Management failings at the Mid-Staffordshire NHS Trust

Following the release of The Francis Inquiry Report, the inquiry chairman, Robert Francis QC, said "fundamental change" is needed to prevent the public losing confidence in the NHS. He has made 290 recommendations aimed at ensuring patients are put first.


In response to the report, Petra Wilton, Director of Strategy and External Affairs at the Chartered Management Institute, has called for an overhaul of the current management structure within the NHS with some strong recommendations for the future. She said:


“The Francis Inquiry Report has today exposed the depth of the catastrophic management failings at the Mid Staffordshire NHS Trust.  It is clear that poor management standards and senior management failings led to hundreds of unnecessary patient deaths.  It has highlighted that bad management, when it comes to the NHS, really can cost lives.  Urgent action is needed to ensure those working in management positions across the health service have the skills and training needed to bring about the necessary improvements in patient care.


“It’s clear from the report that there was a dangerous separation between the senior management teams and those providing frontline care, which created a blame culture within the hospital with staff feeling under-valued, unsupported and in fear of reprisals if issues were brought to light.


“There is a huge need to encourage staff to be more open and there has to be a sense of accountability at all levels to stop such inexcusable mistakes being made again. Whilst more regular and wider monitoring is welcomed by many, it is also essential that managers have the training and support needed to meet the standards expected.  Independent inspections can play a key role in raising standards, but it is critical that the need to meet targets does not continue to cloud core objectives such as staff wellbeing and patient care.


“It is vital that the report recognises the importance of building skills and performance against professional management standards and ensures that all staff, whether clinicians or managers, are encouraged to get qualified and recognised for their management skills.


The report comes against a backdrop of figures showing that just 1 in 5 managers in the UK are professionally qualified.  Yet 9 out of 10 say management qualifications and training improves their performance and that of the teams they manage.” 


-ends –


For further information, interviews and case studies, contact:

Elizabeth Porter on 0207 010 0851 or

Laura Bates on 0207 010 0817 or



  • CMI is the only chartered professional body dedicated to raising standards of management and leadership across all sectors of UK commerce and industry. CMI is the founder of the National Occupational Standards for Management and Leadership and sets the standards that others follow
  • By setting minimum professional standards – built into our qualifications, membership criteria and learning resources – we recognise individual capability and give employers confidence in their managers’ performance
  • As a membership organisation, CMI has also been providing forward-thinking advice and support to individuals and businesses, for more than 50 years. As the only organisation to offer qualifications from Level 2 (GCSE) to Level 8 (PhD), CMI is committed to equipping individuals with the skills and knowledge to be exceptional managers and leaders
  • Qualifications and accreditations such as Chartered Manager, combined with products such as CMI’s Continuous Professional Development scheme and the online support resource, ManagementKnow, support the development of management and leadership excellence across the UK
  • Through in-depth research and policy surveys of its 100,000 individual and 450 corporate members, CMI maintains its position as the premier authority on key management and leadership issues