Stafford Hospital scandal
The Stafford Hospital scandal concerns poor care and high mortality rates amongst patients at the Stafford Hospital, Stafford, England, in the late 2000s. The Hospital has now been renamed County Hospital. The hospital was run by the Mid Staffordshire NHS Foundation Trust, and supervised by the West Midlands Strategic Health Authority.
Julie Bailey, whose mother died in the hospital in 2007, started a campaign, called Cure the NHS, to demand changes in the hospital. She was supported by the Staffordshire Newsletter, but the Public and Patient Involvement Forum and the Governors of the Trust were defensive.
The scandal came to national attention because of an investigation by the Healthcare Commission[when?] into the operation of Stafford Hospital in Stafford, England. The commission was first alerted by the "apparently high mortality rates in patients admitted as emergencies". When the Mid Staffordshire NHS Foundation Trust, which is responsible for running the hospital, failed to provide what the commission considered an adequate explanation, a full-scale investigation was carried out between March and October 2008. Released in March 2009, the commission's report severely criticised the Foundation Trust's management and detailed the appalling conditions and inadequacies at the hospital. Many press reports suggested that because of the substandard care between 400 and 1200 more patients died between 2005 and 2008 than would be expected for the type of hospital, though in fact such ‘excess’ death statistics did not appear in the final Healthcare Commission report.
As a result, the trust's chief executive, Martin Yeates, was suspended (with full pay), while its chairman, Toni Brisby, resigned. Both Prime Minister Gordon Brown and Health Secretary Alan Johnson apologised to those who suffered at the hospital. Also in response to the scandal, the mortality rates of all National Health Service hospitals have been made accessible on a website. It later emerged that a “compromise agreement” had been agreed with Martin Yeates whereby he left the NHS with a large sum of money. He did not give evidence at any of the enquiries, apparently because of health problems, but he was appointed to be Chief Executive of Impact Alcohol and Addiction Services in 2012.
Some executives who had been responsible for the trust at the time received promotions within the health service and were loudly criticised. Cynthia Bower, who was from 2006 chief executive of NHS West Midlands, was recruited to run the Care Quality Commission quango. Sir David Nicholson was in charge of the regional health authority responsible for the hospital at the height of the failings between 2005 and 2006.
On 21 July 2009, the Secretary of State for Health, Andrew Burnham, announced a further independent inquiry into care provided by Mid Staffordshire Foundation Trust. The generally critical inquiry report was published on 24 February 2010. The report made 18 local and national recommendations, including that the regulator, Monitor, de-authorise the Foundation Trust.
Compensation payments averaging £11,000 were paid to some of the families involved.
In February 2010, Burnham agreed to a further independent inquiry of the commissioning, supervisory and regulatory bodies for Foundation Trusts.
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In June 2010, the new government announced that a full public inquiry would be held. The inquiry began on 8 November 2010 chaired by Robert Francis QC, who had chaired the fourth inquiry which he had criticised for its narrow remit. The inquiry considered more than a million pages of previous evidence as well as hearing from witnesses. UK expert medical lawyers also offered their assistance to distraught and angry families who waited for proof that lessons had been learned. Many families of the victims felt that crucial questions have been left unanswered.
The final report was published on 6 February 2013, making 290 recommendations. Academics at the University of Oxford and King's College London have criticised its recommendations to legally enforce a new duty of openness, transparency and candour amongst NHS staff, arguing that increasing 'micro-regulation' may produce serious unintended consequences. In their research on the effects of different forms of regulation in healthcare, Fischer and colleagues found rules-based regulation tends to erode values-based self-regulation, producing professional defensiveness and contradictions which undermine, rather than support, good patient care. The role of managers and clinical leaders can be crucial in achieving positive changes in practice, however one danger is that managers may seek simple solutions over evidence - leading them to adopt management techniques that are ineffective or damaging.  The revelations of the abuse at Stafford hospital were widely considered to be deeply shocking by all sections of the mainstream UK press; for example, patients were left in their own urine by nurses, and forced to resort to drinking from flower vases, although it has been acknowledged that the Francis Enquiry did not hear any direct evidence of patients being forced by thirst to drink from flower vases.
Actions against nurses
The Nursing and Midwifery Council (NMC), the UK’s regulator of nurses and midwives, has held hearings about nurses working in the trust following allegations that they were not fit to practise. Acting to protect the public, the NMC has struck off from their register and suspended numerous nurses as a result of these hearings.
This includes two nurses who falsified accident and emergency discharge times, two nurses involved in the death of a diabetic patient and a nurse who physically and verbally abused a dementia patient.
- Sawer, Patrick (22 March 2009). "Staffordshire hospital scandal: the hidden story". Daily Telegraph (London). Retrieved 1 January 2014.
- Investigation into Mid Staffordshire NHS Foundation Trust, Healthcare Commission, March 2009, ISBN 978-1-84562-220-6, retrieved 6 May 2009
- Rebecca Smith (Medical Editor) (18 March 2009). "NHS targets 'may have led to 1,200 deaths' in Mid-Staffordshire". London: The Daily Telegraph. Retrieved 9 November 2010.
- Emily Cook (March 18, 2009). "Stafford hospital scandal: Up to 1,200 may have died over "shocking" patient care". Daily Mirror. Retrieved May 6, 2009.
- Robert Francis QC (24 February 2010), "Volume I, Section G: Mortality statistics", Independent Inquiry into care provided by Mid Staffordshire NHS Foundation Trust January 2005 – March 2009, The Stationery Office, p. 352, ISBN 978-0-10-296439-4, HC375-I, retrieved 9 November 2010,
it has been concluded that it would be unsafe to infer from the figures that there was any particular number or range of numbers of avoidable or unnecessary deaths at the Trust.
- R Bramwell (March 18, 2009). "Gordon Brown says sorry for Stafford Hospital scandal". The Sentinel. Retrieved May 6, 2009.
- Laura Donnelly (2 May 2009). "Death rates victory after Stafford scandal". London: The Daily Telegraph. Retrieved 6 May 2009.
- Dominiczak, Peter (26 March 2013). "Former Mid Staffs chief executive was allegedly 'gagged' at taxpayers' expense". Daily Telegraph (London). Retrieved 22 November 2013.
- "New top job for Martin Yeates after Stafford Hospital scandal". Express and Star. 19 November 2012. Retrieved 22 November 2013.
- Smith, Rebecca (18 March 2009). "Stafford Hospital execs land higly-paid [sic] jobs". The Daily Telegraph (London).
- Wright, Oliver (21 May 2013). "Sir David Nicholson quits: NHS chief steps down in wake of Mid Staffs scandal". Independent (London). Retrieved 22 November 2013.
- Robert Francis QC (24 February 2010). Robert Francis Inquiry report into Mid-Staffordshire NHS Foundation Trust. House of Commons. ISBN 978-0-10-296439-4. Retrieved 24 February 2010.
- "NHS trust pays compensation to victims of 'appalling' patient care". Press Association (London: The Guardian). 31 October 2010. Retrieved 31 October 2010.
- Nick Triggle (9 June 2010). "Public inquiry into scandal-hit Stafford Hospital". London: Daily Telegraph. Retrieved 9 June 2010.
- "Stafford Hospital public inquiry opens". BBC. 8 November 2010. Retrieved 8 November 2010.
- Dixon, Rob (13 January 2013). "Family’s Anger At Being Left Waiting For Proof That Lessons Are Learnt". Sheffield: Irwin Mitchell. Retrieved 10 July 2013.
- Nick Triggle (6 February 2013). "Stafford Hospital: Hiding mistakes 'should be criminal offence'". BBC. Retrieved 9 February 2013.
- Robert Francis QC (6 February 2013). Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry. (Report). House of Commons. ISBN 9780102981476. http://www.midstaffspublicinquiry.com/report. Retrieved 9 February 2013.
- Press Release. "Study on clinical risk controls in the NHS". Said Business School, University of Oxford. Retrieved 22 February 2013.
- Fischer, Michael Daniel; Ferlie, Ewan (1 January 2013). "Resisting hybridisation between modes of clinical risk management: Contradiction, contest, and the production of intractable conflict". Accounting, Organizations and Society 38 (1): 30–49. doi:10.1016/j.aos.2012.11.002.
- McGivern, Gerry; Fischer, Michael Daniel (1 February 2012). "Reactivity and reactions to regulatory transparency in medicine, psychotherapy and counselling". Social Science & Medicine 74 (3): 289–296. doi:10.1016/j.socscimed.2011.09.035. PMID 22104085.
- University of Oxford, Said Business School. "Oxford report on health care managers' limited use of management research". Retrieved 29 May 2013.
- Dopson, Bennett, Fitzgerald, Ferlie, Fischer, Ledger, McCulloch, & McGivern (2013). "Health care managers' access and use of management research". National Institute of Health Research. Retrieved 29 May 2013.
- Sawer, Patrick; Donnelly, Laura (2 October 2011). "Boss of scandal-hit hospital escapes cross-examination". The Daily Telegraph (London).
- "Mr Richard Duffy V The Independent". Press Complaints Commission: Cases. Press Complaints Commission. 2014-01-27. Retrieved 06/11/2014. Check date values in:
- "Stafford nurses struck off over waiting times". BBC News. 25 July 2013.
- "Nurse struck off for Stafford Hospital death". BBC News. 20 September 2013.
- Dixon, Hayley (14 February 2013). "Mid Staffs midwife struck off, but still employed as a carer". The Daily Telegraph (London).
- The Mid Staffordshire NHS Foundation Trust Public Inquiry
- Robert Francis QC (6 February 2013). Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry (Report). House of Commons. ISBN 9780102981476. http://www.midstaffspublicinquiry.com/report. Retrieved 9 February 2013.
- The Mid Staffordshire NHS Foundation Trust Independent Inquiry website
- Robert Francis Inquiry report into Mid-Staffordshire NHS Foundation Trust, ISBN 978-0-10-296439-4
- Mid Staffordshire NHS Foundation Trust website
- "Stafford Hospital inquiry timeline". BBC. 6 February 2013. Retrieved 9 February 2013.