His report contained 290 recommendations including calling on GPs to ‘undertake a monitoring role on behalf of their patients who receive acute and hospital and other specialist services’.
Mr Francis called for the CQC to police fundamental standards. He also recommended NICE produce standard procedures, guidance and assessment tools ‘designed to enable organisations and individuals to comply with fundamental standards in clinical settings’. These should include guidance on staffing, he said.
‘Individuals should be supported to report non compliance or matters which prevent compliance to their organisations. They should be protected when they do this.
During the press conference, he called for ‘a patient-centred culture, no tolerance of non-compliance with fundamental standards, openness and transparency, candour to patients, strong cultural leadership and caring, compassionate nursing, and useful and accurate information about services.’
The £13m inquiry sat for 139 days and heard from 164 witnesses in person as well as 87 witness statements.