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Every week, health and social care produce a familiar mix of stories: crisis, reform, innovation, and accountability. Some dominate the news cycle. Others quietly reshape how care is delivered on the ground. What matters is not which headline travels furthest, but what patterns emerge when we read them together. This...
Read more >Frontline testimony published by the Royal College of Nursing in January 2026 has brought renewed attention to the growing use of corridor care across the NHS. Practices once seen as temporary responses to pressure are increasingly described as routine, raising serious concerns about patient safety, dignity, and staff wellbeing. The evidence highlights corridor care as a systemic issue rooted in workforce shortages, limited capacity, delayed discharges, and long-standing governance gaps rather than individual clinical failure. Alongside public and professional concern, the lack of transparent national data and the impact of moral injury on staff underline the need for coordinated leadership, honest accountability, and sustained system-wide action to prevent unsafe practices from becoming normalised.
Over the past year, a few issues have starkly exposed the strain on the UK healthcare system, as the growing reliance on so-called “corridor care” has shown. Once framed as an exceptional response to extreme pressure, it is now increasingly described as routine practice across parts of the National Health...
Read more >Maternity care in the NHS is facing a decisive moment, with growing evidence that repeated inquiries are no longer driving safer outcomes. In this blog, Dr Richard Dune reflects on Donna Ockenden’s warning that the system already knows what is going wrong and must now focus on action rather than further investigation. Drawing on lessons from Shrewsbury, Nottingham and Leeds, he examines how workforce shortages, gaps in training, weak leadership and cultural failures continue to undermine safety. The article explores why implementation, accountability and competence assurance must now take priority if maternity services are to deliver meaningful, lasting improvement for mothers and babies.
On 5 January 2026, a familiar and uncomfortable debate resurfaced at the heart of NHS maternity care. Appearing on BBC Radio 4, Donna Ockenden delivered a stark message: the problem facing maternity services is no longer a lack of understanding, evidence, or investigation, but a failure to act. Her intervention...
Read more >CQC ratings reveal the deeper systems that shape safety, culture and patient experience. In this blog, Dr Richard Dune examines why hospitals fall into an inadequate rating, what the CQC looks for when judging leadership and safety, and how services like Hull Royal Infirmary’s emergency department have begun turning fragile progress into meaningful improvement. He explores the structural issues that drive failure, from weak governance and unsafe staffing to poor IPC and medicines management, and shows how leadership, culture change and quality improvement can transform care. This analysis outlines what health and care leaders must prioritise to rebuild trust, strengthen compliance and move confidently from inadequate to good.
When the Care Quality Commission (CQC) rates a hospital service “Inadequate”, it is more than a regulatory judgement, but a signal of systemic risk. For organisations, it can trigger significant reputational damage, operational pressures, emergency improvement plans, and intense scrutiny. For staff, it can be deeply demoralising. And for patients...
Read more >The Lampard Enquiry is the first statutory public investigation into deaths in NHS mental health inpatient care, examining more than 2,000 cases in Essex. In this blog, Dr Richard Dune explores how its findings are reshaping the national conversation on patient safety, governance, and accountability across the NHS. He highlights how systemic failures in leadership, culture, and oversight have driven the need for reform, and why the enquiry’s lessons must translate into lasting change through stronger governance frameworks, digital compliance systems, and compassionate, learning-driven leadership.
When the Lampard Enquiry was formally announced in 2023, few anticipated just how far-reaching its findings would become. Now, as evidence continues to unfold, it is increasingly evident that this enquiry, examining more than 2,000 patient deaths across mental health services in Essex, will stand alongside the Francis Report and...
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