1 February 2018

Changes in board leadership and governance in acute hospitals since Francis

Responses to Francis: changes in board leadership and governance in acute hospitals in England since 2013
Health Services Management Centre, University of Birmingham, 1 February 2018
  • The Francis Inquiry concluded that the board at Mid Staffs Hospital had failed in its duty to monitor, understand, and respond to warning signs about poor care. This report sets out findings from a national survey of all NHS hospital board members in England, and case study research in six hospital trusts into changes in Board leadership and governance.
  • The research found that many trusts had revised their policies on handling and responding to complaints, and on the investigation, reporting and learning from incidents. Likewise, many had developed new and enhanced approaches to staff engagement, ‘speaking up’ (or whistle-blowing), something that we know from prior research is linked with a healthy hospital culture likely to enable safer and higher quality care.