Friday, 1 January 2016

The Mazars report and beyond

A report was "commissioned by NHS England (South) following the death of Connor Sparrowhawk in July 2013 in a unit in Oxford run by Southern Health NHS Foundation Trust."

"The report now recommends further action... in particular that its findings should be shared across England to ensure that deaths are investigated properly..."

"Jeremy Hunt is facing calls for a nationwide inquiry into the deaths of highly vulnerable patients in NHS care after it emerged that just one in seven such fatalities in hospitals in England have been investigated. "

"Data released to the Guardian under freedom of information laws shows that hospitals in England have investigated just 209 of 1,436 deaths of inpatients with learning disabilities since 2011..."

"The data appears to show that recently exposed failings at the Southern Health NHS trust in the south of England are widespread. At that trust, just four of 93 unexpected deaths among people with a learning disability were looked into. Trusts are meant to look into and learn from unexpected deaths under tougher NHS-wide patient safety rules introduced since the Mid Staffs scandal to reduce the risk of mistakes being repeated..."

"Jeremy Hunt, the health secretary, last week criticised the lack of leadership at Southern Health for failing to investigate unexplained deaths, but he will now face pressure for a wider inquiry..."

"NHS England said it recently wrote to every trust asking them to review and report on avoidable mortality rates. "This places England as the first ever country to monitor the extent of avoidable deaths."

"A government-funded inquiry reported in 2013 that an estimated 1,238 children and adults with learning disabilities die every year in England as a result of getting poor care from the NHS."

From Justice for LB

It is now 16 days since NHS England published the Mazars report... Despite the horror that it contains, the responses by the Secretary of State and by the triumvirate that is NHS England, CQC and Monitor, are unanimous in their feebleness and lack of urgency.  
Southern Health are holding two extraordinary meetings in the next ten days. The first is of their Governors, which takes place in Southampton on Tuesday 5 January from 10-12noon... The second meeting is of the Board, and that takes place in Southampton on Monday 11 January from 8.30-9.30am... Members of the public can ask questions at both meetings, you can submit them in advance if you wish, but there is no requirement to do so.

It is almost like Southern Health don’t want people to know about the meetings. They’ve not advertised them on their news pages or via any of their social media platforms, despite being big fans of viral leadership. We are hoping as many JusticeforLB’ers as possible will attend both meetings...

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