Proud to be standing with: @BAPIOUK @IHPA_UK @cgps_gp @DrAlanWoodall @SAforHadiza @Docs4Progress @DrJennyVaughan @JamesGHaddock @GasDocRP @jsbamrah @RameshMehta15 @djnicholl @DrICampbell @DoctorsInUnite @dochalliday @nhscampaigns @aislinnmacklin @DrAdrianHarrop #learnnotblamehttps://twitter.com/TheDA_UK/status/1047622916681224192 …
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We are, possibly, the most over-regulated medical profession in the western world. Double/ triple jeopardy. Working in unsafe systems, where a culture of raising concerns can be career-ending. The fact we are losing UK doctors to work overseas is not by chance. Morale gone. Why?
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Unsafe systems - unacceptable. Raising concerns ending careers - unacceptable. I'll help in any way I can to challenge both. But whilst I can't comment on elsewhere, I can tell you there's nothing over-regulated re UK healthcare. Regulation is as sprawling as it is non-existent.
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Challenge is good to improve
#NHS but in current unsafe system honest doctors/nurses are persecuted and lose jobs. Impact on morale and recruitment is palpable, further worsening the crisis. But I have faith in patients’ perception of us. Most think we try and do a good job. IMHO -
I think it's disgraceful that we have permitted an environment to develop where doctors are more afraid of telling the truth when things go wrong, than they are of lying. We need to shift that balance somehow and force out anyone who persecutes those trying to be honest. >>
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Not sure "allowed" is right. Mid Staffs showed how fear determined that. Also promulgation of "good news only" culture from the top. Individuals became isolated and acted out of self-interest. The history has not yet been written.
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It's insidious, I agree, but it didn't happen overnight. Self interest is key there in allowing this to become the norm. Our personal standards aren't what we say they are, they're what we're prepared to accept happening without acting to stop it. Twitter may be the new history?
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Self-interest is universal in humans. Ensures survival. At the same time social co-operation requires honest communication and fellow-feeling. This too is good for us. Not sure about Twitter.
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Self interest may be universal, but a duty of care isn't. That raises the bar of patient expectation that doctors will act in our best interests only, never in their own. Reality tends to come with a Porgy & Bess soundtrack however. 'It ain't necessarily so..'
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