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From YouTube: An interview with Prof Sir Mike Richards (with captions)
Description
Captioned version of our interview with the first Chief Inspector of Hospitals Prof Sir Mike Richards.
A
A
A
Remember
that
I
don't
know
a
huge
amount
about
the
previous
processes,
but
I
do
know
that
they
were
based
around
the
essential
standards
and,
I
think
part
of
the
difficulty
there
was
basing
it
around
an
individual
standard
or
even
a
group
of
standards
doesn't
really
allow
you
to
look
at
the
whole
care
pathway
for
a
patient,
and
what
I'm
hoping
to
do
is
to
say,
let's
take
the
emergency
pathway
from
the
time
a
person
comes
to
a
and
he
moves
through
a
e
to
the
emergency
assessment
unit
or
the
emergency
medical
unit.
A
Whatever
it
may
be,
called
then
on
to
a
general
ward,
then
maybe
on
to
award
for
the
frail
elderly.
Follow
the
patient
through
that
pathway
and
see
is
the
care
delivered
at
each
step
in
that
pathway
really
working,
because
I
think
often
it
can
be
the
handovers
between
different
parts
of
a
pathway
that
fail.
A
So,
for
example,
how
well
does
a
hospital
look
after
patients
who
are
deteriorating
and
how
well
do
they
do
that
out
of
hours
at
a
weekend
and
do
they
have
the
systems
in
place
for
early
warnings
for
escalation
who's
there
do
they
have
the
right
critical
care
outreach
service,
whatever
it
may
be,
and
I
think
we
can
then
look
across
a
pathway
and,
of
course,
actually
within
that
the
essential
standards
will
still
remain
important.
A
We
still
need
to
check
with
the
people
are
getting
food
and
water,
and
so
all
of
those
things
will
remain
important,
but
we'll
be
doing
it
in
a
different
way
and
with
more
clinical
involvement
alongside
professional
inspectors.
A
Well,
we
thought
long
and
hard
about
this
about
where
we
should
go
first.
One
of
the
key
things
I
want
to
do
is
to
test
out
our
new
surveillance
tool,
as
people
will
know
we're
out
to
consultation
on
this
at
the
moment,
and
we've
set
out
all
the
metrics
in
annex
a
of
the
the
consultation
document,
and
I
hope
people
are
reading
that
and
will
comment
on
it.
But
we've
got
a
very
good
start
there.
A
We
are
committed
to
having
patient
and
public
listening
events
for
each
of
our
comprehensive
inspections,
whether
those
are
on
site
at
the
hospital,
whether
they
are
off-site
in
the
local
town
hall.
I
don't
think
that
matters.
What
we
need
to
do
is
to
give
people
an
opportunity
ahead
of
the
program
either
to
come
to
a
listening
event
by
advertising
it
in
the
local
press
or
to
send
us
their
comments
in
advance.
We've
got
to
gather
that
information
together.
A
I
hope
we
respond
very
quickly
whether
we
respond
more
quickly.
I
don't
know
because
I
really
don't
know
how
quickly
we've
been
responding
in
the
past,
but,
yes,
we
must
be
responsive
with
our
surveillance
tool.
It's
this
is
not
just
going
to
be
our
once
a
year
business
we've
got
to
keep
that
on
a
rolling
basis
of
keeping
it
up
to
date,
which
we
will
do
when
there
are
signals
that
come
in
saying
we're
worried
about
such
and
such
a
trust.
A
We
need
to
be
able
to
respond
to
that
and
remember
that,
in
addition
to
our
comprehensive
or
scheduled
program
of
these
major
visits,
we
will
still
be
doing
responsive
visits.
So
if
there
is
a
concern
about
the
pediatric
service
at
a
particular
hospital,
of
course,
we
will
go
in
there
not
waiting
for
its
turn
in
the
cycle
of
comprehensive
inspections.
If
that
visit
about
pediatrics
makes
us
concerned,
maybe
there's
a
there's,
a
wider
problem
in
this
trust
that
will
trigger
us
to
bring
forward
the
comprehensive
inspection.
A
So
I
think
we've
got
to
be
flexible,
but
we
certainly
will
need
that
still
being
able
to
have
responsive
inspections
as
well
as
these
comprehensive
ones.