The blame game: Threatening nurses with criminal liability is wrong

The vilification of staff at failing hospital trusts fosters a secretive, bullying culture

Share

Government plans to make nurses criminally liable for failings in patient care are cynically designed to seize the headlines in its response to the Francis report on the scandal-hit Mid Staffordshire NHS Foundation Trust.

The effect will be to continue the blame game that got the NHS into this mess in the first place. The vilification of staff at failing hospital trusts has fostered the secretive, bullying culture that has prevailed in too many institutions where the welfare of patients has been forgotten.

These plans defy the report that David Cameron commissioned in the wake of the Francis report. That was the Berwick report – the work of renowned expert on patient safety, Don Berwick, published in August – which warned that the search for scapegoats in the NHS must end and be replaced by a new culture of openness which encouraged organisations to learn from mistakes. “NHS staff are not to blame – in the vast majority of cases it is systems, procedures, conditions, environment and constraints they face that lead to patient safety problems,” the report said.

At the report’s launch Jeremy Hunt, the Secretary of State for Health, denied that he had blamed staff, insisting that his comments had been about the structures that prevented hospital staff from exercising their compassion and concern for patients. That has been forgotten now.

Berwick’s report said that only in very rare instances was there wilful neglect and abuse, and a new criminal offence should be introduced to deal with these specific cases. But for the Government to place this at the centre of its response undermines Berwick’s key message. He called for a change of culture across the NHS to support, not blame, staff in order to empower them.

Ministers have been driven to show they will crack down hard on staff who step out of line, reinforcing the culture of fear that Berwick identified as so corrosive of high standards of care and humanity in the NHS. Nobody who understands the NHS could support this latest intervention. Nurses need a supportive environment in which to learn, not the threat of jail if they commit an error.

React Now

Latest stories from i100
iJobs Job Widget
iJobs General

Recruitment Genius: Field Based Sales Surveyor - OTE £40,000

£16000 - £40000 per annum: Recruitment Genius: A Field Based Sales Surveyor is...

Ampersand Consulting LLP: UI Designer/ User Interface Designer (UI, User Flow, Design)

£6000 - £60000 per annum + Bonus and Benefits: Ampersand Consulting LLP: UI De...

Investigo: International Finance Analyst

£270 - £300 per annum: Investigo: An exciting opportunity to join an internati...

Recruitment Genius: CAD / CAM Ladies Cocktail & Eveningwear Gerber Grader

£25000 - £35000 per annum: Recruitment Genius: This is an exciting opportunity...

Day In a Page

Read Next
 

Are we really to believe that the mansion tax would stop Brad Pitt and Angelina Jolie moving here?

John Walsh
 

Daily catch-up: stupid questions in opinion polls, in the House of Commons and in job interviews

John Rentoul
Cameron, Miliband and Clegg join forces for Homeless Veterans campaign

Cameron, Miliband and Clegg join forces for Homeless Veterans campaign

It's in all our interests to look after servicemen and women who fall on hard times, say party leaders
Millionaire Sol Campbell wades into wealthy backlash against Labour's mansion tax

Sol Campbell cries foul at Labour's mansion tax

The former England defender joins Myleene Klass, Griff Rhys Jones and Melvyn Bragg in criticising proposals
Nicolas Sarkozy returns: The ex-President is preparing to fight for the leadership of France's main opposition party – but will he win big enough?

Sarkozy returns

The ex-President is preparing to fight for the leadership of France's main opposition party – but will he win big enough?
Is the criticism of Ed Miliband a coded form of anti-Semitism?

Is the criticism of Miliband anti-Semitic?

Attacks on the Labour leader have coalesced around a sense that he is different, weird, a man apart. But is the criticism more sinister?
Ouija boards are the must-have gift this Christmas, fuelled by a schlock horror film

Ouija boards are the must-have festive gift

Simon Usborne explores the appeal - and mysteries - of a century-old parlour game
There's a Good Girl exhibition: How female creatives are changing the way women are portrayed in advertising

In pictures: There's a Good Girl exhibition

The new exhibition reveals how female creatives are changing the way women are portrayed in advertising
UK firm Biscuiteers is giving cookies a makeover - from advent calendars to doll's houses

UK firm Biscuiteers is giving cookies a makeover

It worked with cupcakes, doughnuts and macarons so no wonder someone decided to revamp the humble biscuit
Can SkySaga capture the Minecraft magic?

Can SkySaga capture the Minecraft magic?

It's no surprise that the building game born in Sweden in 2009 and now played by millions, has imitators keen to construct their own mega money-spinner
The King's School is way ahead of the pack when it comes to using the latest classroom technology

Staying connected: The King's School

The school in Cambridgeshire is ahead of the pack when it comes to using the latest classroom technology. Richard Garner discovers how teachers and pupils stay connected
Christmas 2014: 23 best women's perfumes

Festively fragrant: the best women's perfumes

Give a loved one a luxe fragrance this year or treat yourself to a sensual pick-me-up
Arsenal vs Borussia Dortmund: Alex Oxlade-Chamberlain celebrates century with trademark display of speed and intuition

Arsenal vs Borussia Dortmund

The Ox celebrates century with trademark display of speed and intuition
Billy Joe Saunders vs Chris Eubank Jnr: When two worlds collide

When two worlds collide

Traveller Billy Joe Saunders did not have a pampered public-school upbringing - unlike Saturday’s opponent Chris Eubank Jnr
Homeless Veterans Christmas Appeal: Drifting and forgotten - turning lives around for ex-soldiers

Homeless Veterans Christmas Appeal: Turning lives around for ex-soldiers

Our partner charities help veterans on the brink – and get them back on their feet
Putin’s far-right ambition: Think-tank reveals how Russian President is wooing – and funding – populist parties across Europe to gain influence in the EU

Putin’s far-right ambition

Think-tank reveals how Russian President is wooing – and funding – populist parties across Europe to gain influence in the EU
Tove Jansson's Moominland: What was the inspiration for Finland's most famous family?

Escape to Moominland

What was the inspiration for Finland's most famous family?