Psychiatric Hospitals and Older People: Status Quo or Making Changes?

Hilton, Claire

doi:10.1007/978-3-319-54813-5_2

Cited by 2 publications

(2 citation statements)

References 29 publications

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“…Whistleblowing seems to have a longer history than the DoC in the NHS. The text that exposed conditions in long-stay hospitals “Sans Everything” (Robb, 1967) featured reports from NHS whistleblowers (Hilton, 2016, 2017). In 1992, Labour MP Derek Fatchett proposed the National Health Service (Freedom of Speech) Bill.…”

Section: Policy Contextmentioning

confidence: 99%

How did whistleblowing and the duty of candour get onto the agenda of the British national health service

Powell

2024

JHOM

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PurposeThis paper compares how the two interacting themes of “Whistleblowing” or “Speaking Up” and the duty of candour (DoC), which are both concerned with safety and quality improvement in health care, got onto the agenda of the British National Health Service (NHS).Design/methodology/approachIt uses the approach of multiple streams and the methodology of interpretive content analysis in a deductive approach that focusses on both manifest and latent content. It examines official documents that discuss the DoC or whistleblowing or cognate terms in connection with the British NHS from 1999 to 2019.FindingsThe main conceptual finding, which mirrors many previous studies, is that it seems difficult to operationalise many of the sub-components of the multiple streams approach. The main empirical finding points to the “focusing event” of the Francis Report into the Mid Staffordshire Trust of 2013 and the importance of its Chair, Sir Robert Francis, as a policy entrepreneur.Originality/valueThis is one of the first studies to focus on both issues of whistleblowing and the DoC and the first to compare them through the lens of the multiple streams approach. It has two main conceptual advantages over most previous studies in the field: it compares whistleblowing and the duty of candour rather than the dominant approach of a single case study and explores the different outcomes of failed as well as successful couplings of the streams.

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Section: Policy Contextmentioning

confidence: 99%

How did whistleblowing and the duty of candour get onto the agenda of the British national health service

Powell

2024

JHOM

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“…Despite a reputation for his interest in psychiatric hospitals, 132 Robinson was complacent about the older people in them. Crossman tried to justify Robinson's approach, speculating that he took little action on their behalf because he expected that the 'new hospitals would have a fair proportion of geriatric and psychiatric beds', 133 which would solve the difficulties.…”

Section: Barbara Opponents and Alliesmentioning

confidence: 99%

Whitewash and After: ‘Most Good Is Done by Stealth’

Hilton

2017

Mental Health in Historical Perspective

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Kenneth Robinson, Minister of Health, announced that the inquiries disproved the allegations in Sans Everything and vindicated the hospitals. However, careful reading of the reports indicated much unsatisfactory practice. Newspapers criticised the Ministry for its deceitful and ‘deplorably hostile’ view of Sans Everything, and public support for AEGIS increased. More hospital staff voiced concerns and attempted to make improvements. In 1969, investigations at Ely Hospital revealed appalling standards, gave credence to Sans Everything and reiterated AEGIS’s proposed remedies. AEGIS continued to chip away at the shield defending officialdom and worked to improve hospital provision. The government established a NHS inspectorate (1969), reviewed the complaints system (1971–1973), appointed an ombudsman (1973) and created blueprints for improved services for people of all ages with mental handicap and mental illness (1971–1972).

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Psychiatric Hospitals and Older People: Status Quo or Making Changes?

Cited by 2 publications

References 29 publications

How did whistleblowing and the duty of candour get onto the agenda of the British national health service

How did whistleblowing and the duty of candour get onto the agenda of the British national health service

Whitewash and After: ‘Most Good Is Done by Stealth’

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