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The Francis Report :. Patients First and Foremost. The Findings – What went wrong. Patients and families were not listened to Multiple warning signs not spotted or acted on Information not shared and inadequate action taken
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The Francis Report: Patients First and Foremost
The Findings – What went wrong • Patients and families were not listened to • Multiple warning signs not spotted or acted on • Information not shared and inadequate action taken “The system failed in its most essential duty, to protect patients.”
The Findings – Keys themes • Values and Standards • Openness, Transparency and Candour • Leadership • Compassion and Care • Information
Addressing the Themes • The CNO’s vision and strategy for Nursing, Compassion in Practice • Authorisation process for CCGs with a clear focus on quality, shaped by the first Francis report • Commitments made in planning guidance, Everyone Counts • Respond to the final report on Winterbourne View • Organisation Development Strategy, as a key driver of cultural change • The National Quality Board and the NHS Leadership Academywill play key roles in shaping the new culture • Sir Bruce Keogh’s investigation into hospitals which are outliers on measures of mortality
Patient First and ForemostCollective Commitment • Apologises for failures • Commits to putting patients first and listening • Commits to doing the business of the patient, before that of the organisation or the system, with a direct connection to patients and frontline staff • Commits to working together to tackle poor care and promote excellent care in a spirit of openness and candour “Changing ourselves, our behaviour, individually and institutionally, is difficult, but we pledge to do so.”