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Directors to review NICE chief's decision not to release staffing guidance


Two non-executive directors at the National Institute for Health and Care Excellence will meet tomorrow to review a decision by its chief executive not to release evidence on safe nurse staffing levels.

The meeting is part of an appeal against the decision by Sir Andrew Dillon not to publish details of four evidence reviews into safe nurse staffing across a range of healthcare settings including community, mental health and learning disabilities.

Sir Andrew decided not to publish the information after a request by Nursing Times’ sister title Health Service Journal under the Freedom of Information Act, claiming it would “prejudice the effective conduct of public affairs”.

After an appeal against that decision, NICE has asked two non-executive directors to review whether the refusal was appropriate, which is the final stage of the appeal process.

Vice chair Andy McKeon, the board’s senior independent director, will consider the decision alongside Finbarr Martin, a consultant in general and geriatric medicine at Guy’s and St Thomas’ Foundation Trust.

NICE said releasing the information could disrupt the “management of the health service”, and would generate further public interest in safe staffing and enquiries that could delay NHS Improvement from developing its own guidance.

It said in a statement: “Safe staffing is very much a live issue for the NHS and we believe it’s important that NHS Improvement has a safe space to develop and reach its own conclusions as it develops its guidelines; disclosure at this stage would likely make it harder for NHS Improvement to undertake their work.”

The institute said it accepted there was a public interest in “having open and honest debate about safe staffing in the NHS” but this was best served by not releasing the information.

NICE first decided not to publish its safe staffing guidance for accident and emergency departments last year after its work on safe staffing was suspended by NHS England and the Department of Health.

Developing safe staffing guidance was a key recommendation of the Francis inquiry into poor care at the former Mid Staffordshire Foundation Trust. NICE was asked to suspend its work, which cost taxpayers more than £1m, in June.

The decision attracted criticism of NHS England and the Department of Health. Health secretary Jeremy Hunt then announced that NHS Improvement would develop new guidance on nurse staffing, which would then be reviewed by NICE, CQC chief inspector of hospitals Sir Mike Richards and Sir Robert Francis.

NICE had intended to publish its work at the end of July but Sir Andrew Dillon reversed this following conversations with Kristen McLeod, the health secretary’s principal private secretary.

NHS Improvement is expected to publish new guidance on safe staffing this year, but is expected to take a multidisciplinary team approach rather than focus only on nursing staff. It will also avoid setting a minimum nurses-to-patients ratio.


Readers' comments (8)

  • This government is so corrupt it sickens me

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  • This was a ploy in order to get the monitor pay caps in place, before the public realise that there has been systemic under investment in nursing training. The government think nurses are too stupid to react, inline junior doctors. They vote no to pay cuts, the nursing cohort have just to accept it!!!!! Why !

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  • It's time nurses went on strike

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  • S T R I K E

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  • It seems that nobody is prepared to accept the reality of the present staffing situation which will worsen if the NHS continues to employ so many managers!
    Bring back the Hospital Matron, stop wasting time & money on auditors along with troubleshooting Company Consultants who tell us what we already know!!

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  • michael stone

    Doesn't really fit in with the 'NHS transparency agenda', does it ?

    There is a difference between a consequence being logically correct - and 'releasing the information could disrupt the “management of the health service”' is very possibly correct - and that consequence being a legitimate reason to hide information from the public.

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  • No brainier really! Particularly when you look at the fields of nursing they were reporting on!
    Community - currently buckling under pressures of avoiding admissions to hospital, early discharges and supporting patients in failing or closing private care homes as well as doing the day job
    Mental Health - currently buckling under national bed crisis, with no investment in MH community services to support the national bed model. Virtual wards for patients in crisis at home with no safe staffing guidelines to support them.
    Learning Disability - currently buckling under transformation model- just no staff whatsoever- left with fire fighting and crisis management of problems most of the time as far as I can tell
    What political party would be brave enough to get down and dirty in properly tackling and building a framework around that lot and build a new functioning NHS that works across the nation.... C'mon Mr brave.

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  • Honesty and openness!

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