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Responding to the Francis Report Putting Patients First Evonne Harding Head of Clinical Governance/Lead Nurse 11 th September 2013.

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Presentation on theme: "Responding to the Francis Report Putting Patients First Evonne Harding Head of Clinical Governance/Lead Nurse 11 th September 2013."— Presentation transcript:

1 Responding to the Francis Report Putting Patients First Evonne Harding Head of Clinical Governance/Lead Nurse 11 th September 2013

2 Wandsworth Clinical Commissioning Group Mid Staffordshire NHS Foundation Trust: manages two hospitals: Stafford Hospital & Cannock Chase Hospital provides healthcare for people in Stafford, Cannock, Rugeley and the surrounding areas, serving a local population of over 276,500 people. Appalling long term failure and suffering of many patients (2005 – 2009): HCC investigation brought scandal to light, high mortality rates among patients / CHI 3 stars to zero stars -Peer Reviews raised concerns about cancer & children’s services - HCC raised concerns re children’s services - Auditors reports identified deficiencies in risk management systems, - Staff & Patient surveys – worst 20% in country - Whistleblowing not acted on: Royal College Surgeons say dysfunctional surgical department - Financial recovery = staff cuts -FT: financial focus rather than quality Full scale investigation Andrew Burham announced further independent inquiry - New Government announced new public inquiry, chaired by Robert Francis QC Final Report published Background & Timeline

3 Wandsworth Clinical Commissioning Group What went wrong? Organisational Staffing Issues Voice of People Lack of Care Data issues Systems issues Board issues 3

4 Wandsworth Clinical Commissioning Group What went wrong 2? Other Agencies Many Agencies failed to protect patients PCT/SHA/Monitor issues HCC/CQC Local MPs & GPs Professional Regulation (RCN, NMC, GMC) Others: Department of Health, Deanery/universities, HPA 4

5 Wandsworth Clinical Commissioning Group Overarching Recommendations Themes 290 Recommendations Fundamental culture & standards of behaviour change: Responsibility for, & effectiveness Patient, Public Involvement & Engagement and Local Scrutiny Nursing & Medical (training and education) Openness, Transparency and Candour Effective complaints and incidents handling Commissioning for Quality Joint Working & Leadership Information 5 Immediate Pledges Immediate review by NHS Medical Director into 5 hospitals with high mortality rates*(Sir Bruce Keogh’s Overview Report) New role created of Chief Inspector of Hospitals Don Berwick brought in to make zero harm a reality in the NHS (Berwick Review into Patient Safety) Take advice on how hospitals should manage complaints Trust boards could be suspended for quality failures as well as losing control of the money 5

6 Wandsworth Clinical Commissioning Group Wandsworth CCG’s Mission Statement 6 Patient Focused Involving & Engaging patients Supporting and Empowering them Outcomes Driven Improvements in quality & range of services provided Commission based on patient safety, clinical effectiveness, patient experience local & national strategic priorities Principled Uphold NHS Consitution Honesty & Integrity Thoughtful & Transparent Responsible Collaborative Co-operation with members Collaboration with partner organisations Co-ordinated and patient centred care Progressive & Professional Responsible to our employees Respect & value diversity Encourage innovation and experiment with new ways Celebrate successes Better Care and a Healthier Future for Wandsworth

7 Wandsworth Clinical Commissioning Group Clinicians at the heart of commissioning: system addressing what matters most for patients Quality Strategy: definition of quality, values based commissioning, quality alert systems: Quality Assurance Framework: 4 stage methodology Reflect & Gap Analysis against Francis recommendations Partnership working with NTDA, LA, Healthwatch, NHSE, CQC National Quality Reports discussed at IGC: Keogh, Berwick Duty of candour proposal being discussed at IGC Engage in South London Quality Surveillance Group meetings Stage 1: Quality Programmes Patients’ having access to information they want to make choices Healthwatch strengthening their collective voice: close working with the CCG, patient feedback Real-time to improve quality and timeliness of insight into patient experience (FFT, Enter & View, Commissioner walkabouts, etc) Publish our Francis Framework for Action to demonstrate our acceptance of the recommendations & our intentions Stage 2: Patient & Public Engagement 7 CCG’s Framework for Action Approach


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