The lessons are always the same but never learnt & there's never accountabilityhttps://phsothetruestory.com/2017/11/29/jeremy-hunt-goes-for-a-spin/amp/ …
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Replying to @curetheNHS @C7RKY
I’m afraid I find Bruce’s piece incoherent & illogical. HSIB will absolutely be given more resources to undertake these maternity investigations & the very point of these measures is to avoid families having to use the complaints system to ensure learning 1/2
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Accountability is right, but actually the NHS gets this very badly wrong currently with staff routinely blamed 4 clinical errors despite their best efforts, whilst a blind eye is turned to coverups & dishonesty. Again, these measures will help both cases. 2/2
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Replying to @JamesTitcombe @curetheNHS
1. Individual statutory duty of candour - as originally demanded. 2. Immunity from prosecution for (non-reckless) medical errors, on condition of full, candid disclosure of all info within set time period. 3. Prosecute fully every case of non-disclosure. > Could this work?
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Also needs Expert Investigation by not involved practising experts prior to any criminal investigation - as in air industry
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Independent review critical, I agree. Which brings us to the evidence. Somehow, immediate removal of medical records from trust custody after the incident is needed, imho. Only criminal investigations this would produce are for lack of candour or reckless acts...
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Replying to @C7RKY @doctorcaldwell and
...in which case, I'm not sure I'd be happy for medical experts to be in a position to delay law enforcement activities tbh. Surely criminal investigations should never be delayed?
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Replying to @C7RKY @doctorcaldwell and
Independent investigations vital, but could skills be passed on to risk managers. Will electronic notes make cover ups more difficult.
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Replying to @TaskerAnn @doctorcaldwell and
Electronic records have potential to help, yes. Depends on specific system. Risk managers, I'm not sure. They too would have to be independent though. What did you have in mind?
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Replying to @C7RKY @doctorcaldwell and
I’m not sure, but currently the majority of risk managers have no formal training, they admit this. A trained investigator could mentor.
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I think I'd need to know more about the particular skills such a role brings in order to comment knowledgeably. Sounds like this has a part to play though.
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