Monitor - Independent Regulator of NHS Foundation Trusts
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Update on progress following the internal audit report Learnings and Implications from Mid Staffordshire NHS Foundation Trust
Published on: 5 August 2010
This report sets out the actions taken and progress against each of the 14 recommendations in the Internal Audit report published in September 2009. Also provided below is an updated internal audit report from KPMG setting out their view on progress Monitor has made.
Download - Internal Audit Mid Staffordshire NHS FT follow up review (205.28 KB)
Mid Staffordshire NHS Foundation Trust was authorised by Monitor on 1 February 2008. The Healthcare Commission commenced an investigation into the quality of care at the trust in March 2008 and published its report on standards of care on 18 March 2009.
In response to the Healthcare Commission's report, Monitor's Board commissioned a review from Monitor's internal auditors, KPMG, to assess learnings for both the assessment process of applicant NHS foundation trusts and the ongoing compliance of NHS foundation trusts. KPMG's report Learnings and Implications from Mid Staffordshire NHS Foundation Trust covered the period from 1 October 2007 to 30 April 2009, and was published by Monitor on 3 September 2009.
The report made 14 recommendations across Monitor's assessment, compliance and intervention activities. It also considered wider structural matters related to the regulation of healthcare, in particular recognising the important inter-relationships between the various regulators.
Monitor's Board accepted all the recommendations and agreed follow up actions as set out in Monitor's management response to the Internal Audit report on lessons learnt from Mid Staffordshire NHS Foundation Trust which was published alongside the KPMG report on 3 September 2009. At the same time it established a Steering Committee to oversee the delivery of agreed actions to meet each of the recommendations.
Since then, in addition to Monitor's ongoing scrutiny of performance at the trust, and periodic reviews of progress undertaken by the Care Quality Commission, Robert Francis QC has also published the findings of his review of the trust which covered the period from January 2005 to March 2009. The National Quality Board also published a report in February 2010, Review of Early Warning Systems in the NHS: Acute and Community services, based on learnings from the events at Mid Staffordshire NHS Foundation Trust.
