Published on March 11, 2014
After the Francis Report Improving quality of care in mental health services Sophie Corlett External Relations Director, Mind mind.org.uk
Hard Truths ‘Whilst this poor care was in a hospital, poor care can occur anywhere across the health and social care system.’ Hard Truths – the Government’s response to the Mid Staffs Inquiry, 2014
‘Patient safety problems exist throughout the NHS as with every other health care system in the world’ A promise to learn – a commitment to act, Don Berwick’s report, 2013
‘An engrained culture of tolerance of poor standards’ • Premature mortality of people with severe mental health problems • Only 25% people receive any treatment • Absence of waiting time targets, choice and measures in mental health • Routine failure to provide NICE recommended treatments
‘Slowness of the board to inject the necessary funds’ • Funding formulas! • People can’t access services even in a crisis • Unstaffed or absent PoS suites • Waiting for AMHPs • Waiting for talking treatments • Waiting for discharge
‘A failure to put the patient first in everything that is done’ • 7,700 people ended up in police cells under s136 in 2012/13, including 41 young people • 350 children, one as young as 12, on adult wards in 2013/14 and others sent far from home • More than ¾ wards CQC visited in 2012/13 had blanket restrictions even for non-detained service users • High levels of restraint and seclusion
‘No culture of listening to patients’ • People turned away when they say they are approaching crisis • A quarter of care plans reviewed by CQC in 2012/13 showed no evidence of patient involvement, and almost a quarter no evidence of views being taken into account – no improvement on 2011/12 • Not feeling safe to complain
‘what’s the point of complaining? They don’t believe you and you know you’ll see them [staff] again the next day. It’s not worth it.’
‘We the undersigned make the following commitments…’ Hard Truths – the Government’s response to the Mid Staffs Inquiry, 2014
‘We will put patients first, not the interests of our organisations or the system’ • Funding structures – NHS England’s mandate should be evidenced in strategic and financial decisions • CCG commissioning should focus on patient need • Blanket restrictions
‘we will listen most carefully to those whose voices are weakest’ • Detained patients • Those who are effectively detained • Those who are restrained or face other restrictive practices
‘We will work together, collaborating on behalf of patients’ • Crisis Care Concordat – local declarations • Liaison services • People with multiple needs
‘We will seek out and act on feedback, both positive and negative’
Thank you Visit www.mind.org.uk firstname.lastname@example.org
1. After the Francis Report Improving quality of care in mental health services Sophie Corlett External Relations Director, Mind mind.org.uk . 2.
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