After careful contemplation, I have arrived at the considered conclusion that the proposed #safespace for NHS staff is absolute bo***cks and must be fought against resolutely.
It will only further aid despicable cover-ups, which are already rife in the utterly corrupt NHS anyway.
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Replying to @C7RKY
It is complicated - I'm not a great fan of this 'safe space' idea, from what I'd seen of it [which was only of the 'what I've come across 'in passing'' variety].
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Replying to @MikeStone2_EoL
It's not pretty, imo Mike. Pretty much the exact opposite of what Duty of Candour was supposed to be all about. Worth following
@PeterWalshAvMA's tweets on the subject for a bite-sized overview if you want to know more. Needs to be stopped in its tracks.1 reply 0 retweets 0 likes -
Replying to @C7RKY @PeterWalshAvMA
From what I recall, 'safe spaces' were being proposed because without them, the worry was that clinicians would simply not admit mistakes: of course, if only clinicians are inside the safe space, how can 'we' judge whether a mistake 'was culpable or 'forgivable''?.
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They already don't admit their mistakes. We have to punish if they don't admit their mistakes - that's what will stop cover-ups. Everything is so relaxed that some doctors now don't bother to take notes. That way they can make up whatever they want when failures are investigated
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The problem is what I mentioned in https://www.bmj.com/content/354/bmj.i5007/rr … sorting out when a mistake should involve 'blaming the clinician', and when it shouldn't: individual clinicians worry about 'being unfairly blamed'.
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I don't personally think clinicians should be blamed for mistakes at all, provided they're not grossly negligent ones, such as being reckless. But that assumes there is total transparency and candour guaranteed - which it isn't. What I do blame for is cover ups. Every single one.
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Sorting out when a mistake should involve "blame" is easier when clinicians don't cover-up. The alternative is to say that it's all too hard, keep the status quo culture of cover-up and accept that people are almost never held to account because of the risk of unfair blame.
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The only thing that's certain is that we can't allow things to stay the same. It's already festered for decades but social media is exposing the rot now. And the cover ups is really the critical part for me. Without them, much would've been properly fixed & properly funded by now
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Cover ups. Lack of accountability for genuine recklessness and negligence. Lack of a culture of excellence (get rid of the bad Apples ffs).....and institutional lack of independence from authorities (Coroners) and regulators.
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That's the thing - if clinicians had been honest about mistakes all along, they'd probably be better funded, because problems would've been identified earlier & provoked review. But they chose to lie instead, to protect their reputation. They made this bed for us ALL to lie in.
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