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Francis response: Patient feedback will not have to feature in appraisal

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The government has not included feedback evidence from patients and families as part of performance appraisal in its response to the recommendations made by Robert Francis QC’s public inquiry into Mid Staffordshire Foundation Trust. 

The government has also fallen short of recommending annual learning portfoilios for nurses as part of their performance appraisal.

The Francis report had recommended that, as part of a mandatory annual performance appraisal, demonstrate “commitment, compassion and caring for patients”, based on evidence gathered through “feedback from patients and families on the care provided by the nurse”.

While accepting the principle behind the recommendation, the government has suggested that the best way for nurses to demonstrate they are up to date is through nursing revalidation.

The government in their response to the Francis report said: “ The Nursing and Midwifery Council has committed to introducing a proportionate and effective model of revalidation, which is affordable and value for money, to enhance public protection. 

“Subject to public consultation, the proposed model would require evidence that the nurse or midwife is fit to practice”.

In the gap before revalidation is introduced the government has suggested that NHS Employers will:

  • support NHS organisations in ensuring they have a clear link between the values in the NHS Constitution and their own local values
  • support NHS organisations in developing and improving values based appraisal and performance management
  • encourage NHS organisations to make the necessary links with the work the Nursing and Midwifery Council on revalidation as they develop new local performance and appraisal arrangements

The government is encouraging employers to link pay progression to quality of care rather than time in service. 

The government’s full response to the Francis report into care failings at Mid Staffordshire Foundation Trust was published today.

In its response report – Hard Truths: the journey to putting patients first – the government has accepted 281 of the 290 recommendations made by the Francis report in February.  

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Readers' comments (1)

  • Very sensible recommendation to scrap the ridiculous idea of having to keep a scrapbook of thank you cards and letters just to be able to reregister.

    Sir Robert Francis: please come and take over the NMC as it needs someone who has a brain to takeover, sort out the mess that these knackers have created and restore some pride back into our profession!

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