The report entitled Investigation into Mid Staffordshire NHS Foundation Trust (pdf) comes to over 150 pages. Dr Grumble has not read it all yet but he decided to do a search for the word 'target'. Unsurprisingly it appears over 50 times. Dr Grumble thinks that the management of this hospital focussed on the things that would make the management appear good and lost touch with the real purpose of a hospital which is to look after patients safely and effectively.
As happens in many hospitals clinicians were pressurised. Here is an example:
The junior doctors...........were often put under pressure to make decisions quickly in order to avoid breaches of the target......Dr Grumble has witnessed junior doctors being pressurised. It is so endemic that the pressure continues even when Dr Grumble is present. There is no insight into the fact that hassling a junior doctor into making a decision when he is not ready to do so is plain dangerous. Does this sort of thing happen in your hospital?
.......patients were sometimes rushed from A&E to the EAU without proper assessment and diagnosis.........[to meet the target]