1. Francis II presentation Gill Findley Director of Nursing Durham Dales, Easington and Sedgefield Clinical Commissioning Group (DDES CCG)

2. Sir Robert Francis QC www.kingsfund.org.uk

3. The Warning Signs Patient stories Mortality Complaints Staff concerns Whistleblowers Governance issues Finance Staff reductions

4. Recommendations from Report 1 Common values (NHS Constitution) Fundamental standards Openness, transparency, candour Compassionate, caring, committed nursing (6Cs) Strong patient centred healthcare leadership Accurate, useful relevant information Culture of change not dependent on government

5. Francis 1 v Francis 2 Francis 1 Inquiry under NHS Act 2006 Reviews individual cases The operation of the Mid Staffordshire Trust Francis 2 Public inquiry set up under Inquiries Act 2006 Reviews the broader monitoring system surrounding Mid Staffordshire NHS Trust The chairman can require people to attend

6. How was the alarm raised? “persistent complaints made by a very determined group of patients and those close to them”

7. Terms of reference “To examine the operation of the commissioning, supervisory and regulatory organisations and other agencies, including the culture and systems of those organisations in relation to their monitoring role at Mid Staffordshire NHS Foundation Trust between January 2005 and March 2009 and to examine why problems at the Trust were not identified sooner, and appropriate action taken.”

8. Recommendations 290 recommendations These recommendations require every single person serving patients to contribute to a safer, committed and compassionate and caring service Putting the patient first Fundamental standards of behaviours

9. Some of the Recommendations All staff required to report incidents of concern Annual report on actions taken Increased role for Quality Accounts A set of quality standards to drive performance improvement CCG’s power to terminate a service that does not provide a quality service

10. Other Recommendations Openness, transparency and candour Nursing - strong voice and leadership Specific standards for healthcare assistants Regulation of healthcare assistants The government’s response to the report Don Berwick appointed as patient safety guru

11. Issues for the CCG Do we accept the report? CCGs must put in place systems for listening to patients “Recognisable public bodies, visibly acting on behalf of the public” Improved complaints investigation New, refreshed NHS Constitution

12. Next steps CCG is developing an action plan CCG has asked all providers to respond to the report All cost improvement plans in the provider organisations are being assessment for the impact on quality of care by the Medical Director, the Director of Nursing and the CCG Directors

13. How do we get to hear about concerns from patients, relatives and staff? Over to you……………