Learning not blaming: response to 3 reports on patient safety
Response to: Morecambe Bay Investigation, Freedom to Speak Up and the Public Administration Select Committee report on clinical incidents.
Learning not blaming: The government response to Freedom to Speak Up, the Public Administration Select Committee report on clinical incidents, and the Morecambe Bay Investigation
Ref: ISBN 9781474123723, Cm 9113 PDF, 1.54MB, 103 pages
Equality analysis: implementation of the measures proposed in the consultation response on the report of the Freedom to Speak Up review
PDF, 214KB, 29 pages
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‘Learning not blaming’ sets out the government’s position on:
- the Freedom to Speak Up review by Sir Robert Francis QC: we are improving the incentives for staff to speak out against poor quality care in the NHS
- the Public Administration Select Committee report ‘Investigating clinical incidents in the NHS’: we are setting up an independent agency to investigate patient safety incidents
- Dr Bill Kirkup’s independent report on the Morecambe Bay Investigation: we are modernising the supervision of midwifery
The 3 reports cover distinct areas, and the government response addresses the points and recommendations raised in each report. There are some themes common to each report, including the importance of:
- openness, honesty and candour
- listening to patients, families and staff
- finding and facing the truth
- learning from errors and failures in care
- people and professionalism
The equality analysis assesses how the measures set out in response to the Freedom to Speak Up review affect equality.
Published: 16 July 2015
From: Department of Health