Ombudsman in Scotland rules on complaints brought to it. Not a regulator in any way.
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So how to make sense of this? "If we became a complaints standard authority, as is the case with the Scottish ombudsman, then we could have an element of regulatory power in telling bodies in jurisdiction they have to improve their complaint handling using a framework we set out"
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They rule on the very narrow field of complaints management. I do not accept that amounts to meaningful healthcare regulation. The Scottish boards have, unaccountably, hung on to the power to mark their own homework
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So what do you think Rob Behrens is trying to achieve here? How would making the changes he is proposing affect things? Very odd. Seems all the rage to try and copy Scotland these days. Some would've liked to see culpable homicide replace GNM too, it seems? Without explanation.
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Think robust & consistent oversight of complaints is a good thing. Does the Scottish system achieve that? Not so sure. Remit is narrow. Rules on isolated incidences, not system. This suits the boards fine, because focus is on clinicians & managers given a bye.
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Interesting to hear. Esp on the management point. It strikes me that even the most robust system can be corrupted though. PHSO hasn't been failing in England/Wales because of a lack of powers. It's been failing because it's been putting the final seal of approval on cover-ups.
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At least you have an (even less than perfect) independent regulator in the form of the CQC.
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Don't start me on the CQC - you could be here for some time! "Interfering in a crime scene" was how I described the actions of their inspectors when talking with David Behan. They merely create the impression of regulation. It jarred with my experience of another regulated field.
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It seems to me that Boards have all the power. They hold the medical records which are looked at in a complaint which patients can’t document in. Also the Ombusdman decides which “ expert “ should give advice, do patients have any input in that?
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BlockChain would be a possible solution for collating and storing medical records. Information can be added and shared but not changed or amended. Widely used in financial services for this very reason.
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The Scottish Ombudsman at least publishes limited details of complaints and decisions made. It can make recommendations to Health Boards and put a time frame on them to comply but I am not sure if compliance and change in practice is then audited.
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