Edicts from Whitehall are not enough

 

Share
Related Topics

The report highlights shocking failures in patient care at Stafford Hospital. The central question now is whether Robert Francis’s diagnosis of the causes of these failures and his recommendations will prevent anything like this happening again.

The Francis report is the latest in a long line of reports into NHS organisations in which patients died unnecessarily or were seriously harmed. These reports date back to the inquiry into Ely Hospital, Cardiff, published in 1969, which found evidence of people with learning disabilities being treated cruelly and inhumanely. The Secretary of State at the time, Richard Crossman, responded by establishing the Hospital Advisory Service to inspect hospitals for people with learning disabilities and mental health problems.

Now David Cameron has announced that a Chief Inspector for Hospitals is to be appointed. The problem is that serious failures in patient care have continued despite the work of the Hospital Advisory Service and other regulators, such as the Care Quality Commission. Clearly inspection and regulation on their own are unlikely to provide the safeguards needed.

What’s needed is a change in culture in the NHS to ensure that everyone is treated with dignity and respect. This cannot be achieved by political fiat. Every hospital must create a climate in which staff are encouraged to treat patients as well as they can.

Robert Francis has recognised this in his report and the task now is to implement his recommendations to ensure that another inquiry like this will not be needed again. The priority must be to shift from a culture in which the behaviour of staff is driven by compliance with targets to one in which there is a real commitment to patient-centred care in every hospital and surgery.

Professor Chris Ham is chief executive of The King’s Fund

React Now

Latest stories from i100
Have you tried new the Independent Digital Edition apps?
iJobs Job Widget
iJobs General

Recruitment Genius: Property Negotiator - OTE £20,000+

£16000 - £25000 per annum: Recruitment Genius: This family owned, independent ...

Recruitment Genius: Sales Administrator - Spanish Speaking

£17000 - £21000 per annum: Recruitment Genius: This is a fantastic opportunity...

Recruitment Genius: Sales Administrator - German Speaking

£17000 - £23000 per annum: Recruitment Genius: This is a fantastic opportunity...

Recruitment Genius: Sales Administrator - Japanese Speaking

£17000 - £23000 per annum: Recruitment Genius: If you are fluent in Japanese a...

Day In a Page

Read Next
Wilbur, the pig who thinks he's a dog (Dom Joly)  

My hilarious pet pig Wilbur is more popular than I am — so I'll let him bring home the bacon

Dom Joly
 

Amazon's new 'payment by the page' policy will just result in longer but likely worse literature

Katy Guest
The Greek referendum exposes a gaping hole at the heart of the European Union – its distinct lack of any genuine popular legitimacy

Gaping hole at the heart of the European Union

Treatment of Greece has shown up a lack of genuine legitimacy
Number of young homeless in Britain 'more than three times the official figures'

'Everything changed when I went to the hostel'

Number of young homeless people in Britain is 'more than three times the official figures'
Compton Cricket Club

Compton Cricket Club

Portraits of LA cricketers from notorious suburb to be displayed in London
London now the global money-laundering centre for the drug trade, says crime expert

Wlecome to London, drug money-laundering centre for the world

'Mexico is its heart and London is its head'
The Buddhist temple minutes from Centre Court that helps a winner keep on winning

The Buddhist temple minutes from Centre Court

It helps a winner keep on winning
Is this the future of flying: battery-powered planes made of plastic, and without flight decks?

Is this the future of flying?

Battery-powered planes made of plastic, and without flight decks
Isis are barbarians – but the Caliphate is a dream at the heart of all Muslim traditions

Isis are barbarians

but the Caliphate is an ancient Muslim ideal
The Brink's-Mat curse strikes again: three tons of stolen gold that brought only grief

Curse of Brink's Mat strikes again

Death of John 'Goldfinger' Palmer the latest killing related to 1983 heist
Greece debt crisis: 'The ministers talk to us about miracles' – why Greeks are cynical ahead of the bailout referendum

'The ministers talk to us about miracles'

Why Greeks are cynical ahead of the bailout referendum
Call of the wild: How science is learning to decode the way animals communicate

Call of the wild

How science is learning to decode the way animals communicate
Greece debt crisis: What happened to democracy when it’s a case of 'Vote Yes or else'?

'The economic collapse has happened. What is at risk now is democracy...'

If it doesn’t work in Europe, how is it supposed to work in India or the Middle East, asks Robert Fisk
The science of swearing: What lies behind the use of four-letter words?

The science of swearing

What lies behind the use of four-letter words?
The Real Stories of Migrant Britain: Clive fled from Zimbabwe - now it won't have him back

The Real Stories of Migrant Britain

Clive fled from Zimbabwe - now it won’t have him back
Africa on the menu: Three foodie friends want to popularise dishes from the continent

Africa on the menu

Three foodie friends want to popularise dishes from the hot new continent
Donna Karan is stepping down after 30 years - so who will fill the DKNY creator's boots?

Who will fill Donna Karan's boots?

The designer is stepping down as Chief Designer of DKNY after 30 years. Alexander Fury looks back at the career of 'America's Chanel'