Or expunge the guilt of those more senior clinicians involved? Everybody seems happy to shout about the system being to blame, but that system is made up of people - like the consultant, for example.
-
-
In an airplane crash it would be system failure medicine has much to learn from the Swiss Cheese model used in Aviation
-
I agree we should learn all we can from all sources. But this crash would never have happened - the pilots wouldn't have remained silent or accepted inaction so the system would've been fixed. Self preservation is best served by speaking up in aviation, but silence in healthcare.
-
Raised with senior staff, management, staffing reported as clinical incidents... for years
-
Thank you for doing so. But the inaction remained? Who holds them to account for that? Do I recall reading the police were also starting to look at the trust?
-
And there is the small matter Gosport
-
Indeed. Still so much to be answered there. And a lack of convictions would be inconceivable - even if they are nearly 20yrs too late. Makes Shipman look small scale...https://twitter.com/c7rky/status/1023009341266452480?s=21 …
End of conversation
New conversation -
-
-
From this same judgement you've screenshot both parties don't dispute that Hadiza's errors were not made deliberately or recklessly and mention is made from the criminal trial that "Nor were they, as Nicol J had said, the result of laziness or selfishness"
-
That has no bearing on her conviction for gross negligence manslaughter. It's not self serving for doctors to see themselves in Hadiza and how close they could came to a similar tragedy. We don't know how adequately all factors were covered in her trial..
-
Exactly. We don't know. But whatever detail emerged at the inquest which unusually provoked a police investigation, clearly remained compelling enough for a jury to deem her actions 'truly exceptionally bad'. It's a high bar. Few ever clear it. We can't just dismiss that.
-
And the reason it appears self serving is because there was barely a whimper from clinicians when BG was convicted of GNM. Nobody seemed to care. Only when she was struck off, did cries of foul emerge. You have no idea how weird that looks to non-HCPs
-
I think that’s the crux of the matter here John. I want medics to take collective action and be outraged when patients suffer as a result of systemic failings, provide families with answers and fix what’s gone wrong.
-
https://www.crowdjustice.com/case/junior-doctors-round-3/ … This is a good example of exactly that. 4,000 backers on
@CrowdJustice but practically ignored by several prominent lay patient safety campaigners. Can't expect NHS staff to speak out if the majority of the public look the other way when they are crushed -
Chris, I am aware of what happened to you. It saddens me that we all seem to be in silos on these issues and there is no understanding that we all want the same thing, safe, effective care.
-
Me too. And none of us have managed to get the 'majority of the public' to back us over *anything*. Most are blissfully ignorant of the alarming NHS reality that vexes us all. 'Prominent patient safety campaigners' I'd expect to be more vocal though. No blissful ignorance there.
- 3 more replies
New conversation -
-
-
Reform and create a better system I see a failed system that needs fundamental reform I see the big picture and politicians treat it NHS like a toy
Thanks. Twitter will use this to make your timeline better. UndoUndo
-
Loading seems to be taking a while.
Twitter may be over capacity or experiencing a momentary hiccup. Try again or visit Twitter Status for more information.