the francis report and its impact for care providers professor ian peate © e-gncs limited 2013. all...
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The Francis Report and its impact for care providersProfessor Ian Peate
© e-GNCS Limited 2013. All rights reserved.No part of this publication may be reproduced or distributed without prior written consent from e-GNCS Limited.
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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
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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)
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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
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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
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Leadership (or lack thereof)
The trust, their focus on targets and savings
Criticisms
The NMC
The CQC
Monitor
The RCN
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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
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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
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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
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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
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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
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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)
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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
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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
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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
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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
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T H A N K Y O U
Please feel free to ask questions
www.e-gncs.co.uk