A world of difference.

17 03 2009

Two stories are currently dominating the news reports; Mid Staffordshire NHS Trust and Royal Bank of Scotland. Two stories of management pursuing goals deemed laudable, each receiving recognition within its own field of “success” only to have revealed the ultimate costs of those achievements.

Sir Fred Goodwin and the Board of the Royal Bank of Scotland are not the cause of the current financial “downturn”. There is no doubt that behaviour such as theirs contributed significantly to the failure of the Group and the subsequent, some would say required, major Government support of the Bank. Mr Goodwin received a knighthood, “for services to banking” and is currently involved in some discussion, shall we say, regarding the value of his pension/pay-off/ severance/reward from the company. Currently, the financial reward for his “services to banking” is to be paid probably tax free to a value that has as many digits as my mobile phone number. He has simply “retired”.

The management group of Mid Staffordshire NHS Trust strove through their actions in the three years leading up to 2008 to fulfill the Government standards regarding financial probity and clinical targets. The Trust was given the accolade of Foundation Status in recognition of its efforts in achieving those quality standards.  The “Annual Healthcare check” from the Healthcare Commision for 2007-8 can be found here. A snapshot of their performance is below.

quality-of-care

Impressive eh?

Today, it is being widely reported that the Health Commision has found that the management pursuit and achievement of their stated goals was at the expense of clinical care. During this same three year period it is reported that there has been significant failures of management and clinical governance lead to unnecessary suffering and a significant number of deaths. How exactly this fits with the report issued last year is open to conjecture.

I’m sure we’re all pleased to hear that the senior managers of this Foundation Trust have “retired” too.

There’s so much I feel about this whole situation and its wider context that just breaks my heart.  Perhaps leaving it unsaid speaks louder than any words.

silence

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