Where next for Francis?

摘要

"WE ALL know deep down that there's a little bit of Mid Staffs in every trust." A senior pharmacist told The Journal this at a Royal Pharmaceutical Society event this week. It is a bold statement — uncomfortable, stomach-turning and most likely true. It is tempting to seek to distance yourself from the Mid Staffs mess — to claim that that kind of catastrophic neglect could not possibly happen in your patch. Mid Staffs is an extreme case that highlights how wrongly things can go when organisational culture is fundamentally flawed and cash trumps care. But, painful as it might be, clinicians and managers should get as close as they can to QC Robert Francis's report.