A large majority of provider chairs believe there are “a small number” of trusts failing in a similar way to Mid Staffordshire, an HSJ survey has found.

On the 60 chairs who responded, 73.7 per cent said they believed there were “a small number” of organisations with the same scale or problems. Four per cent thought there were “many trusts” in that position.

Only 5 per cent of respondents to the HSJ/Odgers Berndtson survey agreed with the statement “Mid Staffs was a one-off”. The remainder said they did not know.

It appears to echo a lack of confidence among executive provider leadership. In an HSJ Barometer survey of hospital chief executives last year, 44 per cent of respondents said they were “not confident” regulators would detect another care scandal.

Asked about how often they visited clinical areas of their trust, half said they did so once a month and half once a week.

Access to necessary information to scrutinise quality appeared to be a problem for some chairs. Sixty per cent said they had access to it only “most of the time”, with 39 per cent having access “all of the time”. The remainder said they did not have access to necessary information.

However, there were positive findings in the survey about the ability of chairs to challenge their executive directors and hold them to account.

When asked whether they felt “empowered to challenge an executive director about poor performance”, all respondents chose either “yes, definitely” or “yes, probably”.

Chairs Francis survery infographic

Trust chairs believe there are other Mid Staffs-type failures