2015 Report details for project: Francis & Compassionate Care programme

Project name: Francis & Compassionate Care programme - there is only one report for this project
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Organisation: DOH (D12) - see all reports for this organisation
Report year: 2015 (data is from Sept 2014)
Category: Transformation - see all reports for this category
Description: The programme combines a wide range of measures to: (a) address the specific recommendations of the public inquiry into Mid Staffs NHS Trust (b) respond to patient, public and parliamentary concerns about whether care in the NHS, and to an extent in social care, is sufficiently consistent in the provision of safe, effective, respectful and compassionate care. Drawing on a range of policy instruments, it combines strong national leadership signals with improved institutional and professional regulation; radical transparency on performance; enhanced arrangements for identifying and addressing failure; improved leadership capability focused on safety and compassion; a stronger voice for patients within the care system; support for staff to raise concerns safely; support for staff to manage more effectively the emotional burden of care. In short, to transform the culture of the health and care system generally and to give patients a more reliable expectation and experience of high quality care. As a multi-faceted programme at both national and local levels there is no single measure of success, but rather a broad range of indicators – clinical outcomes, patient experience, staff attitudes, staffing levels, safety incidents, how well led an organisation is, and how likely the staff would be to recommend it to friends and family among others – which combine to give a broad dashboard on quality for individual institutions, care pathways and which combine to give a national picture. Based on the Nuffield study (see http://www.nuffieldtrust.org.uk/ratings-review ), the Ratings regime under development by CQC will be the key instrument for assessing progress against the multiple impacts that the programme is seeking to achieve. While we and CQC have commissioned evaluation and research to understand better the impacts of the programme on its broad and complex aims, it is unlikely that these will provide a simple assessment of success for the programme or a moment at which a classical programme could close down the work as completed.
DCA (RAG): Amber/Red
DCA text: The MPA RAG rating was Amber/Red at Q2 2014. A system of assurance is in place with wider scrutiny of RAG ratings and milestones. This includes a regular agenda item on both the monthly Francis Assurance Board (FAB) and weekly Secretary of State Care Meeting with ALBs. Health Check review: Independent assurance to provide an assessment of the impact of the Francis Initiative to date and recommendations for improvement going forward. This is scheduled for the last week of January 2015. Work is now focusing on the three separate workstreams led by the Quality Improvement Team.  These are: •       Safety – delivery of the SofS's March announcements for patient safety and Hard Truths commitments such as the Sign up to Safety Campaign, Patient Safety Collaborative programme, as well as supporting a longer-term policy framework ensuring alignment of safety policy and initiatives. •       Quality – developing a longer-term policy framework for quality improvement as part of the Strategic Work Plan. •       Francis Assurance – assuring progress against Hard Truths commitments, particularly focused on delivering a One Year On report on 12th February 2015.
Start date: 2013-03-01
End date: 2018-03-01
Schedule text: N/A
Baseline: £2.50m
Forecast: £2.16m
Variance: -13.60%
Variance text: The variance is due to a declared forecast underspend being declared for the programme budget. It was agreed that the underspend would be used for the Freedom To Speak Up review.
Whole Life Cost: £14.55m
WLCost text: Based on a 3 year programme with budget profiles of: (Pre 2014/15) £9.55m + (2014/15) £2.5m + (2015/16) £2.5m = £14.55m
Notes1: DOH NON CAPITAL
Notes2:
Sourcefile: IPA_2015.csv

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