That's great Daniel but when your thousands in debt, mortgaged to the hilt and barely making ends meet. When you've study for years to get a career in a job the only the NHS employ then realise that the management sack all whistle blowers then you can judge employees.........
-
-
And few investigators are currently active Diagnosing & Treating patients within current Structure & Process. Even fewer recognise how deficient Structure & Process are for Care of Patients. Patients need us to have radically better Clinical Information Systems to keep them safe
-
I guess that blindfold which so many regulators appear to willingly slip on is no less unhelpful when it comes to allowing them to see system problems, than it is for allowing them to see blatant cover-ups or criminal acts? So much regulation, so little achieved.
-
Yes
@NHSImprovement is a regulator that fits this. My reports of avoidable child death cover-up were not investigated https://iatroskalos.wordpress.com/2017/02/02/nhs-regulators-allow-trusts-to-bury-their-fatal-mistakes-an-open-letter-to-jim-mackey-at-nhs-improvement/ … Reported this to@PHSOmbudsman Not investigated as NHSI told them "We are an improvement agency" that's not our job. End of. -
It's no wonder Francis called for a single regulator. We've allowed them to play this 'not in our remit' pass the parcel game for long enough. Only when they're all under one group will they have nowhere else left to point. Then it has to be in their remit.
-
Silos. Diffused responsibility. Hence, the regulatory gap that patients and staff fall through. They know about this but do nothing.
@didoharding@RobBehrens1884@sarahwollaston -
I'd go with 'pushed through' rather than 'fall through', but that regulatory gap is no accident, imho. It was built into the design and has more capacity for disposal than a HES contract.
-
-
It made me smile, but think I've missed the link? Unless HES have that poor cat's right ear in a pile of other undesirable bits somewhere? May just be me... :)
- 2 more replies
New conversation -
-
-
The Expert Witnesses have all the time in the world to trawl through Clinical Notes & computer files to find (or not find) the Clinical Information that should be at our fingertips for every Clinical Consultation. The Big Issue is the Missing Basic Clinical Information about you
-
To be fair Gordon, those self same expert witnesses have been the saviour of many a doctor's career via that process, (inc several unworthy of the support, ime). Not every case is about better records access for witnesses. The expert witness circus largely favours doctors, imho.
-
-
It's about time when warning signs appear screening of Doctors & Nurses https://openpsychometrics.org/tests/LSRP.php
#Gosport "A DISREGARD FOR HUMAN LIFE" -
People need to feel safe in the
#NHS. Speaking personally, I don’t anymore. And I was only affected as a member of a family. -
Watching the effects my story has had on my husband, who was with me every step of the way, family learn the lesson not to trust even more definitively than the patient does. The bottom line is that no one will ever be safe in a hospital, but a lot can be done to make us safER.
-
Being in Hospital is starting from a point of dangerhttps://www.dropbox.com/s/j3eaz9pksnk8riu/Ward%20Rounds%20Finding%20Safety%20in%20Danger.pptx?dl=0 …
End of conversation
New conversation -
-
-
I am working on a Structured Death Review - the notes are 20cm thick & weigh about 4Kg. It takes so much time to locate the information let alone understand it, yet we stick with this process that makes Care slow and dangerous
-
The current clinical notes paper or computer contain too much information and not enough synthesis & wisdom. Also no connection digitally between GP & Hospital or GP to GP nor Hospital to Hospital nor England to Scotland or Wales or NI and definitely not with the patient
-
It's a separate point to the expert witness one where we started, but is there no 'dashboard' at all? Even business has worked out you need the key data on the front page of any report/file, preferably with RAG indicators (Red/Amber/Green) to draw the eye where questions beg.
-
When I do Structured Death Review the starter questions are Date Day Time admitted? This can take 15minutes trawling various notes and systems to discover we don’t know for sure. That’s how unusable our information and systems are ..
-
For The current death review I am doing I could find the time patient clerked but not the arrival time in Hospital after transfer from another NHS Hospital with no transfer letter. I then had to look up in a calendar which day of the week that was ...
-
Presumably I am meant to be looking for possible failures leading to a possibly Avoidable Death but actually spend huge amounts of time working out dates & times. Generally no information about seniority of Doctor Doing the Daily Review. Usually no Problems List
#LarryWeed -
So the NHS does not prospectively collect information in usable formats to establish timelines - timeline is vital for Diagnosis & refining Clinical Management, so no surprises to me when it goes wrong. The time taken to Review Notes proves the notes are not fit for purpose
- 1 more reply
New conversation -
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.