One year on from Francis

Patient safety and quality in the NHS
Date: 

About this event

In 2013 reports from Robert Francis QC, Professor Sir Bruce Keogh and Don Berwick, resulted in recommendations for the NHS on how to improve the quality, safety and experience of care for patients. But one year on how are those recommendations being implemented?

This one-day conference explored the answer to this question and explored the measures NHS organisations are putting in place to improve patient safety and quality.

Highlights from this event

Harry Cayton: Quality of care in the NHS one year on from Francis

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Harry Cayton OBE, Chief Executive of the Professional Standards Authority, gives his assessment on what he describes as the 'patchy' progress being made on four key elements of the Francis Inquiry report.

Listen to Harry's presentation

Jocelyn Cornwell: Can we design empathy into services?

Jocelyn Cornwell

Jocelyn Cornwell, director of the Point of Care Foundation, considers systems-based and design-based approaches, asking how empathy can become a cultural norm in health care systems.

Watch Jocelyn's presentation

Jason Leitch: Lessons from the Scottish Patient Safety Programme

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Jason Leitch, Clinical Director of the Quality Unit, Scottish Government, looks at the approach taken in Scotland with the aim of achieving a system safe, effective and person-centred care.

Watch Jason's presentation

Tweets from the conference

There was a lot of conversation about the topics of the conference on Twitter. Take a look at the Storify that we've put together to catch up on what was being said.

Programme

Session one: After a year of reviews, how are we regulating for quality?

  • Keynote address: One year on
  • Asymmetry of influence: the role of regulators in patient safety Harry Cayton OBE, Chief Executive, Professional Standards Authority
  • Panel session: How is regulation changing in the wake of the Francis report?

Panellists:
Jackie Smith, Chief Executive, Nursing and Midwifery Counci
Niall Dickson, Chief Executive, General Medical Council
Harry Cayton OBE, Chief Executive, Professional Standards Authority

Session two: Honesty really is the best policy

  • The importance of transparency and information to ensure patient safety and quality of care
    Professor Nick Black, Professor of Health Services Research, London School of Hygiene and Tropical Medicine
  • Duty of candour: a new era of openness and honesty
    Peter Walsh, Chief Executive, Action against Medical Accidents (AvMA)
  • Collaborating to drive real improvements in the health system for the benefit of patients: lessons from the Future Hospital Commission
    Suzie Hughes, lay chair, Patient and Carer Involvement Steering Group, Royal College of Physicians
  • How do we stop whistleblowing becoming an employment issue?
    Dr Kim Holt, Consultant Paediatrician, Chair of Patients First and Lead Consultant

Session three: Innovations in the system

  • Scottish Patient Safety Programme: lessons learnt in Scotland
    Professor Jason Leitch, Clinical Director, The Quality Unit, Scottish Government
  • Patient Safety Collaboratives: innovating to tackle the leading causes of harm to patients
    Dr Janet Williamson, Director of Improvement Programmes, NHS Improving Quality
    Dr Mike Durkin, National Director for Patient Safety, NHS England
  • Panel discussion: Ensuring quality and professionalism

Panellists:
Dr Peter Carter, Chief Executive and General Secretary, Royal College of Nursing
Ian Cumming, Chief Executive, Health Education England
Dr Chaand Nagpaul, Chair, General Practitioners Committee, British Medical Association

Session four: Creating a culture of learning and improvement

  • Cultivating a culture of compassion
    Michael West, Professor of Work and Organisational Psychology at Lancaster University Management School, Senior Research Fellow at The Work Foundation, Emeritus Professor at Aston University, and Visiting Fellow, The King’s Fund
  • Small things are big things: can we design empathy into services?
    Jocelyn Cornwell, Director, The Point of Care Foundation, Senior Associate, The King’s Fund and Visiting Professor, Imperial College London
  • Reflections from Patients First 

Speakers

Harry Cayton OBE

Chief Executive, Professional Standards Authority

Harry Cayton OBE is chief executive of the Professional Standards Authority for Health and Social Care, the statutory body which oversees the regulation and registration of health and care professions in the UK. From 2001 to 2007 he was national director for patients & the public at the Department of Health following 20 years in the voluntary sector, latterly as chief executive of the Alzheimer’s Society. He is a member of the World Economic Forum Council on Digital Health, chair of the Commission on Human Medicines, Patient & Public Involvement Advisory Group, a trustee of Comic Relief and advisor to several charities.

Jackie Smith

Chief Executive, Nursing and Midwifery Council

Jackie Smith was appointed the NMC’s chief executive and registrar in October 2012, having been appointed as acting chief executive and registrar in December 2011. Jackie joined the NMC as the director of Fitness to Practise (FtP) in August 2010, driving forward improvements to meet the NMC’s goal of safeguarding the health and wellbeing of the public. Jackie's background is in law and she spent many years working for the Crown Prosecution Service at the Old Bailey and in the Director of Public Prosecutions Office. Jackie has a law degree from Wolverhampton University, qualification in Six Sigma and a diploma in Psychotherapy and Hypnotherapy. Jackie has extensive experience in healthcare regulation, working for the General Medical Council (GMC) for over 10 years as an assistant director and heading up their investigation unit for six years. Jackie sat on the West Midlands Pathfinder Steering Group, and was a member of Revalidation Project Group for the London SHA.

Niall Dickson

Chief Executive and Registrar, General Medical Council

Niall Dickson joined the GMC as chief executive and registrar in January 2010. He leads the senior management team, which is responsible for the day-to-day running of the GMC. Niall joined the GMC from The King's Fund, where he was Chief Executive for six years (2004-2009). He began his career in teaching before taking up posts in national voluntary organisations involved with older people. He was editor of Therapy Weekly for the allied health professions and then of Nursing Times. He moved to the BBC in 1988 as health correspondent, became chief social affairs correspondent and then, in 1995, social affairs editor, focusing mainly on Radio 4's Today programme and the Ten O'clock News on BBC One. Niall is a member of the Department of Health's National Quality Board and End of Life Care Implementation Advisory Board. He is the chairman of the Leeds Castle Foundation. His honorary awards include being a fellow of the Royal College of Physicians and a fellow of the Royal College of General Practitioners.

Professor Nick Black

Professor of Health Services Research, London School of Hygiene and Tropical Medicine

Nick Black's main interests are the use of clinical databases for evaluation and audit of health services, patient-reported outcome measures (PROMs), the relationship between research and policy, and the history of health services. He co-edits the Journal of Health Services Research & Policy, was founding chair of the UK Health Services Research Network and, in 2006, published Walking London's medical history to raise public understanding of health services and health care policy through seven walks through London. Since 2007, he has advised NHS England and the Care Quality Commission on several aspects of quality assessment including avoidable hospital deaths, PROMs and national clinical audits and enquiries. In 2013 he was the first recipient of a new International Career Achievement Award for work on PROMs by the Medical Outcomes Trust, USA.

Peter Walsh

Chief Executive, Action against Medical Accidents (AvMA)

Peter Walsh is chief executive of Action against Medical Accidents ('AvMA') - the independent charity which promotes better patient safety and provides information, advice and support to people affected by a medical accident. He took up his current position in January 2003. Peter has extensive experience of work on patients' rights, advocacy and health policy. Before joining AvMA he was Director of the Association of Community Health Councils for England and Wales. He had been chief officer of the Community Health Council in Croydon where he co-ordinated monitoring of local health services and took part in strategic planning, as well as supporting individuals with complaints about the NHS. Prior to that he worked in the voluntary sector, mainly within Councils for Voluntary Service. This included development work with voluntary and community groups, including work on user involvement, community care planning, and developing advocacy projects for different groups of people. He also has experience of working in the private sector in the advertising and publishing industry. Peter holds a Masters degree in Business Administration ('MBA'), specialising in health service management from the University of Hull and a BA in English from the University of Leicester. Other positions held include: World Health Organisation "Patients for Patient Safety Champion"; Editorial Advisory Board of Clinical Risk journal and senior advisor to Don Berwick in his review of patient safety in the wake of the Mid Staffordshire public inquiry.
 

Suzie Hughes

Chair, Patient and Carer Involvement Steering Group, Royal College of Physicians

Suzie suffers from SLE and Crohns disease and underwent a bilateral hip replacement six years ago. It took over ten years to reach a definitive diagnosis, during which time she had to learn to navigate an ever-changing healthcare landscape. She worked in the NHS for 24 years both in clinical and senior management roles. In 2004, Suzie was appointed as the Improving Working Lives and Organisation Development  lead for a PCT in Leeds and assistant lead at WYSHA. This involved auditing NHS Trusts against the seven Improving Working Lives Standards. These standards are the principles which Suzie continues to believe will drive quality and safety for patients accessing healthcare services. It also involved the service reconfiguration and redesign resulting from the Government NHS reform at that time. She retired from the health service due to ill health in 2006/2007. Suzie wished to put her NHS skills and expert patient knowledge to good use. Within three years she was appointed as chair of the Royal College of Physicians and Patient Carer network. Suzie is also a member of several medical speciality boards, chaired the patient section of the House of Lords Implementation of the Allergy Report and produces the patient and carer network responses to strategic papers and reports such as the Francis Report.
 

Dr Kim Holt

Consultant Paediatrician, Chair of Patients First and Lead Consultant

Kim Holt is a consultant community paediatrician with an interest in child protection and children in care. She became a consultant in 1994 and founded the campaign group Patients First alongside a small group of other NHS Whistleblowers. She campaigns relentlessly for system change to support the essential  culture change. Her ambition is that there will be no need for anyone in the NHS to have to go public on public interest matters again because they will have been resolved in the interests of patients via statutory internal mechanisms. She will present Patients First proposals for an early resolution of patient safety concerns.

Professor Jason Leitch

Clinical Director, The Quality Unit, Scottish Government

Jason has worked for the Scottish Government since 2007 and is now clinical director of the Quality Unit in the Health and Social Care Directorate. He is a member of the Health and Social Care Management Board and one of the senior team responsible for implementation of the NHS Scotland Quality Strategy. Jason is also the medical director of the Tayside Centre for Organisational Effectiveness and an Honorary Professor at the University of Dundee.
Jason was the 2011 HFMA UK Clinician of the Year. He is a non-executive Board member of AQuA in the north east of England. He was a 2005-06 quality improvement fellow at the Institute for Healthcare Improvement, in Boston, sponsored by the Health Foundation. Jason is also a trustee of the UK wing of the Indian Rural Evangelical Fellowship which runs orphanages in southeast India. He has a doctorate from the University of Glasgow, an MPH from Harvard and is a fellow of the Royal College of Surgeons of England, The Royal College of Physicians and Surgeons of Glasgow and the Royal College of Surgeons of Edinburgh. He is also a fellow of the Higher Education Academy.

Dr Janet Williamson

Director of Improvement Programmes, NHS Improving Quality

With over 25 years' experience of managing both clinical and non-clinical services across the NHS, Janet has also been involved in and has led a number of large improvement programmes, including total quality management, business process re-engineering and the Cancer Services Collaborative 'Improvement Partnership'. Janet's previous role was National Director of NHS Improvement, renowned for its experience and expertise in practical service improvement which has redesigned clinical pathways in cancer, diagnostics, heart, lung and stroke.
 

Dr Mike Durkin

National Director for Patient Safety, NHS England

Dr Mike Durkin is the national director of patient safety at NHS England. Prior to joining NHS England, Mike was the medical director of the South of England Strategic Health Authority since 2006. He is the national clinical director for Venous Thrombo-Embolism and leads the national VTE Prevention Programme.
He qualified at The Middlesex Hospital and has held research and teaching appointments in London and Bristol. He was appointed to the faculty at Yale University School of Medicine where he was also an Attending Anaesthesiologist. He was Medical Director of Gloucestershire Royal NHS Trust from 1993 to 2002 where he has a consultant post in Anaesthesia. He was appointed as medical director and director of clinical quality for Avon, Gloucestershire and Wiltshire Strategic Health Authority in 2002.

Dr Peter Carter

Chief Executive and General Secretary, Royal College of Nursing

Dr Peter Carter is chief executive and general secretary of the Royal College of Nursing (RCN). Before assuming that post in 2007, Peter spent almost twelve years as the Chief Executive of the Central and North West London Mental Health NHS Trust. He commenced his NHS career by training as a psychiatric nurse at Hill End Hospital, St Albans. He is also a general nurse, having trained at St Albans City Hospital and the Institute of Urology in London. In addition, he has held a number of clinical and managerial posts in Hertfordshire, Bedfordshire and London. Dr Carter is a graduate and a member of the Chartered Institute of Personnel. He also has a master's degree in business administration and a PhD – both from the University of Birmingham. He was awarded an OBE for services to the NHS in the Queen's 2006 New Year's Honours List.

Ian Cumming

Chief Executive, Health Education England

Ian started his career in the NHS as a biomedical scientist and later worked in research into coagulation disorders at the Haemophilia Centre in Manchester, before moving into general management in the late 1980s. Ian has held a variety of NHS senior management posts, including operating theatre manager at a large teaching hospital and assistant chief executive to the former North West Regional Health Authority, before spending the last 16 years in CEO roles in the NHS. When Ian was first appointed as CEO in 1995, he was the youngest ever chief executive in the NHS. In 2006, after almost 12 years as the CEO of a group of teaching hospitals, Ian was appointed CEO of NHS North Lancashire. From 2009 until 2011, Ian was CEO of NHS West Midlands – one of ten regional Strategic Health Authorities for the NHS in England. On taking up this role Ian also became a member of the national Management Board for the NHS in England. NHS West Midlands looked after the health needs of a population of approximately 5.5million and expended almost £10bn per annum. Ian was previously the National Director of Quality during Transition for the NHS in England.

Dr Chaand Nagpaul

Chair, General Practitioners Committee, British Medical Association

Dr Chaand Nagpaul has been a GP for the past 23 years and is a senior partner in his practice in Stanmore, North London. He has been a member of the General Practitioners Committee (GPC) since 1996, during which he has sat on 11 different committees and chaired two of them. He became a UK Negotiator in 2007 and was elected chairman of GPC in July 2013. He has been a Local Medical Committee (LMC) member for over 20 years and vice-chairman for the past 12. Chaand is a BMA Council member, a member of its Political Board, as well as being Honorary Secretary of his local BMA Division.

Professor Norman Williams

President, Royal College of Surgeons

Consultant colorectal surgeon Professor Norman Williams became College President in July 2011. He is Professor of Surgery and Director of Innovation at the Academic Surgical Unit of Barts and The London, Queen Mary’s School of Medicine and Dentistry and National Centre for Bowel Research and Surgical Innovation. His main clinical interests are sphincter preservation and reconstructive surgery, and his scientific interests are concentrated on GI motility and anorectal physiology.

Professor Williams was elected as a Council Member and Trustee of the College in 2005; chaired the Research and Academic Board and the Invited Review Mechanism; and was Lead for the National Fellowship Scheme. Prior to being elected as College President, he was President of the Society of Academic & Research Surgery and President of the Ileostomy & Internal Pouch Support Group, the national patient charity. Professor Williams has also been Chairman of the UKCCCR committee on Colorectal Cancer, President of European Digestive Surgery, President of The International Surgical Group and Vice Chairman of The British Journal of Surgery.

Professor Williams is joint editor of Bailey and Love’s Short Practice of Surgery, co-author of Surgery of the Anus, Rectum and Colon, and is a founding trustee and Chairman of Bowel & Cancer Research. He was a Fulbright Scholar (1980-2), and was awarded the Patey Prize of the SRS (1978), the Moynihan Travelling Fellowship (1985), the Society of Authors Prize (Jointly 1995), the Nessim Habif Prize, University of Geneva (1995), the Galen Medal of the Worshipful Company of Apothecaries (2003) and the Cutler’s Surgical Prize (2011). He is a Fellow of the Academy of Medical Sciences and the Royal College of Physicians, and is an Honorary Fellow of The American Surgical Association, the German Society of General and Visceral Surgery, the American Society of Colon and Rectal Surgeons, the Brazilian College of Surgeons and the Society of General Surgeons of Peru. In 2011 he gave the prestigious Hunterian Oration at the College, and in 2013 he became an Honorary Fellow of the American College of Surgery.

Michael West

Professor of Work and Organisational Psychology at Lancaster University Management School, Senior Research Fellow at The Work Foundation, Emeritus Professor at Aston University, and Visiting Fellow, The King’s Fund

Jocelyn Cornwell

Director, The Point of Care Foundation, Senior Associate, The King’s Fund and Visiting Professor, Imperial College London