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Need for accountability should not result in “toxic” blame culture in NHS, conference hears

BMJ 2014; 348 doi: (Published 21 March 2014) Cite this as: BMJ 2014;348:g2282
  1. Matthew Limb
  1. 1London

NHS regulation remains an “extraordinary muddle” one year on from the report of Robert Francis QC’s inquiry into care failings at Mid Staffordshire NHS Foundation Trust, one of the inquiry’s leading overseers has said.

Harry Cayton, chief executive of the Professional Standards Authority for Health and Social Care, said that although the government had taken some steps to make the NHS more open, it had not done enough to make it more accountable and to allow professional responsibility to flourish.

He said, “The real lessons of Francis still have to be learnt. We don’t need more guidance and guidelines; we need more professionalism and more decision making closer to patients.”

Cayton heads the authority responsible for overseeing nine health and care professional regulatory …

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