The final report of the Mid Staffordshire NHS Foundation Trust Public Inquiry, conducted by Robert Francis QC, was published on Wednesday 6 February 2013. His Inquiry followed concerns about standards of care at the Trust, and an investigation and report published by the Healthcare Commission in March 2009. Robert Francis has heard evidence from patients, their relatives and staff to inform his report and the 18 recommendations he makes.
Read the full report here.
The Guardian website gives a useful overview of the key recommendations from the report.
The Department of Health has published three reports to help embed effective governance and detect and prevent such serious failures occurring again: Review of Early Warning Systems in the NHS, Assuring the quality of senior NHS managers, The Healthy NHS Board.
Read the Care Quality Commission's response to the report here.