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首页> 外文期刊>BMJ: British medical journal >After Francis, what next for the NHS?
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After Francis, what next for the NHS?

机译：弗朗西斯后,英国国民健康保险制度下什么?

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What are the main points that people should take away from Robert Francis's report into Mid Staffs? That was the question with which BMJ editor in chief Fiona Godlee, chairing the session, began discussions with the panel of experts, whom she said were there to help consider what was likely to and should happen to the NHS after Francis. Julie Moore, chief executive of University Hospital Birmingham and chair of the Shelford Group, made up of leading academic teaching hospitals, said: "I think one of the things that the Francis report pointed to is how many people are currently involved in monitoring, overseeing, and regulating quality-and I think one of the key points was to simplify that." Bruce Keogh, medical director of NHS England, formerly the NHS Commissioning Board, said quality should start within an organisation itself, adding: "We've got an NHS that employs 1.4 million people, and each and every one of those people has a contribution to make. "Every professional that has to deal with patients sets the tone for quality of that organisation, and the role of the organisation is to set an environment which encourages appropriate behaviour in that encounter and supports it. "Frankly, if that worked, you wouldn't need a regulator for quality. It would be ingrained in the system. I get worried that whenever something goes wrong we blame the regulator. The blame is placed very high up in the system when actually the problems are deep in an organisation if there are issues of quality. They are often simply down to a tiny handful of individuals who cast a long shadow over that organisation." Sam Barrell, chief executive officer of the clinical commissioning group in Torbay and a general practitioner, said the main point she took from the Francis report was that listening to patients mattered: "I think there has been a danger in the past where people have said things and people have been complacent and said, well, that's normal for the NHS. I think it has almost normalised patient complaints to saying they don't count as much as they should.
机译：应采取的主要观点是什么人从罗伯特·弗朗西斯的中期报告员工?主编菲奥娜Godlee主持会话,开始小组讨论专家,她说有帮助考虑可能而且应该发生什么英国国民健康保险制度后,弗朗西斯。伯明翰大学医院的执行椅子Shelford集团的主要组成教学医院,说:“我认为一个弗朗西斯的报告指出目前有多少人参与监测、监督和管理质量和我想要点之一就是简化。”英国国民健康保险制度,以前NHS调试董事会说,质量应该开始在一个组织本身,并补充道:“我们有一个NHS雇佣了140万人,每每一个人都有贡献制作。病人质量定下基调组织和组织的作用设置一个鼓励的环境遇到和适当的行为支持它。不需要质量的监管机构。系统中是根深蒂固的。每当出现问题我们指责监管机构。系统在实际深入的问题一个组织如果有质量的问题。他们通常只是一小撮的个人在投下长长的影子组织。”官的临床调试小组托贝和全科医生,主要说她从弗朗西斯报告听患者重要的:“我认为过去是一个危险的地方,在那里人们可以吗事物和人自满和说说,这是正常的NHS。几乎已经正常化病人投诉说他们不算是他们应该。

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