Stafford Inquiry: 'Nurse Count' To Boost Safety

Written By Unknown on Selasa, 19 November 2013 | 10.18

By Thomas Moore, Health & Science Correspondent

Hospitals will have to make public the number of nurses on their wards under a series of measures to improve patient safety.

The Department of Health said the monthly reports will be mandatory from next April.

Hospitals in England will also have to disclose the percentage of shifts that meet safe staffing guidelines independently approved by the health watchdog NICE.

The plans are part of the Government's response to the inquiry into the scandal at Stafford Hospital, in which several hundred patients are thought to have died as a result of poor care.

NHS England will also set up a national patient safety programme to spread best practice and learn from mistakes.

Health minister Norman Lamb said: "We are determined to see the NHS become a world leader in patient safety, with a safety ethos and level of transparency that matches the airline industry.

"We need transparency on staffing levels, backed up by a strong inspection regime to get better, safer care."

Figures from NHS England show that hospitals expect to recruit an extra 3,700 nurses by the end of the financial year.

Frank Robinson Frank Robinson's son John died after misdiagnosis at Stafford Hospital

In February the Mid Staffordshire Inquiry by Sir Robert Francis QC made more than 200 recommendations to change the culture in the NHS and put compassion back at the heart of patient care.

The report had recommended that hospitals should have a duty of candour, a legal responsibility to tell patients if something has gone wrong in their care.

But the Department of Health has so far refused to fully introduce the policy.

Peter Walsh, the head of the patient safety campaign group Action Against Medical Accidents, told Sky News: "The current plans are that this is limited to fatal cases and the most severe cases of permanent disability.

"That would be a disaster. In effect, it would legitimise the vast majority of serious harm caused to patients being covered up. That would take us in exactly the opposite direction from the one we need to go in."

Frank Robinson, whose son John died after he was misdiagnosed and sent home from Stafford Hospital, also urged the Government to introduce the duty of candour as soon as possible.

Princess Alexandra Hospital ward Patient satisfaction at the Princess Alexandra Hospital has soared

He told Sky News: "So many lives have been lost through cover-ups and so many people have suffered. I just don't want that to happen to anyone else and this is a golden opportunity, and if the Government miss this opportunity, that's shameful."

The Mid Staffs Inquiry had strongly criticised managers for chasing government targets, rather than treating patients with compassion.

But there is evidence that the report is beginning to change the culture in the NHS.

The Princess Alexandra Hospital in Harlow, Essex, has increased the amount of consultant time on the unit, and made sure patients have a full assessment by a senior nurse within 15 minutes of arriving.

Patient satisfaction has soared as a result.

Dr Joud Abduljawad, clinical director of urgent care at the hospital said: "Targets are not our primary reason for looking after patients.

"If you give every patient a timely assessment and timely care you will achieve the target as a secondary point.

"It's not the target, it's what is best for the patient that we are focussing on."


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