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Government uses new method to judge performance of hospitals to try to prevent “gaming” of system

BMJ 2011; 343 doi: https://doi.org/10.1136/bmj.d7015 (Published 28 October 2011) Cite this as: BMJ 2011;343:d7015

Re: Government uses new method to judge performance of hospitals to try to prevent “gaming” of system

I suspect Nigel Hawkes was loose in his reference to Mid Staffordshire NHS Foundation Trust now being "recognised to have been one of the most dysfunctional in the history of the NHS". In a previous article,[1] he questioned whether David Nicholson could say that this Trust was "a freak event, unprecedented and never to be repeated".


He went on to conclude "The NHS believes it can get away with categorising every failure as a freak and scapegoating the managers involved". Hopefully, the inquiry into the role of the commissioning, supervisory and regulatory bodies in the monitoring of Mid Staffordshire Foundation NHS Trust will put this right.[2]




[1] Nigel Hawkes. Come back community health councils, all is forgiven. BMJ 2009;338:bmj.b2023

[2] http://www.midstaffspublicinquiry.com/

Competing interests: No competing interests

07 December 2011
D B DOUBLE
Consultant Psychiatrist
Norfolk & Waveney Mental Health NHS Foundation Trust
Victoria House, Lowestoft NR32 1PL