.@C7RKY
Dear John I spent all of my commute today thinking about you and have written you a letter entitled Mistakes Happen. It is about #JackAdcock #BawaGarba #IsabelAmaro & #HumanLimitations Here it is:
https://www.dropbox.com/s/93eitlouo829jw9/Mistakes%20Happen.docx?dl=0 …
@SafetyCarm @doctor_oxford @TheIHI @DrGrumble
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Did you watch
#DavidSellu at#RSM? The conclusion of those who had been ‘worked up’ for Manslaughter & the Lawyers at end of the meeting was It’s a toss of the coin if you are charged, then a toss of the coin whether convicted’ https://videos.rsm.ac.uk/video/mistake-or-manslaughter …@djnicholl@rogerklineThanks. Twitter will use this to make your timeline better. UndoUndo
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One logical route to improvement after
#BawaGarba case is to hunt out all the other seemingly well performing trainees and sack them before they cause such harm. Or the other way is to try to improve Structure and Process like the 71 changes made in the department afterwards? -
I'm not sure logical is a word I'd use to describe that first option tbh, regardless of the
#BawaGarba case. 2nd one makes sense though.
End of conversation
New conversation -
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If
#IsabelAmaro &#BawaGarba were solely responsible for Jack’s death then all the improvements have been done by convicting them & striking them off the Registers If they were not solely responsible then where is the Justice in not bringing forward the other responsible people?Thanks. Twitter will use this to make your timeline better. UndoUndo
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