"I don't think she will ever learn from her lesson" - Nicky Adcock, Jack Adcock's mum, on Dr Hadiza Bawa-Garba's appeal against being struck off medical register after the six-year-old's death. Read the full story here: https://trib.al/OzCzRvz pic.twitter.com/4l8NZKhDqK
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Jack is not forgotten. His legacy should be a safer nhs in which someone like him has a chance to live. Sadly, focussing on one doctor means a scapegoat has been found and no further changes are needed, so another Jack will die.
#learnnotblame -
Yes, the legacy of every such death should be reduced risk for patients that follow. But it rarely is, as learning is commonly lost because of the huge prevalence of NHS cover ups. This
#learnnotblame mantra quite frankly has no credibility when clinicians constantly avoid both. -
There is really no system in place like CEPOD or the Maternal Deaths Inquiry for general medicine and one is required
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I wouldn't disagree, but whatever is put in place, it still requires honest input to produce meaningful learning. To be clear, I don't blame clinicians for honest (non grossly negligent) clinical errors - we're all human. But the moment candour turns to cover up, I blame heavily.
End of conversation
New conversation -
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Also issue about what happens when problems in system have been raised repeatedly before this happens. What do we do next time we can see this coming?
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I think this is a watershed moment on that front tbh. We both know it's not a recent problem, so whatever group has been allowed to leave valid concerns unaddressed, exposing patients and staff alike to risk, need to be called out. But by ALL of you. They can't blacklist you all!
End of conversation
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