Great morning and welcome to the daily website from the Guardian’s local community for healthcare specialists, providing a roundup of the key news stories across the sector.
If there is a story, report or occasion you’d like to highlight – or you would like to share your thoughts on any of the healthcare issues in the news today – you can get in touch by leaving a comment below the line or tweeting us at @GdnHealthcare.
Nowadays marks the initial anniversary of the Francis report on the Mid Staffs scandal. The BBC reviews on a evaluation by the Nuffield Believe in, published to coincide with the anniversary, which warns that fiscal pressures could get in the way of the drive to boost care following the Stafford hospital scandal. Overall health correspondent Nick Triggle reviews:
The warning was echoed by inquiry chair Robert Francis QC.
He criticised what he noticed as the “oppressive reactions” of the technique to hospitals that ran into difficulties with budgets and hitting targets.
He mentioned hospital leaders needed to be “frank” about whether or not they could provide high-quality care with current levels of funding.
Blogging for the Nuffield Trust, Ruth Thorlby asks whether the NHS is a safer location a yr right after the Francis report. She says study for the trust’s anniversary report reveals a amount initiatives to engage hospital employees in discussions about how to produce and sustain a patient-centred culture. But there is also stress from commissioners, regulators and other managerial bodies, which “could nonetheless truly feel punitive or blame searching for, still targeted on meeting fiscal and other overall performance targets”. Thorlby concludes:
… the message of the Francis Report is that culture issues across the entire NHS: if the individuals operating trusts truly feel too hounded by external bodies, the risk is that they won’t innovate or be in a position to produce the blame-free culture that lies at the heart of a patient-centred hospital.
Since in the end, the only people who truly know what’s going on at 2am on a hospital ward are the individuals and the personnel on that ward. Each want to truly feel in a position to speak up and be confident that they will be heard. Creating that open culture cannot be accomplished in isolation in each and every hospital believe in: it requirements to be supported right by way of the NHS technique.
Writing for the network, John Illingworth, a policy manager at the Health Foundation, seems to be at progress considering that the publication of the Francis report. Whilst the government and NHS England play a pivotal position in creatingthe correct atmosphere for adjust, he writes, it is down to folks on the ground to make the modifications deemed essential. He adds:
Can we take care of the reality? Are NHS believe in boards open to hearing about the dangers connected with their services? Will regulators react positively to problems currently being proactively raised by organisations? Is the media inclined to unearth the enhancements created as a consequence of security concerns, as effectively as the problems brought on by them? And is there an appetite between the public for this type of info relating to their healthcare?
The solution to the first three concerns could be “yes, but it depends”. But I think the solution to the fourth could basically be “yes”. If there is a single issue that irks the public a lot more than the occurrence of poor care, it is the tolerance and concealment of bad care. And this brings us back to the ‘c’ word. We believe that the method of proactively identifying dangers and being open about them would radically modify the culture of safety. Healthcare is a risky company, but now is the time to be candid about it if we’re going to make any progress towards the concerns recognized in the Francis inquiry.
Investigation by the HSJ to coincide with the anniversary of the report finds employees wellbeing and organisational culture are being taken much more significantly by acute believe in boards. And HSJ editor Alastair McLellan writes that the report has had a considerable influence on NHS culture.
The Guardian has launched a campaign to have female genital mutilation recognised as a crucial government priority. In a video, survivors of FGM from all in excess of the world, including the United kingdom, get in touch with for an fast end to the practice. Meanwhile, a senior Scotland Yard officer has warned that medical professionals are even now failing to report suspected circumstances of FGM to the police.
News from elsewhere:
• Independent: Jeremy Hunt calls for assessment of Welsh hospitals
• Nursing Occasions: Lack of HCA training branded ‘shocking’ and ‘worrying’
• GP on the internet: GPs minimize cancer diagnosis waits
• Pulse: Keep track of launches probe into attracting new providers to run GP practices
That is all for right now, we’ll be back tomorrow with our digest of the day’s healthcare news.
Today in healthcare: Thursday 6 February
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