Mid-Staffordshire NHS Scandal Analysis

One of the biggest obstacles to successful management of the NHS, and also to any analysis of its current well being, remains the significant lack of any valid information as to what the NHS does, how much it costs and where the money is spent. Indeed, it is perhaps surprising that 'the 1990 changes' were conceived and implemented as fast as they were, given the lack of information that was available in 1988. (Ham, 1996) Attempts were made at the start to ensure that hospitals began from a 'level playing field' so that they were in fair competition with one another, but the sometimes 10 fold differences in the early quoted costs for identical services in different hospitals had as much to do with differing costs of maintaining buildings

After the serious shortcomings within the Mid-Staffordshire NHS Trust came to light, The Francis Report (Francis, 2013) investigated how the conditions of inexcusable care could prevail within the trust. The Francis Report proposed several extensive changes that could improve the National Health Service (NHS). Garner (2014) informs that these changes include that leaders need to be effective and accountable, staff should be empowered to work in partnership, each trust should aim to improve innovation and quality, whilst putting the patient first. The Department of Health (DH) reflected on the findings and in response to The Francis

This importance of compassion is highlighted in numerous healthcare documentations which state that nurses should provide care that is compassionate (Francis 2013). An incident which occurred in a general hospital in Staffordshire over 50 months between January 2005 and March 2009 led to between 400 and 1200 patients dying due to poor care. Robert Francis published his report on the failings of Mid Staffordshire Foundation Trust which examined causes of the incidents. Since this incident the issue of patent safety and care quality has been in the public eye more than ever. The Francis report has made 290 recommendations which include; openness and transparency throughout the healthcare system, essential standards for healthcare providers, improving compassionate care and stronger healthcare leadership. It is also essential to focus and provide increased education and training on compassionate care (Francis

Later, findings from a series of reports including report from Royal commission on National Health Insurance in 1926; The Sankey Commission on Voluntary Hospitals in 1937; and reports from British Medical Association (BMA) in 1930 and 1938, all collectively indicated that inadequacy existed in the pattern of the services (Christopher, 2004; Webster, 2002). Evident were reports of conflicting care and duplication of work between the municipal and voluntary hospitals (Wheeler & Grice, 2000). Additionally, world war had a huge impact on the health services and the conditions in which hospitals, theatres, radiology and pathology department operated was very poor. Thus, no machinery existed that supported running of a coordinated healthcare system, hence a need for unified, simplified and cohesive system was felt (Smith, 2007). Furthermore, Royal Commission’s report suggested that funding for the health services might benefit from general taxation rather than its basis on insurance principle (Christopher, 2004). However, it was not until the Beveridge report in 1942, which provided a huge drive and momentum for a movement of change in the health services. And within subsequent years seen were the proposals for NHS drawn through the White Paper in 1944, then in 1946 the National Health Service Act and at last in 1948 the establishment of the NHS

Today’s changes to the NHS have been called the most radical in the whole of the 60 years that it’s been in existence. In today’s NHS charities and private firms are now involved much more widely, in areas such as mental health and end of life care. Although they do have a much smaller role in hospital setting than they used to have. One of the biggest changes is that doctors now have budgets from which they buy healthcare, it could be from NHS trusts or private sectors, the new scheme is called GP

The NHS has grown to become the world’s largest publicly funded health service system since 1948(Nhs.uk, 2015).There are many issues and disputes in NHS. Nowadays,some people believe that the NHS should be abolished or privatized,because it can solve many issues with NHS.This essay agree that the NHS should not be abolished or privatized.

October 2011- CQC have warns the trust after finding out that the trust has low staffing levels that can have an effect upon the patients at the trust

uth ste So The NHS organisations that put people in Winterbourne View Hospital, the council’s safeguarding staff, the police and the Care Quality Commission should have talked to each other about the problems at Winterbourne View Hospital. It might have helped them to spot there was a big problem sooner. What should be done now?

Concerns at Winterbourne View Hospital first came to light after a charge nurse raised the issues with the hospital in October 2010 and his allegations were passed on to the local authority, South Gloucestershire council, in its capacity as lead safeguarding agency and then relayed to the CQC in December 2010 but nothing was done.

Data can be collected on multiple ways, from the point of medical care and patient satisfaction. The scenario points to pressure ulcers and the use of restraints, in both situations I believe that there was a fundamental lack of knowledge by the staff and disconnect by management.

The Health and Social Care Act 2012 came into force with crucial principles including new structures and arrangements in health care services to safeguard and strengthen the future of NHS and maintain the modernisation plan. In this Act, many new changes has been made to a number of existing Acts, National Health Services Act (NHS 2006), in order to enable health care system to tackle the existing challenges and also avoid any potential crisis in future. It has also introduced the proper allocation of NHS fund and budget, and improved the integrated care between NHS and social care services to promote patients’ choice in terms of delivering quality care.

Since the Mid Staffordshire trust was investigated by Robert Francis in 2009 regarding the lack of care given to the patients; there has been many changes implemented within the NHS to improve the care and safety of the patients. Some of the recent changes include the whistleblowing policy, implementation of the 6 c’s and the CQC. These were all put into place to try and stop any further problems similar to the Staffordshire scandal in the future. All nurses and midwives must be registered to Professional body in order to practice which could be the NMC. Another way to ensure the safety and best care for the patients is to

I believe that I am one of many many people affected by this case (I believe) Otherwise of the bad administration of the NHS due to spending cuts.

In 2000, an effort was made by the UK government to resolve certain inequalities that had developed within the NHS by releasing the “NHS Plan of 2000.” This plan greatly increased spending on employee pay, infrastructure, and access to services. Despite almost doubling spending in a ten year period,

The principal theory of the Health Service Executive is to deliver health and social care which has diminished. Numerous of the participants felt that trust had been gone across all levels. There was a component of micro-managing occurring, primary to a lack of trust amongst executives and their line managers in addition to an uncomfortable viewpoint for all. The overall feeling of the participants remained that the NCRHA had transformed significantly over the past year. Two years ago, individuals had the luxury of extra staff and additional financial resources. Now by way of the national budget, the message was rather clear - ‘do more with less’. In order for this to work, the participants felt that, in order for real change to take place