The document summarizes the findings and initial response to the Francis Report, which investigated failings at the Mid Staffordshire NHS Foundation Trust. The report found that patients' and families' concerns were not adequately addressed, warning signs were missed, and information was not shared or acted upon. In response, the government committed to prioritizing patients, appointed reviews and new roles, and launched regional response events. Next steps included publishing additional reports and reviews, and having trusts discuss responses. The final section outlines priorities around sharing patient stories, involving patients in service development, supporting patients and staff after incidents, improving staff well-being, and connecting organizations.

1. Responding to the Francis Report:
Overview for IESD Event
Francis Implementation Team
Department of Health
August 2013 DH – Leading the nation’s health and
care

2. 2
DH – Leading the nation’s health and care
The Inquiry findings - what went wrong?
• Patients and families were not listened to
• Multiple warning signs not spotted or acted on
• Information not shared and inadequate action taken
“The system failed in its most essential duty, to
protect patients.”

3. 3
DH – Leading the nation’s health and care
The Inquiry findings – key themes

4. 4 DH – Leading the nation’s health and care
The initial response: collective commitment

5. 5 DH – Leading the nation’s health and care
The initial response: key early priorities

6. 6 DH – Leading the nation’s health and care
Next steps
Patients First
and Foremost
published
Funding for
Schwartz
Rounds
CI role in primary
care announced
CI of
Hospitals
appointed
Camilla
Cavendish
Review reports
CQC
12 week
consultation
Francis Response
Regional Events
Care Bill
Francis
Response
update
Clywd/Hart Complaints Review and
Berwick Safety Reviews report
Review of
Bureaucratic
Burdens
Trusts complete their
own discussions and
report
Bruce Keogh
Review reports
Berwick Review
of Safety Reports

7. 7 DH – Leading the nation’s health and care
IESD – Theme 5 – Delivering Safe and Compassionate Care
Proposals that promote and bring to life the vision of safe and compassionate care along the
patient pathway particularly for vulnerable older people, people with learning disabilities, children
and young people with complex needs and those experiencing mental health issues.
Priorities:
1.Develop novel ways to share patient stories and consider feedback and complaints as a means
to inspire and motivate staff;
2.Develop innovative approaches to involving patients, carers, service users and the community
voice into the way that services as developed, run and improved;
3.Develop and promote approaches to restorative redress for patients following an untoward
incident, for example, approaches to support patients and their families in the event of a failing in
care;
4.Develop local innovative approaches to improving staff emotional health and well-being
including building resilience without diminishing compassion;
5.Develop capability within health and care organisations to connect with other organisations and
local people in ways that offer challenge, learning opportunities and benefits for staff motivation
and well-being