Talking Francis – From National Public Inquiry To Local Actions Professor Lynne Swiatczak Chief nurse and director of patient care standards Lynne Swiatczak August 2013
Buckinghamshire Healthcare • Welcome and introductions • Housekeeping • Programme • We provide healthcare services for those who are acutely unwell and those who need care in the community across Buckinghamshire and beyond (excl. GP, pharmacy and community dental services). • Population around 505,000 and increasing
History of the Francis Report • Mid Staffordshire NHS Foundation Trust, failures in care during the period of 2005 - 2009 • Feb 2010 – Independent Inquiry into events at the Trust; first report, Robert Francis QC • 18 recommendations • Identified the need for wider learning • Call for Public Inquiry • Feb 2013 - Public Inquiry into the wider learning, the role of multiple agencies. • 290 recommendations
Locally – The independent Inquiry (1 st report) • 2010 report recommendations led to all Trusts undertaking review locally • 2010 we undertook gap analysis, and produced an action plan. • We invited several patient representatives to be involved. • Board report - presented with patient representatives • Presented back to the public and our Trust members at patient safety event in Feb 2011
Locally – The Public Inquiry 2 nd report • 2013 – Published report with 290 recommendations! • Not all relevant to healthcare providers • Identified relevant recommendations for us • Reported the analysis to Trust Board • Need your input to develop specific actions • Tonight ! “Talking Francis” We would like to hear your ideas and solutions………….
Finding the solutions -your perspective • Putting the patient first – Clarity of values and principles (Recommendations 3 to 8 and underpins most others) • Openness transparency and candour – complaints and general approach. “Being Open” (Recommendations 173 – 175, and 254 - 261) • Nursing and nurse leadership, older people ( Recommendations 195, 199, 200 and across 236 - 243 ) • Caring for patients – Food and drink ( Recommendation 241) • Caring for patients - Discharge (Recommendation 236 - 238)
Measure impact When thinking about your solutions in your circles, we’d also like you to think about …. • How we measure it? • What information do you need to assure you that we are achieving it ? • What does that information look like ? • Where and how do you want to be able to access it?
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