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Health Commitee Report highlights shortfalls of NHS complaints procedure
News - Medical News
Friday, 03 July 2009 16:25

Health Committee Report highlights shortfalls of NHS complaints procedure

A new report by the House of Commons Health Committee has thrown doubts on the effectiveness of safety procedures introduced into the NHS since 2000 – and highlighted the fact that patients and families may still need to take legal action against the NHS when patients are harmed.

The report points out that, although the NHS in England has contact with around 1 million patients every 36 hours, very few of them are harmed.

It also says that, in most instances in which patients are harmed, it is as a result of ‘normally competent clinicians working in inadequate systems’, rather than patients being deliberately harmed or harmed through negligence or ‘serious incompetence’.

However the report acknowledges that in some ‘notorious’ cases of breaches of patient safety deliberate harm was cause – and in other cases, there were failings on the part of an individual healthcare worker, as in the case of heart surgery carried out on babies at Bristol Royal Infirmary in the 1980s and 1990s.

The report says that, despite ‘significant attempts’ to improve patient safety since 2000 – which involved moving away from an individual ‘blame culture’ in the NHS to removing ‘error-provoking aspects of care-delivery systems’ – concerns have been raised by Lord Darzi’s reports on quality and safety in care in 2007 and 2008 that ‘insufficient progress has been made in making NHS services safer’.

Lack of training in how to communicate with patients was highlighted in the report – as well as patients experiencing difficulty in navigating the NHS complaints system. The delay in introducing the NHS Redress Scheme (2006) was also highlighted.

‘Many harmed patients and their families or carers are obliged to bring clinical negligence cases to obtain financial compensation and redress from the NHS and, in some cases, to obtain full information, an explanation and an apology.’

The report concluded that such actions tended to encourage NHS organisations to be ‘defensive towards harmed patients and their families or carers’, while inhibiting the development of a culture of safety in the NHS.

The report urged the government to introduce the NHS Redress Scheme, although welcomed the new NHS Litigation Authority guidance on giving apologies and explanations.

It also called for harmed patients, their families and carers to receive ‘honest information, a full explanation, an unequivocal apology and an undertaking that the harm done will not be repeated’.

© 5r1 Limited, 2009

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