Learning not blaming: response to 3 reports on patient safety

September 2017

NHS NEWS

Country of origin: UK

Learning not blaming sets out the government’s position on:

• the Freedom to Speak Up review by Sir Robert Francis QC: we are improving the incentives for staff to speak out against poor quality care in the NHS
• the Public Administration Select Committee report ‘Investigating clinical incidents in the NHS’: we are setting up an independent agency to investigate patient safety incidents
• Dr Bill Kirkup’s independent report on the Morecambe Bay Investigation: we are modernising the supervision of midwifery

The reports cover distinct areas, and the government response addresses the points and recommendations raised in each report. There are some themes common to each report, including the importance of:

• openness, honesty and candour
• listening to patients, families and staff
• finding and facing the truth
• learning from errors and failures in care
• people and professionalism

Resources

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Dr Foster Intelligence September 2017 Dr Foster works with healthcare organisations to achieve sustainable improvements in their performance through better use...
Leadership guide September 2017 The NHS Leadership Framework is now available and is applicable to everyone in health and care, no matter what their...
Maximising Staff Engagement August 2017 NHS National Workforce Projects (NWP) was a partner in an innovative study in the United States looking at staff engagement...
Critical care strategy: managing the H1N1 flu pandemic August 2017 A strategy has been published setting out the Department of Health approach to managing critical care during the swine flu...
Hospital Guide August 2017 How healthy is your hospital? Understanding the reasons behind clinical outcomes is a key step in improving patient...
National Framework For Responding To An Influenza Pandemic July 2017 A document describing the Government?s strategic approach for responding to an influenza pandemic published jointly by the...
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