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NEWS
Duty of candour guidelines put ‘honesty’ at heart of healthcare
Doctors, nurses and midwives have been told to be ‘open’ and ‘honest’
about mistakes with
their patients under major new guidance developed in the wake of Mid Staffs.
The draft guidance is being
consulted on until January and would be implemented from March 2015. It was developed by the General Medical Council (GMC) and the Nursing and Midwifery Council (NMC), setting out a common standard for doctors, nurses and midwives when they deal with things that go wrong in patient care. The proposals cover the need to learn
from ‘near misses’ and patient harm, with specific advice on apologising to patients and those close to them.
GMC chief executive Niall Dickson said: “It will only be of any use if it makes sense in day- to-day practice and that is why we are now going to consult with patients and with doctors, nurses and midwives who deal with these issues on the clinical front line.”
Jackie Smith, the NMC’s chief executive, said: “The duty of candour
will enhance protection as it
open and constructive learning environment. This in turn will support healthcare professionals who wish to raise concerns.”
Health secretary Jeremy Hunt said the guidance “will complement the statutory duty of candour on organisations and help make the NHS safer than ever before”.
public will nurture an
BMA council chair Dr Mark Porter said apologising for mistakes is one of doctors’ key professional duties, but added: “Any suggestion of an enforced apology where there is a dispute over where fault inappropriate.”
lies would be Poll finds ‘overwhelming’ public support for NHS staff pay rise
As NHE went to press, a second round of NHS strikes were scheduled for 24 November –
with a new poll showing
“overwhelming” support for the pay rise unions are battling for.
The ComRes poll, commissioned by the Royal College of Midwives, found that 82% of the public believe that NHS staff should receive the 1% pay rise recommended by the independent pay review body.
During the last strike Jeremy
Hunt said that the NHS couldn’t afford a 1% pay rise alongside incremental increases, saying it would cost 14,000 frontline jobs over two years.
Royal College of Midwives chief executive Cathy Warwick said: “Midwives
are not asking
As NHE previously reported, the action planned by unions for 24 November is set to be even more disruptive than October’s, when hospital clinics had to be postponed, antenatal classes cancelled, operations called
off for
banker-style bonuses. This 1% would still see their pay lagging significantly behind the rising cost of living. This also comes on the back of two years of pay freezes and way below inflation pay wards.”
and military personnel drafted in to drive ambulances due to a lack of staff.
Four new unions will join the six who took part last month for a four-hour walkout on the Monday, followed by all staff working-to- rule for the rest of the week.
No extra cash for primary care co-commissioning or delegated
CCGs will get no extra funding to take on primary care co- commissioning, a new report from NHS England has revealed.
The ‘Next steps towards primary care co-commissioning’ document says “there is no possibility of additional administrative
deployed on these services
resources being at
this time due to running cost constraints” – but this will be reviewed after 2015-16.
The report, developed to give CCGs the opportunity to choose afresh the co-commissioning model they wish to assume, outlines that “pragmatic” and
“flexible” local solutions will need to be agreed by CCGs and area teams to put in place arrangements that will work locally for 2015-16.
Three models of primary care co-commissioning have been put
forward by NHS England:
greater involvement in primary care decision-making; joint commissioning arrangements; and delegated commissioning arrangements.
The latter arrangement will produce the major challenges. CCGs that take on delegated commissioning responsibilities will need “access to a fair share
4 | national health executive Nov/Dec 14
If supported by clear strategies, CCGs in delegated arrangements will have flexibility to ‘top up’ their primary care allocation with funds from their main CCG allocation.
A strengthened national framework for conflicts of interest in primary care co-commissioning will be published as statutory guidance in December 2014.
of a local area team’s primary care commissioning staff resources to deliver their responsibilities”, NHE England said – but the area teams will have to retain a fair share of existing resources to deliver all their ongoing primary care commissioning responsibilities.
CCGs seeking to assume joint commissioning responsibilities
have separate
approvals processes, but both involve submitting forms by January 2015, with proposals implemented from April 2015. No process
is necessary for
those who simply want more involvement in primary care decision-making.
© Andrew Matthews - PA wire
© Addison Berry
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