I'd also like to point out that public confidence is a critical element in all this. Doctors are keen to be judged by peers, rather than the public. It wasn't media, but the jury that #BawaGarba failed to convince. She failed that test of public confidence, but MPTS know better?
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Replying to @C7RKY @NHSwhistleblowr and
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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Replying to @DrAlanWoodall @NHSwhistleblowr and
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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Replying to @C7RKY @DrAlanWoodall and
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. IMHO2 replies 3 retweets 4 likes -
Replying to @jsbamrah @DrAlanWoodall and
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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Replying to @NHSwhistleblowr @jsbamrah and
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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Replying to @NHSwhistleblowr @jsbamrah and
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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Stanford experiment. Decent people can be made to do bad things. No excuse but it is true. Once you get on that road you have to justify it to yourself. Then becomes normalised.
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And don't we know it. All groups are guilty to some degree, but watching such a volume of doctors working their way down threads selectively picking out tweets which suit their confirmation bias is all it takes to see that in action. Public opinion gets overlooked in between.
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Haven't seen that. Don't disbelieve you. Judging what public opinion is is really difficult.
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