Policy paper

Learning not blaming: response to 3 reports on patient safety

Government response to the Public Administration Select Committee report on clinical incidents, and the Morecambe Bay Investigation.

• From: Department of Health and Social Care
• Published: 16 July 2015

This was published under the 2015 to 2016 Cameron Conservative government

Documents

Learning not blaming: government response

Ref: ISBN 9781474123723, Cm. 9113

PDF, 1.54 MB, 103 pages

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Equality analysis: implementation of the measures proposed in the consultation response on the report of the freedom to speak up review

PDF, 214 KB, 29 pages

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Details

‘Learning not blaming’ sets out the government’s position on:

• the Freedom to Speak Up review by Sir Robert Francis QC
• the Public Administration Select Committee report ‘Investigating clinical incidents in the NHS’
• Dr Bill Kirkup’s independent report on the Morecambe Bay Investigation

The 3 reports cover distinct areas, and the government response addresses the points and recommendations raised in each report.

There are some themes common to each report, including the importance of:

• openness, honesty and candour
• listening to patients, families and staff
• finding and facing the truth
• learning from errors and failures in care
• people and professionalism

The equality analysis assesses how the measures set out in response to the Freedom to Speak Up review affect equality.

Published 16 July 2015