1. Mid Staffordshire Inquiry How can we learn? Staff Listening Exercise Spring 2013

2. 350 bed general hospital in Stafford area One of two hospitals run by Mid Staffordshire NHS Foundation Trust Trust Authorised as an FT in 2008

3. Unexplained Deaths

4. “Care at Stafford was "appalling", inadequately trained staff who were too few in number, junior doctors left alone at night and patients left without food, drink or medication as their operations were repeatedly cancelled. Receptionists with no medical training were expected to assess patients coming in to A&E, some of whom needed urgent care “

5. 1 st Inquiry (2010) – Patients, family, staff testimonials – 18 recommendations 2 nd Inquiry (2013) – Role of regulators and national bodies – 290 recommendations

6. They missed the warning signs Patient stories Mortality Complaints Staff concerns Whistleblowers Governance issues Finance Staff reductions

7. Stories from patients and their families “ For many patients the most basic elements of care were neglected.. some patients needing pain relief either got it late or not at all. Others were left unwashed for up to a month. Food and drinks were left out of the reach of patients and many were forced to rely on family members for help with feeding. Too many patients were sent home before they were ready to go, and ended up back in hospital soon afterwards. The standards of hygiene were at times awful, with families forced to remove used bandages and dressings from public areas and clean toilets themselves for fear of catching infections. Patients' calls for help to use the toilet were ignored, with the result that they were left in soiled sheeting or sitting on commodes for hours often feeling ashamed and afraid. Misdiagnosis was common.” Sir Robert Francis QC

8. The people behind the stories …

9. Recommendations Common values and fundamental standards for the whole NHS Openness, transparency and candour Compassionate, caring, committed nursing Strong patient centred healthcare leadership Accurate, useful and relevant information Culture change not dependent on Government

10. Values for the NHS Put patients first Staff put patients before themselves Staff do everything in their power to protect patients from avoidable harm Openness and honesty with patients regardless of consequences for themselves Direct patients to where assistance can be provided Apply values in all our work

11. Fundamental Standards Prescribed medication given Food and water to sustain life and stay well being supplied and any help needed is given Patients and equipment kept clean Assistance where required provided to go to the toilet Consent for treatment obtained Care and Compassion

12. Openness and candour Openness: enabling concerns and complaints to be raised freely and fearlessly, and questions to be answered fully and truthfully Transparency: making accurate and useful information about performance and outcomes available to staff, patients, public and regulators Candour: informing patients where they have or may have been avoidably harmed by healthcare service whether or not asked

13. Our Values

14. Our first response Looked at all 290 recommendations: –What we think we already do well –What is already in our plan for 2013-14 –Where we know we need to improve –What would be new for us Briefing available at this session and on our website which summarises our response What do you think we need to do? On our website:

15. How can we at Southern Health learn from Stafford? Gather in groups of 5-6 to discuss what Mid Staff means to you, your team and your patients and to the Trust

16. A. If you were Chief Exec for a day, what 3 things would you do at Southern Health in response to the report

17. B. What 3 things would you do or change at Southern Health that cost little or no money?

18. C. What 3 things do you/your team do really well that we need to make sure we do across the whole Trust (leave your name/ contact details)

19. D. What would you change to make it easier to raise concerns?

20. What happens next? We’re running sessions like this at all the Briefings over the next few months At the end we’ll collate all feedback and decide how to act on your suggestions We’ll share this with you in the Weekly Staff Bulletin and on the Trust’s website At the Briefings this time next year we’ll ask you how we’re doing