as a hospital needing to have 'joined-up behaviour', and patients needing to know who is at fault if they receive poor care or flawed treatment.
The Head of the Education Department has been and gone.
I sat him down, and he explained to me that nobody at any of the local schools, including a teacher with a PhD in maths who teaches at one of the secondary schools, ‘felt adequately qualified to teach someone who had won a Principia Prize for mathematics’. He was explaining that our home-tutoring of Albert must be really excellent for Albert to be doing this well, and that if we carried on with that nobody was going to interfere because none of his inspectors felt qualified to pass judgement either, and before I could interject Albert ran in, stopped in front of him, pointed at him and said “You’re going to prison !”
I shunted Albert out of the room, but before I could explain and apologise, the chap had turned very pale, picked up his briefcase, rapidly said his goodbyes and shot off.
The Mirror has published its 5-second Celebrity Interview with Albert – all it quotes Albert as saying, is “I like books – books are good things”: surely that can’t cause any trouble ?
tinkerbell | 19-Sep-2012 10:03 am
Anonymous | 19-Sep-2012 10:00 am
Too right !