Attitudes an endemic indictment of the medical negligence compensation bill?
In 2008 the annual poll of NHS staff by the Healthcare Commission makes for very uncomfortable reading and gives some insight into what may be endemic attitudes underlying the conditions that give rise to so many medical negligence compensation claims.
Perhaps the most worrying finding of the poll was the news that less than one-half of NHS staff, 46%, consider patient care to be their top priority, a viewpoint which seems to undermine thousands of years of medical care philosophy.
Of equal concern were the views of NHS staff on the trusts they represent. 25% said they believe that the trusts they work for do not view patient care as the top priority, with a further 29% saying that they neither agree nor disagree. And with strong communication between staff and managers an essential element of the good function of any large organisation, the news that only 22% of staff believe such communication to be effective within their relevant trust has the power to undermine confidence in an already maligned service. The polls finding that only 26% of staff believe their trust value their work can only add to the gloomy picture.
Increasing the picture of staff disempowerment and marginalisation is the news that only 23% of staff consider themselves to have any say in the making of important decisions.
While the poll indicated that progress has been made in the kinds of basic hygiene needed to combat the rise of hospital superbugs, with a 12% increase in the number of staff who say their hospitals are working hard enough to promote handwashing, the fact that their appears to be little unity between hospitals in measures to combat infection with Clostridium difficile and MRSA.
There was some good news for accountability, with a 2% rise, from 92% to 94%, of the number of staff reporting colleague errors. Worryingly, 40% of staff believe that the errors they witnessed were attributable to understaffing, something which is frequently blamed for the NHS's high medical negligence compensation bill.
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