We've come a long way since Graham Pink raised concerns about safety at Stockport in 1990, but have we come far enough? Pink wasn't the first or the last nurse to do so and the importance of identifying poor practice has been raised recently by Sir Robert Francis QC in his two reports on Mid Staffordshire and in his most recent review, Freedom to Speak Up. The 2014 NHS Staff Survey includes a new question on this issue. Nationally, 68% of staff said that they felt secure raising concerns about unsafe clinical practice, leaving one-third who presumably do not. Despite this, 94% said that the last time they witnessed an error, near miss or incident, they or a colleague reported it. So why do we still have safety failures?
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