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Francis and Keogh reports

Francis Report

Following the inquiry into failings at Mid-Staffordshire NHS Foundation Trust by Robert Francis QC in 2013. The Inquiry identifies a story of terrible and unnecessary suffering of hundreds of people who were failed by a system which ignored the warning signs of poor care and put corporate self interest and cost control ahead of patients and their safety.

The chairman has made 290 recommendations designed to change this culture and make sure patients come first by creating a common patient centred culture across the NHS and as a trust we are looking at these, which include:

A structure of fundamental standards and measures of compliance:

  • A list of clear fundamental standards, which any patient is entitled to expect which identify the basic standards of care which should be in place to permit any hospital service to continue.

  • These standards should be defined in genuine partnership with patients, the public and healthcare professionals and enshrined as duties, which healthcare providers must comply with.

  • Non compliance should not be tolerated and any organisation not able to consistently comply should be prevented from continuing a service which exposes a patient to risk.

  • To cause death or serious harm to a patient by non compliance without reasonable excuse of the fundamental standards, should be a criminal offence.

  • Standard procedures and guidance to enable organisation and individuals to comply with these fundamental standards should be produced by the National Institute for Clinical Excellence with the help of professional and patient organisations.

  • These fundamental standards should be policed by the Care Quality Commission (CQC)


Openness, transparency and candour throughout the system underpinned by statute. Without this a common culture of being open and honest with patients and regulators will not spread. Including:

  • A statutory duty to be truthful to patients where harm has or may have been caused

  • Staff to be obliged by statute to make their employers aware of incidents in which harm has been or may have been caused to a patient

  • Trusts have to be open and honest in their quality accounts describing their faults as well as their successes

  • The deliberate obstruction of the performance of these duties and the deliberate deception of patients and the public should be a criminal offence

  • It should be a criminal offence for the directors of trusts to give deliberately misleading information to the public and the regulators

  • The CQC should be responsible for policing these obligations


Improved support for compassionate, caring and committed nursing

  • Entrants to the nursing profession should be assessed for their aptitude to deliver and lead proper care, and their ability to commit themselves to the welfare of patients

  • Training standards need to be created to ensure that qualified nurses are competent to deliver compassionate care to a consistent standard

  • Nurses need a stronger voice, including representation in organisational leadership and the encouragement of nursing leadership at ward level

  • Healthcare workers should be regulated by a registration scheme, preventing those who should not be entrusted with the care of patients from being employed to do so


Stronger healthcare leadership

  • The establishment of an NHS leadership college, offering all potential and current leaders the chance to share in a common form of training to exemplify and implement a common culture, code of ethics and conduct

  • It should be possible to disqualify those guilty of serious breaches of the code of conduct or otherwise found unfit from eligibility for leadership posts

  • A registration scheme and a requirement need to be established that only fit and proper persons are eligible to be directors of NHS organisations.



You can talk to us through:

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NHS Choices http://www.nhs.uk/Pages/HomePage.aspx

Patient Opinion https://www.patientopinion.org.uk/

Patient Advice & Liaison Service - A109, 01245 514130

Patient Experience Team 01245 516891 patient.experience@meht.nhs.uk

More information about Mid-Staffordshire NHS Foundation Trust





Keogh Report


On February 6 2013, the Prime Minister announced that he had asked Professor Sir Bruce Keogh, NHS Medical Director for England, to review 14 hospital trusts from national mortality records. The investigation looked broadly at the quality of care and treatment provided within these organisations. You can download Sir Bruce Keoghs report

download the final report (PDF, 1.18Mb) .