Bristol Royal Infirmary Inquiry NEWS RELEASES



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Fourth Inquiry seminar focuses on leadership and change

The fourth seminar in Phase Two of the Bristol Royal Infirmary Inquiry will look at leadership, vision, change and learning from experience.

Seminar participants, from a range of public and private sector organisations, academic and voluntary bodies, will join the Inquiry Panel to explore the ways in which the leadership of an organisation can affect its performance, its identity and ethos, and the attitudes and values of those working in it.

They will also examine the issue of ‘managing change’ and look at the impact of change on the National Health Service (NHS) and on health service professionals.

The seminar will conclude with an exploration of ways in which organisations and individuals can learn from experience.

The seminar starts at 10am on Wednesday, February 23, at the National Liberal Club, Whitehall Place, London (a list of the participants and the seminar programme is attached).

A report of the day’s proceedings will be available in due course.

This is the fourth in a series of seven seminars, examining a broad range of themes, which make up Phase Two of the Inquiry. The remaining seminars will take place over the next two months in both London and Bristol.

ENDS

Notes All seminars are open to the press and public but space is limited at the venues and places must be booked in advance either by writing to the Inquiry offices at 2-10 Temple Way, Bristol, BS2 OBY, or by e-mail: inquiry@doh.gov.uk (quoting "Phase Two").

For further information please contact Richard Green, Head of Communications, BRI Inquiry, tel 0117 938 8709. The Inquiry website address is www.bristol-inquiry.org.uk/

Notes for editors: as there is limited space at the venues for the seminars, it is advisable for any representatives of the news media who would like to attend to contact the Inquiry press office in advance.

February 17, 2000

BRI 00-06

Third Inquiry seminar focuses on culture

The third seminar in Phase Two of the Bristol Royal Infirmary Inquiry will look at the culture of the National Health Service (NHS).

The Inquiry uses the term ‘culture’ to include values, assumptions and behaviour of providers of healthcare, their patients and the public. The Inquiry Chairman and Panel members will be joined by 24 participants invited to make a contribution to the seminar (a list of the participants for the seminar is attached).

Seminar participants, from a range of public and private sector organisations, academic and voluntary bodies, have been brought together to discuss the different ‘cultures’ within the NHS. They will examine the impact of culture on ways of working, with particular reference to the quality of acute hospital services for children.

A report of the day’s proceedings will be available in due course.

The seminar starts at 10am on Wednesday, February 16, at the Institution of Civil Engineers, 1 Great George Street, London (a seminar programme is attached).

This is the third in a series of seven seminars, examining a broad range of themes, which make up Phase Two of the Inquiry. The remaining seminars will take place over the next two months in both London and Bristol.

ENDS

For further information please contact Richard Green, Head of Communications, Bristol Royal Infirmary Inquiry, tel 0117 938 8709. The Inquiry website address is www.bristol-inquiry.org.uk/

February 10, 2000

BRI 00-05

Phase Two - Seminar Three

Culture and its impact on the quality of care

Wednesday 16 February


10.00 – 11.30am	Session 1 What lessons can be drawn from outside the NHS about the way professionals work? Professionals working as employees – what relevant observations and lessons can be drawn from outside the NHS? Professionals working together in teams – what relevant insights or observations can be drawn from organisations outside the NHS?
11.30 – 11.45am	Tea & coffee break
11.45 – 1.00 pm	Session 2 Organisational, professional and managerial culture in the NHS What does the research base tell us about the culture in the NHS? Is this actually what is happening – testing the research base with practitioners.
1.00 – 1.45 pm	Lunch break
1.45 – 3.00 pm	Session 3 Relationships between healthcare professionals, managers and patients The continuing tension between specialisation and team work within NHS acute care; how well do clinical teams function – within and between specialties and across professions; the perception of the surgeon as "leader" and its impact on care before, during and after surgery. The extent to which an historical culture of mutual support/non-disparagement, continues to exist amongst healthcare professionals; the merits and de-merits of this culture. Doctors, nurses and other clinicians working as professional employees in a publicly funded National Health Service – the extent to which professional duties and allegiances are aligned or otherwise with the respective duties and responsibilities to patients, to employers and to taxpayers. The power of doctors and the nature of their freedom to decide upon and administer care. The concept of "clinical freedom" and its interaction with the values and assumptions of others – patients, nurses, the employing institution; national and local public bodies and advisory committees (e.g. The National Institute for Clinical Excellence; the Medicines Control Agency; Department of Health Advisory Committees; local ethics committees). Health care professionals as NHS managers – the management roles taken by clinicians, how these are changing and the relationship between duties as managers and as professionals; variations in approach between health professionals as managers.
3.00 – 3.15 pm	TEA AND COFFEE BREAK
3.15 – 4.30 pm	Session 4 Relationships between healthcare professionals, managers and patients (continued) The changing relationship between clinicians and managers – whether managers who are clinically qualified or those who are not. Professionals in the NHS: the extent to which their view of their role and the purpose of the enterprise coheres with that of managers. The changing relationship between patients and health care professionals – what do patients, and in the case of children, their parents, expect of health care professionals and vice versa? The quality of communication between patients and health care professionals and what can be done to improve it, particularly in the context of treating children.
4.30 pm	CLOSE

BRISTOL ROYAL INFIRMARY INQUIRY

PHASE TWO

Culture – professional and managerial cultures and their impact on the quality of service

List of Participants

Dr Davina Allen Centre for Nursing Research, University of Wales College of Medicine

Dr Chris Bunch Medical Director, Oxford Radcliffe Hospitals NHS Trust

Ms Donna Covey Director, Association of Community Health Councils of England and Wales

Professor Ron de Witt Chief Executive, Kings Healthcare NHS Trust

Professor Robert Dingwall School of Sociology and Social Policy, University of Nottingham

Professor Ewan Ferlie Director of Research, Imperial College Management School

Professor Louise Fitzgerald Department of Human Resource Management, De Montfort University

Mr Andrew Foster Policy Director for Human Resources, NHS Confederation

Professor Chris Ham Director, Health Services Management Centre, University of Birmingham

Miss Christine Hancock General Secretary, Royal College of Nursing

Dr David Hughes School of Health Science, University of Wales, Swansea

Sir Donald Irvine President, General Medical Council

Mr Ken Jarrold Chief Executive, County Durham Health Authority

Mr James Johnson Chairman, Joint Consultants Committee, British Medical Association

Mr Peter Lees Medical Director, Southampton University Hospitals NHS Trust

Ms Jo Lenaghan Director of Health & Social Policy, Institute of Public Policy Research

Dr Terry McNulty Leeds University Business School

Mr Michael Napier Irwin Mitchell Solicitors, Sheffield

Mr Robert Naylor Chief Executive, Birmingham Heartlands & Solihull NHS Trust

Mr Stephen Orchard Chief Executive, Legal Aid Board

Mr Jeremy Orme Head of Financial Crime Liaison Unit, Financial Services Authority

Ms Marianne Rigge Director, College of Health

Dr Jenny Simpson Chief Executive, British Association of Medical Managers

Mr Dickon Weir-Hughes Chief Nurse and Director of Patient Services, Royal Marsden NHS Trust

Inquiry hears final submissions in Phase One

The Bristol Royal Infirmary Inquiry will hear the final oral presentations in the first Phase of its work at a hearing in Bristol on Wednesday, February 9. Further written evidence will continue to be gathered.

The Inquiry Chairman and Panel members will hear final oral evidence and receive written final submissions on Phase One in the hearing which starts at 9.30am and will take place at the Inquiry offices in Temple Way.

Witnesses who gave oral evidence during Phase One, which lasted from March to December 1999, were invited to put in a short, final presentation.

The Inquiry will reconvene in Bristol on Wednesday, February 9, where legal representatives will present papers on behalf of:

Bristol Heart Children Action Group;
Bristol Surgeons’ Support Group;
Department of Health;
United Bristol Healthcare NHS Trust (UBHT);
Dr John Roylance, former Chief Executive, UBHT; and
Mr Hugh Ross, Chief Executive, UBHT.

Written submissions have been made by Mrs Margaret Maisey, former Director of Operations and Nurse Advisor, UBHT; British Paediatric Cardiac Association; Avon Health Authority; UBHT cardiologists Drs Hyam Joffe, Stephen Jordan and Robin Martin; Mr James Wisheart, former Medical Director and consultant cardiothoracic surgeon, UBHT; and Mr Janardan Dhasmana, former consultant cardiothoracic surgeon, UBHT.

All of the final submissions will be published on the Inquiry’s internet website. A transcript of the day’s proceedings will also be available on the website.

The Inquiry team is currently working on its Phase Two. This second phase examines wider issues and takes a broader, national view than the Inquiry’s Phase One which looked back at how services in Bristol were organised between 1984 and 1995.

Phase Two consists of a series of seven seminars being held in Bristol and London between January and March this year.

The seven seminars look to the future and allow the Inquiry to fulfill that part of its Terms of Reference to "make recommendations which could help to secure high quality care across the NHS".

Further information about Phase Two and details of the seminars are available on the Inquiry website.

ENDS

For further information please contact Becky Jarvis, Media Relations Manager, BRI Inquiry, tel. 0117 938 8716 or bleep 0181 345 6789 quoting INQ 102.

Notes for editors: the final submissions hearing is open to the news media and public at the Inquiry offices at 2-10 Temple Way, Bristol, BS2 OBY. The hearing will begin at 9.30 a.m. on Wednesday 9 February 2000.

The Inquiry website address is www.Bristol-Inquiry.org.uk

February 4, 2000

BRI 00 - 04

News Releases

February 2000

Published by the Bristol Royal Infirmary Inquiry, July 2001 © Crown Copyright 2001

Published by the Bristol Royal Infirmary Inquiry, July 2001
© Crown Copyright 2001