Home > DocuBase > Article

« All DocuBase Articles

 

Follow DocuTicker on Twitter   Feed

Friday, 8th February 2013

UK: Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry (Francis Inquiry)

Source: Mid Staffordshire NHS Foundation Trust Public Inquiry (UK)

From Letter to the Secretary of State:

The report has identified numerous warning signs which cumulatively, or in some cases singly, could and should have alerted the system to the problems developing at the Trust. That they did not has a number of causes, among them:

A culture focused on doing the system’s business – not that of the patients;
An institutional culture which ascribed more weight to positive information about the service than to information capable of implying cause for concern;
Standards and methods of measuring compliance which did not focus on the effect of a service on patients;
Too great a degree of tolerance of poor standards and of risk to patients;
A failure of communication between the many agencies to share their knowledge of concerns;
Assumptions that monitoring, performance management or intervention was the responsibility of someone else;
A failure to tackle challenges to the building up of a positive culture, in nursing in particular but also within the medical profession;
A failure to appreciate until recently the risk of disruptive loss of corporate memory and focus resulting from repeated, multi-level reorganisation.

+ Executive Summary (PDF; 914 KB)

+ Volume 1 (PDF; 4.2 MB)

+ Volume 2 (PDF; 3.8 MB)

+ Volume 3 (PDF; 2.9 MB)


Category:

Source:


Having begun his career in academic libraries, Adrian Janes has subsequently worked extensively in public libraries, chiefly in enquiry work as an Information Services librarian. In this role he has had particular responsibility for information from both the UK Government and the European Union. He wrote a detailed report on sources for the latter which was published by FreePint in 2007, and has contributed articles to FreePint and ResourceShelf. He is involved in training in information literacy and the use of online reference resources.

A Contributing Editor to DocuTicker, he also write reviews for Pennyblackmusic.

Adrian can be reached at adrian.janes@freepint.com

More articles by Adrian Janes »



Please note: DocuTicker's editors collect citations for full-text PDF reports freely available on the web but we do not archive these reports. When you click a link to find and/or download the report, you are leaving the DocuTicker site. DocuTicker makes no representations regarding the ongoing availability of any report or any external resource. Links were accurate as of the date of posting.

« All DocuBase Articles

 

FreePint

FreePint supports the value of information in the enterprise. Read more »


FeedLatest FreePint Content:


  • Click to view the article Twitter as a Research Tool - the Benefits and the Dangers
    Wednesday, 29th July 2015

    The article considers the pros and cons of Twitter as a research tool in a corporate context. In particular, it examines issues of trust and reliability - namely, how can good content be distinguished from the bad. Furthermore, there will also be a brief review relating to any potential rules and/or restrictions relating to the use of Twitter content.

  • Click to view the article Researching Oil & Gas - Navigating the Unknown
    Friday, 24th July 2015

    Find out more about the complex and huge oil and gas global markets from clean tech and energy information specialist Mirjam Wolfrum - and why they demand a specific approach to research.

  • Click to view the article Insider Knowledge - Researching Oil & Gas
    Thursday, 23rd July 2015

    Oil and gas have been used for hundreds of years. In the beginning, oil was used to replace whale oil. Since John D. Rockefeller founded the "Standard Oil Company" in 1870, "black gold" has begun to triumph. Today oil and gas still drive today's world economy. Access to and control of these commodities is especially critical to the world's most energy consuming countries. This is why there are numerous international and national industry associations, intergovernmental and non-governmental organisations, profit and non-profit information providers who all provide data for your research, Mirjam Wolfrum provides a guide through the maze.

  • ... more ...

All FreePint Content »
FreePint Topics »


A FreePint Subscription delivers articles and reports that support your organisation's information practice, content and strategy.

Find out more and order a FreePint Subscription by visiting the
completing our online form: Subscription Order page.


FreePint Testimonials

"Every time I go into the collection, I find something useful." Head of Knowledge Services, Global finance

Read more testimonials and supply yours »







 

 
 
 

Subscribe

Receive the DocuTicker Newsletter each week.

Find out more »

Article Categories

All Article Categories »

Sources

All DocuBase Sources »

Source Categories

All Source Categories »

Archive

All Archives »