The alliteration was too good to miss. It's a shame about the asterisk but Dr Grumble does not want to attract inappropriate traffic. So why these three F-words? It is because Dr Grumble thinks they might just be connected.
If you are in charge of a hospital your main focus should be on providing a high quality, safe service. Everything else should be secondary. If you have to overspend to obviate a disaster you should do it. It actually used to be like that. Everybody understood that safe care was paramount and sometimes the balance sheet but not the patients would have to suffer.
Where do you think this paragraph comes from?
The minutes of the executive team suggested that the main focus of the executives was also on finance, the PFI, service reconfiguration, service level agreements and, latterly, foundation trust status. (pdf)
Could it be from some inquiry into the Mid Staffordshire Foundation Trust? Perhaps it could. But it isn't. This is from the Mid Stafforshire Inquiry:
If there is one lesson to be learnt, I suggest it is that people must always come before numbers.
The very interesting thing is that Dr Grumble had not read the Mid Stafforshire report as he started this post. He just somehow knew what it was going to say. And amazingly on the second page in the covering letter there it was. People must come before numbers. Which is a pithier way of saying what Dr Grumble has always known.
But the question Dr Grumble would really like to ask is whether the creation of Foundation trusts has created this problem. It seems it has. Which means that the problem has been of the government's own making. Yet it seems they are powerless to undo it. Worse still, the opposition want to speed up this flawed process. Is there no hope of some sanity?