One of the main recommendations of the Francis report into the failings at Stafford hospital was that all hospital patients should know the name of the senior doctor in charge of their care. They should also know the name of a nurse who can answer their questions. The Academy of Medical Royal Colleges published its advice last week in a document called Accountable Clinicians and Informed Patients but what does it offer beyond “names above a bed”?
The guidance is meant to improve both accountability of clinicians and communication with patients and families. Successful implementation addresses both aspects. The Responsible Consultant/Clinician takes overall responsibility for the management, coordination and continuity of a patient’s care. They work with a multidisciplinary team but retain overall responsibility for the management decisions for that patient, including discharge. The Responsible Consultant/Clinician is also expected to have some direct personal clinical responsibility and contact with the patient. In addition, patients will have a Named Nurse who they can ask for immediate information. The Responsible Consultant/Clinician should remain the same throughout the patient’s hospital stay. The Named Nurse is changed with each shift.
Knowing who to approach with questions empowers patients and relatives to understand and get involved in their care. Knowing who to approach with their concerns is likely to ensure that any issues or concerns are resolved promptly and appropriately.
Oxford Medical runs regular training in communication skills and management skills throughout the UK.
