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C7RKY's profile
John Clarke
John Clarke
John Clarke
@C7RKY

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John Clarke

@C7RKY

Of course views all mine. All without prejudice. Just a regular chap after all. Oh...and RT's may equally imply ridicule as endorsement.

UK
Joined December 2011

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    1. Daniel Bayley‏ @DanielBayley80 Oct 13
      Replying to @DanielBayley80 @Testing_1212 and

      And the important point you make is about staff coming forward. the willingness to investigate and learn. the spread of those lessons throughout the industry. They try to avoid the same mistakes. The NHS fails to learn lessons locally nevermind nationally.

      3 replies 5 retweets 9 likes
    2. Marcus‏ @Testing_1212 Oct 13
      Replying to @DanielBayley80 @CarrieMaisie and

      As does aviation that leads to the death of innocent people just like the NHS

      1 reply 0 retweets 2 likes
    3. Daniel Bayley‏ @DanielBayley80 Oct 13
      Replying to @Testing_1212 @CarrieMaisie and

      Follow the path of an air crash investigation. they seek to design the risks out the system post event. the NHS just dusts itself off and caries doing the same. There just isn't the same culture of continuous quality improvement.

      4 replies 10 retweets 10 likes
    4. DocXology‏ @dymonite69 Oct 14
      Replying to @DanielBayley80 @Testing_1212 and

      That’s because the teams that investigate crashes actually understand the industry and the system. You’ve got the GMC or a lay jury.

      1 reply 0 retweets 5 likes
    5. John Clarke‏ @C7RKY Oct 16
      Replying to @dymonite69 @DanielBayley80 and

      Both of whom inform their opinion through the use of 'expert' witnesses who should have investigated the evidence though, no? We could add a lot more organisations to that list. NHSE, CQC, NMC, Monitor etc. There are many cooks with their hand in this particularly toxic broth.

      4 replies 2 retweets 6 likes
    6. Dr Gordon Caldwell‏ @doctorcaldwell Oct 16
      Replying to @C7RKY @dymonite69 and

      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

      1 reply 3 retweets 9 likes
    7. John Clarke‏ @C7RKY Oct 16
      Replying to @doctorcaldwell @dymonite69 and

      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.

      2 replies 1 retweet 2 likes
    8. David Drew‏ @NHSwhistleblowr Oct 16
      Replying to @C7RKY @doctorcaldwell and

      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.

      3 replies 4 retweets 8 likes
    9. John Clarke‏ @C7RKY Oct 16
      Replying to @NHSwhistleblowr @doctorcaldwell and

      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.

      2 replies 7 retweets 6 likes
    10. David Drew‏ @NHSwhistleblowr Oct 16
      Replying to @C7RKY @doctorcaldwell and

      Silos. Diffused responsibility. Hence, the regulatory gap that patients and staff fall through. They know about this but do nothing. @didoharding @RobBehrens1884 @sarahwollaston

      3 replies 9 retweets 9 likes
      John Clarke‏ @C7RKY Oct 16
      Replying to @NHSwhistleblowr @doctorcaldwell and

      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.

      4:07 AM - 16 Oct 2018
      • 1 Retweet
      • 1 Like
      • Carrie #FBPE #MHAP David Drew
      1 reply 1 retweet 1 like
        1. New conversation
        2. David Drew‏ @NHSwhistleblowr Oct 16
          Replying to @C7RKY @doctorcaldwell and

          Yes John. I'm such a pussy cat.pic.twitter.com/TkqfOBmS9G

          1 reply 0 retweets 1 like
        3. John Clarke‏ @C7RKY Oct 16
          Replying to @NHSwhistleblowr @doctorcaldwell and

          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... :)

          1 reply 0 retweets 0 likes
        4. David Drew‏ @NHSwhistleblowr Oct 16
          Replying to @C7RKY @doctorcaldwell and

          Pussy cat expression of shock-horror that humans could do such things to each other. We only do it to non-felines.

          1 reply 0 retweets 2 likes
        5. John Clarke‏ @C7RKY Oct 16
          Replying to @NHSwhistleblowr @doctorcaldwell and

          Aaah… all becomes clear. :)

          0 replies 0 retweets 1 like
        6. End of conversation

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