Dear CHAIN member,
Fiona Campbell, facilitator of CHAIN Quality Improvement sub-group, would like to draw your attention to the following report. Please pass on as appropriate. Thank you.
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Department of Health (DoH): Learning not blaming: response to 3 reports on patient safety
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/445640/Learning_not_blaming_acc.pdf
This report provides the DoH Response to:
1) Morecambe Bay Investigation,
2) Freedom to Speak Up and
3) the Public Administration Select Committee report on clinical incidents
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 right culture from top to bottom.
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Regards,
Wendy Zhou
CHAIN Manager
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