Responding to the Francis Report

1. Responding to the Francis Report Putting Patients First Evonne Harding Head of Clinical Governance/Lead Nurse

2. Background & Timeline • 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  • Whistleblowing not acted on: Royal College Surgeons say dysfunctional surgical department • Financial recovery = staff cuts • FT: financial focus rather than quality • New Government announced new public inquiry, chaired by Robert Francis QC CHI 3 stars to zero stars Final Report published Full scale investigation • 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 Andrew Burham announced further independent inquiry

3. What went wrong? Organisational • Staffing Issues • Voice of People • Lack of Care • Data issues • Systems issues • Board issues

4. 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

5. Overarching Recommendations Themes

6. Better Care and a Healthier Future for Wandsworth Wandsworth CCG’s Mission Statement

7. CCG’s Framework for Action Approach