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IMPROVEMENT THROUGH INVESTIGATION
Save the Children meeting
Themes & lessons learnt from NHS investigations
into matters relating to Jimmy Savile
Ed Marsden, managing partner
9 May 2016
IMPROVEMENT THROUGH INVESTIGATION 3
October 2012
IMPROVEMENT THROUGH INVESTIGATION 4
• Tell you about what the NHS has learnt from the
Savile story
• Discuss the value of independent investigation
Aim
IMPROVEMENT THROUGH INVESTIGATION 5
• Savile and the NHS
• Factors relevant today & lessons learnt
• When & why to commission an independent
investigation
Objectives
IMPROVEMENT THROUGH INVESTIGATION 6
• Regulated & public-facing organisations
• Compliance
• Four services – investigations, consultancy,
diagnostics, training
• Four sectors – health, business to government,
charities, education
Verita – what do we do & for whom?
IMPROVEMENT THROUGH INVESTIGATION 7
• Volunteer for 50 years
• Long-standing relationships with three hospitals
• Celebrity & fundraising – influence, status & control
• JS at his zenith at Stoke Mandeville in 1980s
• NED & head of task force at Broadmoor
• Access, influence & power allowed abuse on a grand
scale
• First offence in 1962 and last in 2009
• Abuse at 34 other hospitals
Savile & the NHS
IMPROVEMENT THROUGH INVESTIGATION 8
• Those intent on abuse will try to access hospitals
• Hospitals are attractive environments to abusers e.g.
Bradbury
• Continuing weakness for celebrity/people in positions
of power
• Challenging those in authority is not easy
Matters relevant to NHS today
IMPROVEMENT THROUGH INVESTIGATION 9
• Rules & procedures – access, safeguarding, use of
social media
• Focus on how abuse/inappropriate behaviour is aired
• Proper investigation of allegations
• Proper management of volunteers, celebrities & VIPs
• Proper & robust management of
fundraising/fundraisers
What the NHS needs to meet challenges
IMPROVEMENT THROUGH INVESTIGATION 10
1. Security & access arrangements
2. Safeguarding
3. Management of volunteers
4. Charity governance
Specific issues for NHS
IMPROVEMENT THROUGH INVESTIGATION 11
• Evidence-based review with details gathered from a
wide range of sources
• External, impartial investigators
• Objective findings
• Lack of pressure from commissioners
• Ad hoc & private (usually)
What is an independent investigation?
IMPROVEMENT THROUGH INVESTIGATION 12
What are the triggers?
• Severity of the outcome
• The law
• Degree of public interest
• Capacity and capability
of an organisation to
investigate itself
• Views of families or the
public
• Likely scrutiny of
outcome
• An organisation’s own
policy
• Moral obligation ‘right
thing to do’
IMPROVEMENT THROUGH INVESTIGATION 13
What are the benefits and risks?
“The problem with free
elections is that you can’t
predict the outcome.”
IMPROVEMENT THROUGH INVESTIGATION 14
Benefits
• A thorough and persuasive investigation that sheds
light on a complex matter
• A full and truthful exposition of facts
• Relatives, victims and staff feel engaged and heard
• SMART recommendations to support improvement
and change
• An independent account that can be published
• Relatives and families given a truthful and unbiased
account
IMPROVEMENT THROUGH INVESTIGATION 15
Risks
• The investigation
report doesn’t
convince
• The investigation is
procedurally unsound
• The outcome comes
as a surprise
IMPROVEMENT THROUGH INVESTIGATION 16
• The lessons of Savile are relevant to organisations
today – particularly in the light of IICSA (Goddard)
• Independent investigation has its place – get advice if
you plan to commission one
Summary
IMPROVEMENT THROUGH INVESTIGATION 17
• Take the recommendations of Savile and see how
they apply to your organisation
• Run your eye over the IICSA safeguarding checklist
Action
IMPROVEMENT THROUGH INVESTIGATION 18
IMPROVEMENT THROUGH INVESTIGATION 19
Themes & lessons learnt from NHS investigations into matters relating to Jimmy Savile.

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Themes & lessons learnt from NHS investigations into matters relating to Jimmy Savile.

  • 1.
  • 2. IMPROVEMENT THROUGH INVESTIGATION Save the Children meeting Themes & lessons learnt from NHS investigations into matters relating to Jimmy Savile Ed Marsden, managing partner 9 May 2016
  • 4. IMPROVEMENT THROUGH INVESTIGATION 4 • Tell you about what the NHS has learnt from the Savile story • Discuss the value of independent investigation Aim
  • 5. IMPROVEMENT THROUGH INVESTIGATION 5 • Savile and the NHS • Factors relevant today & lessons learnt • When & why to commission an independent investigation Objectives
  • 6. IMPROVEMENT THROUGH INVESTIGATION 6 • Regulated & public-facing organisations • Compliance • Four services – investigations, consultancy, diagnostics, training • Four sectors – health, business to government, charities, education Verita – what do we do & for whom?
  • 7. IMPROVEMENT THROUGH INVESTIGATION 7 • Volunteer for 50 years • Long-standing relationships with three hospitals • Celebrity & fundraising – influence, status & control • JS at his zenith at Stoke Mandeville in 1980s • NED & head of task force at Broadmoor • Access, influence & power allowed abuse on a grand scale • First offence in 1962 and last in 2009 • Abuse at 34 other hospitals Savile & the NHS
  • 8. IMPROVEMENT THROUGH INVESTIGATION 8 • Those intent on abuse will try to access hospitals • Hospitals are attractive environments to abusers e.g. Bradbury • Continuing weakness for celebrity/people in positions of power • Challenging those in authority is not easy Matters relevant to NHS today
  • 9. IMPROVEMENT THROUGH INVESTIGATION 9 • Rules & procedures – access, safeguarding, use of social media • Focus on how abuse/inappropriate behaviour is aired • Proper investigation of allegations • Proper management of volunteers, celebrities & VIPs • Proper & robust management of fundraising/fundraisers What the NHS needs to meet challenges
  • 10. IMPROVEMENT THROUGH INVESTIGATION 10 1. Security & access arrangements 2. Safeguarding 3. Management of volunteers 4. Charity governance Specific issues for NHS
  • 11. IMPROVEMENT THROUGH INVESTIGATION 11 • Evidence-based review with details gathered from a wide range of sources • External, impartial investigators • Objective findings • Lack of pressure from commissioners • Ad hoc & private (usually) What is an independent investigation?
  • 12. IMPROVEMENT THROUGH INVESTIGATION 12 What are the triggers? • Severity of the outcome • The law • Degree of public interest • Capacity and capability of an organisation to investigate itself • Views of families or the public • Likely scrutiny of outcome • An organisation’s own policy • Moral obligation ‘right thing to do’
  • 13. IMPROVEMENT THROUGH INVESTIGATION 13 What are the benefits and risks? “The problem with free elections is that you can’t predict the outcome.”
  • 14. IMPROVEMENT THROUGH INVESTIGATION 14 Benefits • A thorough and persuasive investigation that sheds light on a complex matter • A full and truthful exposition of facts • Relatives, victims and staff feel engaged and heard • SMART recommendations to support improvement and change • An independent account that can be published • Relatives and families given a truthful and unbiased account
  • 15. IMPROVEMENT THROUGH INVESTIGATION 15 Risks • The investigation report doesn’t convince • The investigation is procedurally unsound • The outcome comes as a surprise
  • 16. IMPROVEMENT THROUGH INVESTIGATION 16 • The lessons of Savile are relevant to organisations today – particularly in the light of IICSA (Goddard) • Independent investigation has its place – get advice if you plan to commission one Summary
  • 17. IMPROVEMENT THROUGH INVESTIGATION 17 • Take the recommendations of Savile and see how they apply to your organisation • Run your eye over the IICSA safeguarding checklist Action