Intended for healthcare professionals

Letters Mid Staffs inquiry

The whole hospital system needs to be addressed nationally

BMJ 2013; 346 doi: https://doi.org/10.1136/bmj.f1397 (Published 05 March 2013) Cite this as: BMJ 2013;346:f1397
  1. Jonathan B Salmon, physician (intensive care unit and general medicine)1
  1. 1Adult Intensive Care Unit, John Radcliffe Hospital, Oxford OX3 9DU, UK
  1. jonathan.salmon{at}ouh.nhs.uk

The most terrifying aspects of Mid Staffs are the organisational dysfunction that allowed such poor care and the concern that similar failings are widespread in the NHS.1 Almost as worrying are some responses to the report: particularly the search for scapegoats.

Most managers are well meaning people trying to administer an organisation that is under-resourced and over committed. External and political …

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