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Birmingham and Solihull Mental health NHS Foundation Trust
Better Together

Our approach to learning from the Francis Report

Our Trust has placed significant emphasis on learning from the Francis report and this has been reflected in a range of ways and through the Trust's Quality Governance processes.

The Trust Board has sought to ensure that in line with the conclusions of the report the recommendations were not used as a ‘tick box’ but that the Board effectively embraces the themes and challenges which the report identifies.

In August 2013, the Board received and reviewed an assurance summary against the key recommendations of the following reports:

• Francis Inquiry: report of the Mid Staffordshire NHS Foundation Trust Public Inquiry (Feb 2013).
• Berwick report: Improving the Safety of Patients in England (Aug 2013)
• Keogh report:  Review into the quality of care and treatment provided by 14 hospital trusts in England: (July 2013)

Following discussion by the Trust Board the assurance summary has been further updated and also reviewed against the Government response to the Francis report (‘Hard Trusts’) at its meeting in December 2013.

The Trust has taken significant steps over the past year to improve against the themes of the Francis report. These include:
• increasing the visibility of Board members  
• developing robust real time feedback systems from service users
• reinforcing requirements for incident reporting and raising concerns
• strengthening the reporting and review of complaints to the Trust Board
• communicating learning from serious incidents
• involving staff as part of the Listening into Action initiative.
In addition the Trust is currently reviewing how it can improve its complaints process and is working on introducing defined minimum staffing levels for all of its inpatient units.

From this meeting the Board has identified three key areas of focus which will be fully reflected in the Trust's Annual Planning process, these relate to:

• ensuring adequate and safe staffing levels
• service user focus
• principles of openness and transparency.

You can read the full and summary versions of the Francis Report by clicking here.