The Francis Report and its impact for care providersProfessor Ian Peate

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At the end of the presentation you will be able to:

Consider the key issues and apply them to

your own settingReflect upon challenges and opportunities

Discuss the education and training needs of HCSWs (Health Care Social Workers)

Aim and Objectives

The aim of the presentation is to:

Outline issues in the Francis report and relate

them to the care sector

http://www.youtube.com/watch?v=0B0hEPU3Kt4

Any changes to hospital regulation following the Francis report on the Mid Staffordshire public inquiry must include care homes (The Relatives and Residents Association)

Is a lawyer

Was Francis the right person?

Robert Francis QC

This is the second enquiry

Unnecessary deaths

All about the NHS (Mid Staffs)

Applicable across all sectors

Ignore this at your peril

290 recommendations

Recommends sweeping changes for regulationRecommends the registration and regulation of health care support workers

Robert Francis QC

Proposes a statutory duty of candour, staff will be obliged to speak out

Calls for legislation

Calls for criminal convictions

Leadership (or lack thereof)

The trust, their focus on targets and savings

Criticisms

The NMC

The CQC

Monitor

The RCN

Regulation

The right numbers of staff with the right skills

Safe staffing and a regulated

Staffing levels included in the CQC’s future monitoring of care settings

Finance/quality balance

CQC and Monitor to work closer together

Regulation is not the panacea for all ills that befall care home

Leadership

From the bedside to the board room

Fit for purpose

Demonstrate deep understanding of the connection between patient outcomes and staff engagement

Culture

Staff to speak up when they see examples of

poor care (whistle blowing)

Listen to patients and staff

Progression planning

Government response (late March)

Vast majority of the people who provide care are decent, hard working individuals committed to provided the best possible standard of care

Next steps

Vast majority of people who deliver care give good, quality care despite the severe pressures that they are placed under due to a lack of resources

Pay greater attention to staffing levels if poor care is to be eliminated

Make clear the impact that systematic failings can have on the delivery of patient care

Next steps

Does not require massive organisation change, a renewed emphasis on what is truly important - common values, intolerance of non-compliance, commitment to openness and candour at all times

Five more hospitals under investigation

National code of conduct for HCSWs

Strengthening identification of HCSWs

Health Care Support Workers

Seven recommendations out of the 290 specifically relating to HCSWs. Four key areas:

Registration of HCSWs

Set of common national standards for the education and training of HCSWs

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Uniform description of HCAs (title)

Strengthening identification of HCSWs

Role clarity, and communication of this

Set of common national standards for the education and training of HCSWs

No unregistered person should be permitted to provide care ‘for reward’ in a care home setting, unless they are members of their own family or have a genuine social relationship

Registration of HCSWs

Voluntary register has little or no advantage for the public

Mandatory vs Voluntary registration

Regulator should be the same as that for RNs (NMC)

Code of conduct aligned to standards of education and training

National Code of Conduct

Wales has one

Scotland has one

In England Skills for Health and Skills for Care are working on one

Consistency in education and training

Common national standard for education and training of HCSWs

Will help to ensure patient safety, the whole workforce can feel confident in HCSW abilities

Provides access to further education and training as needed for their role

Career progression

In England Skills for Health and Skills for Care are working on minimum standards

Scotland

Code of practise for employers of HCSW

Plays a major part in public assurance around the employment of HCSWs

Builds on the fundamental principles of patient safety and public protection

Supported by existing systems of clinical governance and staff governance

Undervaluing of the nursing task and those who perform it

Failings in nursing care (Francis)

Poor recruitment

Deficiencies in initial and continuing training

Poor leadership

Inadequate staffing

Declining professionalism

T H A N K Y O U

Please feel free to ask questions

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