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Reviews / 2018

Independent reviewPublishedWhole systemEngland

Report of the Liverpool Community Health independent review

Dr Bill Kirkup · work from 2016 · published 2018

What this was

Independent review of a community trust where a bullying culture and an aggressive cost-improvement programme harmed patients and staff. Concerns were known and not acted on.

Why it sits in the hub

It is the Francis problem outside an acute hospital: finance, bullying and a regulator that did not see it. It is also another Kirkup review that prefigures his East Kent argument about organisational behaviour.

Findings

  1. Finding 1

    A cost-cutting and bullying culture caused harm, and staff who spoke up were not safe.

    Culture and conductProductivity and financeSpeaking up

  2. Finding 2

    Oversight bodies had information and did not intervene in time.

    Leadership and boardsRegulation and oversight

Recommendations in this hub

Paraphrase of the public recommendations, not the official text.

  1. 1Partly doneBoards and regulators

    Treat bullying and an unrealistic savings programme as patient-safety risks.

    Culture and conductProductivity and finance
  2. 2Partly doneNHS England

    Give staff an external route when the trust itself is the problem.

    Regulation and oversightSpeaking up
Liverpool Community Health · Seagry Recommendations Hub