Taking the Francis Report forward

Transcription

1 HCPC seminar on the Francis Report 9 May 2013 Taking the Francis Report forward Anna van der Gaag Marc Seale Michael Guthrie

2 Today s event Overview of Francis themes and relevant recommendations Workshop Feedback and plenary session

3 The Francis Report into mid Staffordshire NHS Foundation Trust An estimated 1200 patients died over 4 years as a result of poor treatment, misdiagnosis and systemic failure to provide the most basic care. 250 witnesses 1 million pages of documentation Key findings Targets and finance before patients A culture of neglect

4 A Patient s story In the next room you could hear the buzzers sounding. After about 20 minutes you could hear the men shouting for the nurse, nurse, nurse and it just went on and on. And then very often it would be two people calling at the same time and then you would hear them crying, like shouting nurse louder, and then you would hear them crying, just sobbing, they would just sob and you presumed that they had had to wet the bed. And then after they would sob, they seemed to then shout again for the nurse, and then it would go quiet..

5 Francis recommendations Put patients first Take concerns seriously Be more transparent Publish information on performance Improve regulation and inspection Review fundamental standards

6 How does this relate to HCPC registered professions? No HCPC registrants at mid Staffs were referred HCPC not called to give evidence to the Inquiry The Francis challenge is to all those involved in care

7 HCPC Register 310,942 registrants from 16 professions (1 April 2013) 90,000 80,000 70,000 60,000 50,000 40,000 30,000 20,000 10,000 0 Social workers in England Physiotherapists Occupational therapists Radiographers Biomedical scientists Paramedics Practitioner psychologists Speech and language therapists Chiropodists / podiatrists Operating department practitioners Dietitians Clinical scientists Arts therapists Hearing aid dispensers Orthoptists Prosthetists / orthotists

8 Understanding risk may reduce likelihood of harm External requirements vs Internal cultures Professional conduct High risk High stress

9 Delivering better, safer care: the Francis solutions Sanctions & Standards Regulators, government agencies Professional bodies, peers, educators (Professionalism agenda) Profession Creating safer environments led initiatives Employers, managers, peers, service user and patients

10 Involving health, psychological and social work professionals in the changes Board level, non executive appointments of HCPC registrants Education and training review Increasing time for clinical/professional supervision More involvement in support worker training Delivering more care in teams? (reduces tribalism and provides better care)

11 Involving patients, service users and carers in the changes Listening to patients, users and carers concerns Asking for feedback Sharing information Involvement in decision making about the design and delivery of care

12 Post Francis reviews 1. Cavendish Review training and support for assistants 2. Clywd Review handling complaints and concerns 3. Berwick Review health improvement better health, better care, lower cost

13 Specific recommendations on regulation; HCPC s response Regulation of support workers Statutory code of conduct Powers to place those who do not meet standards on a Negative Register

14 Specific recommendations on regulation: HCPC s response Handling fitness to practice concerns, including sharing information with other organisations Quality assurance of education and training, with a particular emphasis on how standards and processes help to ensure the safety of the practice learning environment for service users

15 Standards of conduct, performance and ethics Currently under review Service users and carer involvement Research Working group Consultation

16 Standards for continuing professional development Proposals for revalidation of nurses What does this mean for HCPC?

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18 Workshop questions From your perspective, what are the key messages from Francis? What are your views on the priorities for HCPC?

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20 Thank you