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Independent review

Berwick Review

A Promise to Learn – A Commitment to Act: Improving the Safety of Patients in England
Completed
Professor Don Berwick · Published 6 August 2013 · Commissioned by DHSC Health & Social Care

Independent review into patient safety in England following the Francis Report into Mid Staffordshire NHS Foundation Trust, making recommendations for a fundamental transformation of culture, systems and leadership.

Government Response

The Berwick report was an advisory National Advisory Group report to the Prime Minister and did not receive a standalone government response; the gov.uk page hosts only the report and Professor Berwick's letters. The Government's response was incorporated into 'Hard Truths: The Journey to Putting Patients First' (Cm 8777), published on 19 November 2013, where Berwick's recommendations are addressed at Annex C ('Improving the safety of patients in England'). NHS England separately progressed patient safety collaboratives in response.

19 November 2013

Recommendations

Recommendation 1
DHSC
The NHS should continually and forever reduce patient harm by embracing wholeheartedly an ethic of learning.
Recommendation 2
DHSC
All leaders concerned with NHS healthcare – political, regulatory, governance, executive, clinical and advocacy – should place quality of care in general, and patient safety in particular, at the top of their priorities for investment, inquiry, improvement, regular reporting, encouragement and support.
Recommendation 3
DHSC
Patients and their carers should be present, powerful and involved at all levels of healthcare organisations from wards to the boards of Trusts.
Recommendation 4
DHSC
Government, Health Education England and NHS England should assure that sufficient staff are available to meet the NHS's needs now and in the future. Healthcare organisations should ensure that staff are present in appropriate numbers to provide safe care at all times and are well-supported.
Recommendation 5
DHSC
Mastery of quality and patient safety sciences and practices should be part of initial preparation and lifelong education of all health care professionals, including managers and executives.
Recommendation 6
DHSC
The NHS should become a learning organisation. Its leaders should create and support the capability for learning, and therefore change, at scale, within the NHS.
Recommendation 7
DHSC
Transparency should be complete, timely and unequivocal. All non-personal data on quality and safety, whether assembled by government, organisations, or professional societies, should be shared in a timely fashion with all parties who want it, including, in accessible form, with the public.
Recommendation 8
DHSC
All organisations should seek out the patient and carer voice as an essential asset in monitoring the safety and quality of care.
Recommendation 9
DHSC
Supervisory and regulatory systems should be simple and clear. They should avoid diffusion of responsibility. They should be respectful of the goodwill and sound intention of the vast majority of staff. All incentives should point in the same direction.
Recommendation 10
DHSC
We support responsive regulation of organisations, with a hierarchy of responses. Recourse to criminal sanctions should be extremely rare, and should function primarily as a deterrent to wilful or reckless neglect or mistreatment.
No recommendations with this response.