Penny Campling: How will shame play out in the wake of the Francis report?

One word that keeps being used in response to the Francis report into failings at Mid Staffordshire NHS Foundation Trust is “shame.”  Interestingly, it seems to be used more than “guilt” and most certainly more than “remorse.”  This is worrying because shame is particularly hard to process, an emotion that typically lurks around in individuals and organisations, […]

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Penny Campling: What does apologising for a dysfunctional culture really mean?

The Francis Inquiry report rightly focuses on the need to transform the healthcare culture. It has made it clear that fault lines run throughout the NHS, from top to bottom, and that the inhumanity exposed at Mid Staffordshire is not restricted to that locality. The huge number of recommendations in the report (290) is presumably […]

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Penny Campling: Thoughts on a healthcare culture—part 3

Why do good staff become bad? This seems a particularly pertinent question for those of us interested in healthcare in the aftermath of Mid Staffordshire, Winterbourne View, and the repeated and deeply depressing glugs of distasteful information coming through about our callousness towards the elderly. There is certainly no evidence that healthcare staff are more […]

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Penny Campling: Thoughts on a healthcare culture—part 2

I recently attended a symposium at the Tavistock Clinic entitled Cultures of Care: Cruelty and Kindness. As the Tavistock is a psychoanalytic institution, there was a lot of focus on understanding the problem and the discussion was complex and challenging with the shameful examples of Mid-Staffordshire, Winterbourne View and the Care Quality Commission’s report on […]

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