How well is the NHS in England doing at improving openness about quality of care?

  • 12 February 2021
  • THIS report

Contributors

In the late 2000s, sustained shortcomings in the quality of care provided at Stafford Hospital hit the headlines. Reviews, investigations and two judicial inquiries followed, revealing significant issues in the practices, culture and organisation of the hospital. At the heart of these issues were problems of openness: insufficient effort to examine information about quality of care, failure to learn from mistakes, and a preference for self-reassurance over critical scrutiny.

But Stafford wasn’t the only hospital with problems of openness. In the 2010s, the government introduced a wide range of policies designed to support and encourage openness across the English NHS. The Department of Health and Social Care commissioned a multidisciplinary team led by Graham Martin to evaluate how these measures were affecting NHS organisations’ policies, actions and culture around openness.

Read about the study

Read the final report [PDF]

 

Watch our Director of Research, Professor Graham Martin, talk about improving the openness of the NHS at the NHS Providers Governance and Quality Conference 2021:

Licensed under Creative Commons

These symbols show that the contents of this page are published under a Creative Commons licence called CC-BY-NC-ND 4.0.

It means that you’re free to reuse this work. In fact, we encourage it. We want our research to reach people who can help improve quality and safety in healthcare. But we do have a few rules:

  • Make sure you acknowledge The Healthcare Improvement Studies Institute (THIS Institute) as the creator and link back to this webpage.
  • You can’t sell this work for a fee, or use it for any activity that generates revenue without our permission.
  • Please don’t distribute a modified version to others without our permission.

You can read the fine print about the licence on the Creative Commons website. It’s meant to help us keep the integrity of our work and stay true to our values.

But ultimately we want our work to have impact. So if you’ve got a use in mind but you’re not sure it’s allowed, just ask us at enquiries@thisinstititute.cam.ac.uk