Key Areas of Learning from the Francis Report

The public inquiry provided detailed and systematic analysis of what contributed to the failings in care at Mid Staffordshire NHS Foundation Trust. It identified how the extensive regulatory and oversight infrastructure failed to detect and act effectively to address the Trust’s problems for so long, even when the extent of the problems were known. The report recognises that what happened in Mid Staffordshire was a system failure, as well as a failure of the organisation itself. The public inquiry makes 290 recommendations.

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