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Posts Tagged ‘Francis Report’

The End of Mark Moore’s Public Value?

Reading previous posts on this blog, it will be obvious that a great deal of time has been spent responding the concept of “Public Value”, developed by Moore (1995) and subsequently in different directions, both within Moore’s work e.g. Benington and Moore 2011 and Moore 2013 and by others including Meynhardt and Bozeman, reflecting an interest in the term in Germany and Europe. In the UK, from its high point in the mid 2000’s e.g. its use by the BBC in 2004 and the setting up of the Institute for Public Service Value by Accenture in 2006, the concept has been seen less regularly in public discourse where it was not used by the political parties in the recent General Election in the UK, for example. This disappearance from public discourse seems to follow the sidelining of the discussions, initiated by Moore, which focused on the purpose and values of public services and the pivotal role of senior staff in those services in defining those purposes. (more…)

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9 Key Findings in the Executive Summary

In February 2013 the final report of the public inquiry into the management and poor practices within the Mid-Staffordshire Health Trust was published; consisting of an Executive Summary and three volumes of more than 1000 pages. The reason for the size of this report was the intense public and political interest into the way in which the operations of a public body, the healthcare trust, had failed to promote patient care and had seemed to create a climate where abuse and neglect of patients, particularly the elderly, was commonplace under a management that was more focused on financial performance and the status of the organisation than supporting and sustaining a culture of professional care. The background to the setting up of the inquiry can be found here on WikiPedia  and there is a huge range of commentary and resources which can be found by using the search terms “Francis Report” and “Mid Staffordshire Health Authority Inquiry”. One year on from the publication of the report there is much literature on what has changed as a result of the inquiry and now seems a good time to review the main findings and the recommendations of the committee of inquiry from the perspectives being developed in this blog. After this overview the next post will look at “progress” one year on from the publication of the report and how this exemplifies the issues discussed below.

The key to the Francis report was the disconnect between a managerial focus on finance and organisational status and the public expectation of professional and ethical care for all patients. This latter was overlooked, and sometimes suppressed, in an environment focused on organisational efficiency in order to achieve “Foundation Trust” status. Both the nature of this status and the Mid-Staffordshire Trust’s concern to gain this status are well described in the report, and the key issues clearly elucidated in the Executive Summary.

Francis’ 9 key concerns with the running of the Mid-Staffordshire Health Trust are summarised below. (more…)

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