The first inquiry into Mid Staffordshire NHS Foundation Trust catalogued extensive examples of neglectful care and appalling patient experiences. Stories of people being ignored, dehydrated, abused were visible signs of an organisation that had forgotten basic principles of care and at worst, wilfully put organisational considerations ahead of patients. Many, if not most, of the patients involved were older people.
The second inquiry reported in February and included 290 recommendations
that could help to avoid the same situation arising again, not just in Staffordshire, but throughout the NHS. You can see what we said about it in our blog.
The government yesterday gave its response to the report in a paper titled Patients first and foremost, and there’s much to be positive about in what it says.
What happened in the Mid-Staffordshire Foundation Trust was a truly sickening and extreme example of when training, professionalism, management, and structures all individually and collectively failed very vulnerable frail patients.
Few in the health sector could claim that Mid-Staffordshire Foundation Trust was an isolated case. Most of us have heard accounts of similar failures in care in our local hospitals or care homes, some relating to individual wards, others more widespread.
Today is a watershed moment for the NHS: 31 months after the Francis report was commissioned the final report was published on the 6th February. The report makes 290 recommendations on how to improve the system and we must once and for all take this opportunity to make the deep and lasting changes that are required. A ‘sticking plaster solution’ is not going to be acceptable and will certainly not be enough to reassure millions of older people and their families. Continue reading “Mid Staffordshire Inquiry Announcement”
The first of February marked Dignity Action Day, an annual opportunity for health and social care professionals and members of the public to raise awareness of people’s rights to dignity. There are over 40,000 Dignity Champions across the country who believe care services should be compassionate and person-centred. The Champions pledge to challenge poor care and act as good role models. Dignity Action Day, organised by the Dignity in Care Network, is a time where local communities can come together to hold events and activities that promote and celebrate dignity.
Many organisations around the country marked Dignity in Action day. Just one example is Islington Age UK. Andy Murphy CEO of Age UK Islington was one of the judges for Islington Council’s Care Worker Award. The Care Worker Award recognises and showcases the work of formal care staff and contractors who provide a dignified service to residents. 18 finalists were nominated by Care Managers from across Islington with the winner announced on Dignity Action Day. Continue reading “Dignity in Action Day 2013”
There has been a great deal of press interest recently in the Liverpool Care Pathway for the dying patient (LCP). It has been described in more colourful language, which I will return to later, but I should start out by explaining what it is – and just as importantly what it isn’t.
The LCP was developed in the late 1990s by a hospital in Liverpool and a local Marie Curie hospice. The aim was to bring high-quality hospice care for cancer patients to hospital settings. Later, this was expanded to non-cancer patients and has been adopted by a large number of hospitals throughout the NHS and other countries.
Why was (and is) this necessary? Modern hospice care emerged in the 1960s out of a desire to improve the experience of dying for terminally-ill patients. Hospitals are traditionally very good at delivering curative care, but do less well at caring for people whose greatest need is to be as pain-free and as comfortable as possible, and to have the reassurance that their families are supported to prepare and come to terms with a loved-one passing away.
The reality today is that the majority of people are in hospital when they die. Though the circumstances may vary – for example they may have been recently admitted as an emergency, or they were being treated for an illness that they may not recover from – past reports have shown that poor experiences can be very similar.
Today Age UK along with the NHS Confederation and LGA is hosting an action event on improving dignity in care for older people. The day will give practitioners, commissioners and service representatives from across the health and social care sector a chance to get further involved in ensuring the delivery of dignified care.
Discussions today will help us to ensure that the long-term action plan we are developing with our partners at the NHS Confederation and the Local Government Association is informed by those commissioning, providing or receiving care. This plan will focus on working with our members and partners across health and social care to support delivery of the Commission’s recommendations.
The event will include a keynote speech from Sally Brearley, Chair of the Nursing and Care Quality Forum in the Department of Health. There will also be an overview of the Commission’s recommendations on improving dignity for older people in hospitals and care homes, this will provide opportunities to comment on how the Commissioners believe these now can be implemented. Continue reading “Action event on improving dignity in care for older people”