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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. Mike Stone‏ @MikeStone2_EoL Jan 13
      Replying to @MikeStone2_EoL @C7RKY @KaraChrome

      2/2 think. The disadvantage is some people get the thinking wrong. The other approach - 'imposition of the well-thought-out-from-above' - has the problem that it doesn't encourage local people to question the correctness what is being imposed. Tricky!

      1 reply 0 retweets 1 like
    2. John Clarke‏ @C7RKY Jan 13
      Replying to @MikeStone2_EoL @KaraChrome

      Taking in the consent conversation is a separate, but very valid point. My focus has been on ensuring the record of that conversation remains accurate. Local discretion has its pitfalls. This may help explain a little more. From an email exchange with DoH >pic.twitter.com/rQdhZ3iLr8

      1 reply 0 retweets 0 likes
    3. Mike Stone‏ @MikeStone2_EoL Jan 13
      Replying to @C7RKY @KaraChrome

      The best way to try and ensure that the record of a conversation is 'accurate' is to get whichever party to the conversation did not write the record, to sign the record to confirm that it appears to be right. BMA/RCN/RC(UK) are resistant to that, however.

      1 reply 0 retweets 1 like
    4. John Clarke‏ @C7RKY Jan 13
      Replying to @MikeStone2_EoL @KaraChrome

      Not in this case, it's not. The signature doesn't make a jot of difference in mitigating the risk I'm talking about here I'm afraid - as acknowledged by CQC/NHSE/GMC. If you read the articles I linked to before, it will hopefully explain more.

      1 reply 0 retweets 0 likes
    5. Mike Stone‏ @MikeStone2_EoL Jan 13
      Replying to @C7RKY @KaraChrome

      Ah - you are interested in 'remains' accurate?

      1 reply 1 retweet 1 like
    6. John Clarke‏ @C7RKY Jan 13
      Replying to @MikeStone2_EoL @KaraChrome

      Exactly! As opposed to the form being vulnerable to later amended, in order to try and justify any clinical action - or inaction - that was not in keeping with the consent obtained.

      1 reply 0 retweets 0 likes
    7. Mike Stone‏ @MikeStone2_EoL Jan 13
      Replying to @C7RKY @KaraChrome

      Well - if you design a better form, you would have the problem of the entire form being substituted for a faked one. I suppose you would need to store copies of completed consent forms in a 'trusted third-party repository' as soon as the form was completed? Unlikely to happen.

      1 reply 0 retweets 0 likes
    8. John Clarke‏ @C7RKY Jan 13
      Replying to @MikeStone2_EoL @KaraChrome

      3rd party not necessary. Some measures can prevent amendment, but the greatest protection comes from ensuring that the form makes it clear the pt should take their copy immediately after signing it, imho. Can't switch/amend it unnoticed, if the patient has a copy at home.

      2 replies 0 retweets 1 like
    9. Mike Stone‏ @MikeStone2_EoL Jan 15
      Replying to @C7RKY @KaraChrome

      1/2 How does 'give the patient a copy' work for patients who are in hospital, in the context of your 'staff cover-ups' issue? And - coming back today and about to trawl '100+ notifications' - I honestly think you are wrong - lots of 'cock-ups' yes, and manypic.twitter.com/kwfiwl7vtw

      1 reply 0 retweets 0 likes
    10. Mike Stone‏ @MikeStone2_EoL Jan 15
      Replying to @MikeStone2_EoL @C7RKY @KaraChrome

      2/2 NHS staff [probably justifiably I suspect] become 'very defensive and self-protective' during 'investigations', but I don't there is much deliberate 'wrong-doing and cover-up' within NHS doctors and nurses.

      1 reply 0 retweets 0 likes
      John Clarke‏ @C7RKY Jan 15
      Replying to @MikeStone2_EoL @KaraChrome

      1/2 Actually, you're right about those isolated in hospital in this regard. I know of 1 individual who had consent form taken from bedside cabinet, so no protection there. Would still help large majority of pts though, so worth doing anyway, as no downside I can see.

      3:03 AM - 15 Jan 2018
      1 reply 0 retweets 0 likes
        1. New conversation
        2. John Clarke‏ @C7RKY Jan 15
          Replying to @C7RKY @MikeStone2_EoL @KaraChrome

          2/2 But you're absolutely wrong to dismiss what's going on as just cock-ups. Scale is a question, but this is premeditated. And you should look around twitter a little more before deciding there's not much deliberate cover-up in the NHS. I'm afraid you're wrong about that too.

          1 reply 0 retweets 0 likes
        3. Mike Stone‏ @MikeStone2_EoL Jan 15
          Replying to @C7RKY @KaraChrome

          'look around twitter' - nooo! I'm sticking to my 'more cock-up than conspiracy' re clinicians: now, if you ask me about government policy, and might there be ulterior motives - a different question, entirely.

          1 reply 0 retweets 0 likes
        4. John Clarke‏ @C7RKY Jan 15
          Replying to @MikeStone2_EoL @KaraChrome

          I'll perhaps ask you again in a year or so, when you've encountered more of us. You're a welcome addition to twitter. I'm glad @DrMarkTaubert suggested you join. Now we just need a whip-round to get you online at home, so we don't have to wait for you to get to the library! :)

          2 replies 0 retweets 1 like
        5. Mike Stone‏ @MikeStone2_EoL Jan 15
          Replying to @C7RKY @KaraChrome @DrMarkTaubert

          Can you currently post URLs in your tweets? I've had intermittent issues with that for days, and the problem is now also afflicting @DrMarkTaubert

          1 reply 0 retweets 0 likes
        6. John Clarke‏ @C7RKY Jan 15
          Replying to @MikeStone2_EoL @KaraChrome @DrMarkTaubert

          Twitter can be fickle sometimes. I assume you're on a PC? A refresh of the tab, or even a cut & paste into a new window entirely may help sometimes, but not always.

          1 reply 0 retweets 0 likes
        7. Mike Stone‏ @MikeStone2_EoL Jan 15
          Replying to @C7RKY @KaraChrome @DrMarkTaubert

          Case of 'not' I'm afraid - and it does seem to be something that only started last week. Typically at the moment can't paste URLs using my own laptop and library WiFi - perhaps can paste later, when I'm using wired-in library computers. But - annoying!

          1 reply 0 retweets 0 likes
        8. John Clarke‏ @C7RKY Jan 15
          Replying to @MikeStone2_EoL @KaraChrome @DrMarkTaubert

          Infuriating, I realise. As I said... fickle.

          0 replies 0 retweets 0 likes
        9. End of conversation

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