06/12/2012 - The Mid Staffordshire inquiry

#NurChat to discuss "The Mid -Staffs inquiry"  -  06/12/2011
The Mid Staffordshire Inquiry took place as a result of the standards of care at Mid- Staffordshire Hospitals between 2005 and 2009. The initial inquiry concluded that patients were routinely neglected by the trust who were preoccupied with cutting costs, targets and processes. It’s estimated that between 400 and 1200 more people died than was expected during the three year period in question. A further public inquiry then commenced in November 2010.

Since this Inquiry other reports involving poor patient care have been published the Patient Association report has also condemned poor care in hospitals along with a recent CQC report  “The State Of Care”

There are many issues that surround all of  these reports from fundamental nursing care to leadership and from whistle blowing to staff ratios. But what can we as nurses learn from these reports and how can we take these lessons forward to improve patient care in the future?

Thank you to @nursemaiden for suggesting this highly emotive discussion.

Click on the picture to downlaod a prinatble PDF for notice boards

There is a wealth of  information out there about this subject of which there is a small slection below, however if you find something else that's relevant then please feel free to share.

Final report of the independant inquiry into care provided by Mid Staffordshire NHS Foundation Trust

Nurse-patient relationships 'have changed' - BBC News

Stafford Hospital inquiry told NHS whistle-blowers need support - BBC News



How skill mix affect quality of care -Nursing Times

Stafford Hospital public inquiry to begin -Nursing Times

Ward ratio of 60:40 is low as you can go, CNO tells Mid Staffs inquiry- Nursing Times

A profession in the spotlight: what makes good quality care? - Nursing Standard

Care Campaign - The Patients Association

Care Campaign - Nursing Standard

Dignity and nutrition for older people - CQC

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The Mid-Staffordshire inquiry was discussed in this NurChat. To begin with we asked what were the key points of the inquiry for nurses? Thoughts ranged from the inquiry changed the focus of nursing care, that concerns that the themes of the inquiry related directly to nursing care to the mid staffs failure being rooted in focussing on targets not patients.  It was generally agreed that the accounts of the poor care experiences were shocking.

This word cloud shows the key themes discussed



It was brought up that some nurses had not even heard of the mid staffs inquiry which was seen by participants as a negative thing with some thinking that every nurse should read the inquiry reports.

The chat then moved on to whistle blowing - it was clearly stated by a few participants that according to the report whistle blowing did happen and it was ignored.  Concerns were raised that whistle blowing in the NHS is ignored or that nurses are put off whistle blowing because they are scared and frightened to speak up. It was discussed that at mid staffs a management culture existed that ignored staff concerns. 

The role of student nurses was also raised in regards to raising concerns about care – it was stated that students are often best placed as a fresh pair of eyes to raise concerns however this can lead to difficulties in their placement. It was agreed that it is the mentor’s role to support students with this but sometimes it is not the case.

The idea of a safe haven for staff that raise concerns about care was discussed and participants put forward suggestions such as an anonymous and centralised whistle blowing department in the NHS.  There was a suggestion that a nationwide whistle blowing hotline should be set up. It was also put forward that collective action through better networking and support would also help to empower nurses who had concerns – it was agreed that tools like twitter give nurse support and promote good practice.

NurChatters then discussed what nurses could learn from the mid staffs inquiry: ensuring senior staff act as good role models and support each other was seen as important. In addition the idea that change should come from the top down and bottom up and everywhere in between was accepted as being a good thing.

Social and economic issues ran through out this discussion with themes such as mid staffs were driven by cost cutting and the de valuing of care in society underpinning a lot of discussion.

One of the really important issues that was discussed as something NurChatters could do was to pass on the inquiry report to colleagues to read.

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Transcript (via Storify) - share, via twitter 

1 comment:

NurChat said...

We hope you like the new wordcloud, it really shows the drivers and sentiment behind this chat.