#LearningfromDeaths @Jeremy_Hunt says individuals have professional code of conduct that should encourage candour. @willcpowell says legal duty should be on all individuals not just on trusts to close loopholes
When I met David Behan, I asked him if he knew what 'weeding & seeding' was. He acknowledged he was familiar with it instantly. It's a huge problem, which lawyers play no small part in, imho.
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What is weeding and seeding ? I’ve not heard of it before but I’m guessing I’m not gonna like what it means before you even tell me
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No, you won't like it. 1 Meet complainant, find out what they know/have 2 Consult with lawyers to determine best defence, using that knowledge gained 3 Consult medical records to weed out anything which contradicts the recommended defence & seed in anything required to support it
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Wow. Steps 1-3 I’ve been deeply suspicious happened to me. Now I have a name for it.
so it is a strategy used regularly. Appalling -
Indeed. There aren't many walks of life where in order to take legal action against someone, you have to ask the accused to hand you the evidence with which to do it. Cover-ups are literally guaranteed when it's so easy to do. Med record integrity affects everything else.
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Wonder if relative integrity of computerised GP records helps ppl?
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My main focus has been secondary care tbh, but I do think electronic audit trails help in general. Of course, that in turn means we have to fight NHS not to steal our most intimate GP data for their mega database without consent, but I prefer that battle of the 2.
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Presumably made easier by the chaos in the hybrid paper-electronic-pathology-radiology-email ‘system’ that passes for notes. It’s often very difficult even for clinicians to get hold of full notes in a totally uncontroversial case. .
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Quite so. I have no doubt that disorganisation, incompetence & corruption all play their part in the state of med records. But I'd wager some prefer paper records to digital ones for their 'malleability' in embarrassing cases. Certain lawyers & doctors alike.
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The electronic audit trail was what caught Shipman in the end...
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Well I didn't know that. How interesting. Couldn't help notice a new e-system launched a few years back in Cambridge didn't include consent forms. Never was totally happy with the explanation as to why that was...
#justsaying
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