Francis: one year on

Carer and older man

15 / 6 / 2015 Midnight

We are continuing to work with you and a number of different organisations on various workstreams, which directly link to recommendations from the report.

The following projects highlight where you have asked us to provide support and what we have been doing to help NHS organisations improve their services to provide better patient care.

Putting patients first 

Francis called for "patients to be the first priority in all of what the NHS does. Within available resources, they must receive effective services from caring, compassionate and committed staff, working within a common culture, and must be protected from avoidable harm and any deprivation of their basic rights".

Organisational Development - We have produced the DoOD TEAM toolkit, a free and friendly resource designed to help you develop your team, embrace team working and recognise the contribution it can make to the delivery of compassionate patient care. There are lots of other free resources available to help you take organisational development forward in your trust.

Support workforce - We continue to showcase good practice from NHS organisations who have put in place programmes to develop their support workforce.

Seven day services - Sir Bruce Keogh has set out plans for seven day services across the NHS over the next three years. Shortly after In October 2013, NHS Employers received a formal mandate to negotiate with the BMA on the national contractual terms and conditions of junior doctors and consultants. Current terms and conditions make it difficult to ensure doctors are present over more of the week. As part of the negotiations for changes to these terms, we are seeking to help bring about more effective seven-day care.

Developing a culture of care

Francis recommended "improved support for compassionate caring and committed nursing and stronger healthcare leadership".

Working in partnership with Health Education England, we have showcased and promoted how NHS organisations are recruiting people for their values, attitudes and behaviours. NHS Employers will continue to work with HEE in this important project focussed on recruiting for values into employment.

Staff health and wellbeing - Our extensive health and wellbeing resources has case studies, research and useful tools to help ensure you can can support the wellbeing of your workforce to deliver high quality and compasionate care.

PFD (Personal, Fair & Diverse) PFD champions are NHS staff who have pledged to take some action, however small, to help create an NHS that is personal, fair and diverse.

Care Makers - Care Makers are nurses, midwives, allied health professionals and healthcare assistants who act as ambassadors for the 6Cs. NHS Employers has a target of recruiting 1000 by spring 2014 - we currently have over 600 Care Makers making a real difference to patients within the NHS with more applications coming in.

Emotional Wellbeing in the NHS - NHS Employers has produced a simple, easy to use resource that can help you and your staff understand more about emotional wellbeing. It can help staff to check their own wellbeing or that of colleagues and more importantly to support them to begin to be able to handle difficult conversations better. The emotional wellbeing resource forms part of a more comprehensive toolkit which will be available in summer 2015.

EDS2 (Equality Delivery System) - NHS Employers continues to work with NHS England to promote EDS2; a framework for assessing how NHS organisations are performing with equality, diversity and human rights; how they can improve; and how they get to where they want to be.

NHS Employers is working with NHS England on the development of a staff fiends and family test. A single indicator to show how staff rate services in their own organisation.

Staff Engagement - The NHS Employers website provides information and tools for you help increase staff engagement in your organisation.

Empowering staff and working in partnership

Mental Health wellbeing in the workplace: We provide support and guidance to managers to fill the gaps in competence, or confidence, in dealing with mental health issues. We want line managers to know there are things they can do, and that support is available. We recently worked with the Health Service Journal (HSJ) on a supplement with practical tips and support.

Encouraging openness and transparency

Francis recommended "openness, transparency and candour throughout the healthcare system (including a statutory duty of candour), fundamental standards for healthcare providers". 

Raising Concerns - We have produced guidance and free resources to help embed and develop systems which encourage early intervention, and enable staff to feel confident and empowered to raise concerns without the fear of victimisation.

Effective leadership and accountability

Francis called for a number of actions to improve leadership and accountability in provider organisations.

Revalidation - In September 2013 the Nursing and Midwifery Council (NMC) announced it was committed to implementing revalidation of nurses and midwives by the end of 2015. We are working with employers and the NMC to ensure that there is sufficient communication and engagement with employers throughout the next 12 months to make sure that their model can work in practice and we can help produce resources to help your teams with implementation.

Reward strategy toolkit - We have produced practical advice, guidance and practical tips on implementing a reward strategies across the NHS. The toolkit has been developed to lead you through each phase in designing and implementing an effective reward strategy specific to your business needs

Improving quality and innovation

ESR (Electronic Staff Record) -ESR is as a tool to complement and enable a programme of activities to better understand, manage and support the NHS workforce. NHS Employers will continue to help senior executives, HR directors and trust boards when considering how to make the wide ranging cultural change called for in the Francis report

Capsticks - Our strategic partnership with leading healthcare law firm Capsticks is helping the NHS with new and innovative ways to implement pay policies within Agenda for Change that link reward to performance. NHS Employers will continue to support the work they do and the guidance they provide. You can keep up to date with future events by visiting our Capsticks webpage.

On the horizon

A great deal of progress has already been made in the last twelve months on improving patient care in the NHS and putting in place safeguards to ensure that the failings of the Mid-Staffordshire NHS Foundation Trust are never repeated, but there is still more to do.  

We are ready to embark on a number of key workstreams, delivering more products to help NHS organisations. These products will support NHS organisations to further build and strengthen their values.

Some of the work areas that we will be covering are:

  • improving the competence of NHS managers in managing mental health in the workplace
  • measuring emotional wellbeing
  • recruiting for values
  • professional standards and regulations
  • recruitment checks
  • staff engagement
  • organisational development

Visit our dedicated Francis pages for more useful guidance, advice and useful information.

Get in touch

We are keen to hear about the resources that you need to help you take the Francis work forward. Please send any comments or suggestions to

Latest Tweets

Why Register?

Great reasons to register with NHS Employers

  • A personalised website
    Manage your profile and select topics of interest to you
  • Access your dashboard
    Bookmark useful content to help you quickly find what you're looking for
  • Get involved
    Contribute to our Talking Points discussions, comment on and rate our webpages
  • Keep up to date
    Receive the latest newsletters and media summaries

Sounds great, what next?

Register Now

Not now, I will register later

Log In