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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. Mothers Instinct‏ @Mothers_Inst_UK 14 Dec 2017

      #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

      2 replies 5 retweets 9 likes
    2. Grumpy Old Doc‏ @GrumpyOldDoc 14 Dec 2017
      Replying to @Mothers_Inst_UK @C7RKY and

      Please read GMC Good Medical Practice. Duties of a Doctor. Though not a betting man, I am very confident that .@Jeremy_Hunt has not done so before mouthing off on our responsibilitiespic.twitter.com/GBsPpgRyxC

      2 replies 1 retweet 0 likes
    3. John Clarke‏ @C7RKY 14 Dec 2017
      Replying to @GrumpyOldDoc @Mothers_Inst_UK and

      John Clarke Retweeted John Clarke

      When it comes to duty of candour, Hunt knows what he's ducking though. GMC guideline he's leaning on here is ignored by lawyers. Legally unenforceable. Francis recognised that.https://twitter.com/c7rky/status/932915559196446720 …

      John Clarke added,

      John Clarke @C7RKY
      Replying to @C7RKY @drbenwhite @Dunne4Ludlow
      "The solicitors’ code of conduct – to act in the best interests of the client – invariably trumps any wider ethical guidance to the NHS." http://www.drphilhammond.com/blog/2013/06/04/private-eye/private-eye-issue-1341/ …
      1 reply 1 retweet 0 likes
    4. Anne Murphy‏ @DrAnneMurphy 14 Dec 2017
      Replying to @C7RKY @GrumpyOldDoc and

      I’m horrified. Knew this happened, but I thought it was unacceptably dodgy behaviour. Didn’t realise that solicitors consider it good practice.

      3 replies 1 retweet 2 likes
    5. John Clarke‏ @C7RKY 14 Dec 2017
      Replying to @DrAnneMurphy @GrumpyOldDoc and

      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.

      2 replies 0 retweets 0 likes
    6. Mothers Instinct‏ @Mothers_Inst_UK 14 Dec 2017
      Replying to @C7RKY @DrAnneMurphy and

      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

      1 reply 0 retweets 2 likes
      John Clarke‏ @C7RKY 14 Dec 2017
      Replying to @Mothers_Inst_UK @DrAnneMurphy and

      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

      4:51 PM - 14 Dec 2017
      • 8 Retweets
      • 6 Likes
      • Edwin Jesudason drjonesaa Jade Taylor Martin Russell Justamum Grumpy Old Doc Marion Steggles Kate Heydon stendec #FBPE 54%
      3 replies 8 retweets 6 likes
        1. New conversation
        2. Mothers Instinct‏ @Mothers_Inst_UK 14 Dec 2017
          Replying to @C7RKY @DrAnneMurphy and

          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

          1 reply 2 retweets 1 like
        3. John Clarke‏ @C7RKY 15 Dec 2017
          Replying to @Mothers_Inst_UK @DrAnneMurphy and

          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.

          1 reply 3 retweets 2 likes
        4. Anne Murphy‏ @DrAnneMurphy 15 Dec 2017
          Replying to @C7RKY @Mothers_Inst_UK and

          Wonder if relative integrity of computerised GP records helps ppl?

          2 replies 0 retweets 1 like
        5. John Clarke‏ @C7RKY 15 Dec 2017
          Replying to @DrAnneMurphy @Mothers_Inst_UK and

          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.

          0 replies 2 retweets 1 like
        6. End of conversation
        1. New conversation
        2. Fiona Anderson‏ @feanderson7 Feb 10
          Replying to @C7RKY @Mothers_Inst_UK and

          I don't think the mental health services thought I would get the files & read all the contents. The records include a lot of inaccuracies in note taking & dates. It is here I noted CKD due to medication 2005 11 years after it came to attention & finally removed in April 2007.

          5 replies 3 retweets 2 likes
        3. I am mentally ill‏ @m4delen Sep 16
          Replying to @feanderson7 @C7RKY and

          the problem is inaccuracies in the medical record are hard to prove unless it is something very concrete... like date of birth.

          1 reply 1 retweet 0 likes
        4. Anne Murphy‏ @DrAnneMurphy Sep 16
          Replying to @m4delen @feanderson7 and

          And (from a professional POV) you mustn’t just delete what (in hindsight) were obviously stupid misdiagnoses - as that’s fraudulently changing a record to hide a mistake. There is a complicated way to “re-code and replace” the headline dx but it’s timeconsuming and clunky.

          1 reply 1 retweet 0 likes
        5. Anne Murphy‏ @DrAnneMurphy Sep 16
          Replying to @DrAnneMurphy @m4delen and

          So in summary - nonsense like weed and seed seems to be easy enough for the nefarious. But improving accuracy of med records for the benefit of patients and legit clinicians is quite hard.

          1 reply 1 retweet 1 like
        6. John Clarke‏ @C7RKY Sep 16
          Replying to @DrAnneMurphy @m4delen and

          You have to wonder who set the priorities for creating these systems sometimes. @dr_shibley talks about 'little revision of diagnosis' & I get the impression pride plays a part sometimes. Systems that discourage revision will only worsen the phenomenon. https://drshibleyrahman.wordpress.com/2018/09/16/can-you-do-the-tto-for-the-appendix-in-bed-5/ …

          1 reply 1 retweet 1 like
        7. I am mentally ill‏ @m4delen Sep 16
          Replying to @C7RKY @DrAnneMurphy and

          Yes and colleagues are also loathe to contradict fellow medic so even getting a second opinion can be difficult.

          1 reply 0 retweets 1 like
        8. John Clarke‏ @C7RKY Sep 16
          Replying to @m4delen @DrAnneMurphy and

          Absolutely right. I find you have to travel a very long way out of town before you find a true 2nd opinion. And even then you have to carefully research the history of the person behind the 1st opinion, to ensure their influence doesn't extend to your new choice. Sad, but true.

          1 reply 2 retweets 3 likes
        9. I am mentally ill‏ @m4delen Sep 16
          Replying to @C7RKY @DrAnneMurphy and

          Yes - and even then simply the 'profession' identification may exert some influence, both are doctors. A truly independent opinion is like gold dust though I do think some, more reflective professionals, can provide it

          2 replies 1 retweet 2 likes
        10. 4 more replies
        1. drjonesaa‏ @drjonesaa Sep 16
          Replying to @C7RKY @Mothers_Inst_UK and

          Never forget the evil lawyers.....a group who are protected by good lawyers who fail to do what is right due to fear of how powerful bad lawyers are....and politicians allow this...see Hillsborough football, contaminated blood etc

          0 replies 0 retweets 0 likes
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