Scandal hospital report to urge fines for failure

THE NHS needs a “change of culture”, the Health Secretary has claimed ahead of the conclusion of an inquiry into serious failings at a scandal-hit hospital which is expected to call for wide-ranging reforms of the health service.

The £11m review of what went wrong at Stafford Hospital between January 2005 and March 2009 will suggest hospitals that cover up mistakes by doctors and poor treatment of patients should face fines and possible closure, reports claimed yesterday.

The inquiry, led by Robert Francis QC, is due to report back this month.

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Health Secretary Jeremy Hunt, writing in a national newspaper, said the NHS needed a “change of culture”.

Patients must never be treated as numbers but as human beings, indeed human beings at their frailest and most vulnerable,” he added. “A culture of targets and performance management defined the NHS under Labour – with the unintended and tragic consequence that organisations cared more about meeting top down targets than focusing on the needs of patients.”

The reports said the inquiry will set out recommendations including a “duty of candour” that would see fines or the threat of closure used against hospitals that fail to tell patients their treatment went wrong; greater regulation of management; a reform of training for nurses and healthcare assistants, and stronger patient representative bodies.

It was commissioned in 2010 after a highly-critical report by the Healthcare Commission the previous year revealed a catalogue of failings at Mid Staffordshire NHS Foundation Trust and said “appalling standards” put patients at risk.

Between 400 and 1,200 more people died than would have been expected in a three-year period from 2005 to 2008, the commission said.