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I am really delighted to see CQC is going to focus on leadership. The organisational culture and leadership are the key to the success or failure of the organisation and leaders are the key. CQC must find a way of identifying leadership not simply at the Board but also throughout the organisation including each Division and department. It is only when we have excellent culture, leadership and energy at every level or the Trust and good working relation between Primary, Secondary, Community and Social services that we can provide excellent quality care to our patients.

Every newly appointed senior staff should have leadership training as a part of their induction and introduction to the organisation. This should include all newly appointed consultants, specialty doctors, senior nurse and managers. This training must be multi-professional and should include topics like patient safety, quality, effective team working, challenging colleagues and doing so constructively, escalation policy of the Trust, effective whistle blowing but doing so professionally, value, quality, patient experience, customer care, effective communication and patient and public feedback.

Hopefully Francis report will be used to make our NHS better rather than looking for scapegoats and introducing more regulation and more bureaucracy, more inspection and more of the same hotchpotch regulation.