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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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    John Clarke‏ @C7RKY Jan 15

    So David Behan is leaving the CQC in the summer? Think I might write to him before he leaves to find out exactly what got changed after he wrote this letter. (Final page).pic.twitter.com/lNoQOEDMrz

    3:59 AM - 15 Jan 2018
    • 8 Retweets
    • 4 Likes
    • Ben Chadwick Margaret Whalley Maggie Brooks Ian Syme †ðr†µrêРߥ †hê ñH§ 12 ¥êår§ Kate Masters Tamina Rashell #FBPE Reform MH Care Ken Lownds
    6 replies 8 retweets 4 likes
      1. New conversation
      2. theveindoc‏ @theveindoc Jan 15
        Replying to @C7RKY

        Surely if a copy of consent form is given to every patient before their procedure retrospective changes would be impossible?

        1 reply 1 retweet 1 like
      3. John Clarke‏ @C7RKY Jan 15
        Replying to @theveindoc

        I would agree. Although it won't protect all, it should protect most. Problem is, the only time CQC have ever checked & recorded data, they found the trust had retained the pt's copy in 85% of forms inspected. (Pause for effect) They've not recorded any further such data since.

        1 reply 1 retweet 1 like
      4. theveindoc‏ @theveindoc Jan 15
        Replying to @C7RKY

        We regularly audit whether a copy has been given to the patient. It is over 95% but not perfect.

        1 reply 1 retweet 1 like
      5. John Clarke‏ @C7RKY Jan 15
        Replying to @theveindoc

        That's very interesting to hear. Not just the result, but also the fact that you conduct an audit on the subject at all. What made you undertake an audit process in the first place?

        1 reply 0 retweets 0 likes
      6. theveindoc‏ @theveindoc Jan 15
        Replying to @C7RKY

        We audit virtually everything we consider important and for CQC it is useful to demonstrate that we are at least trying to do things right even if not perfect and can show whether improving or not year on year

        1 reply 1 retweet 1 like
      7. John Clarke‏ @C7RKY Jan 15
        Replying to @theveindoc

        I find that very encouraging. Thanks doc. May I ask, when did you first include checking pt consent forms had been given out? And why?

        1 reply 1 retweet 1 like
      8. theveindoc‏ @theveindoc Jan 15
        Replying to @C7RKY

        About 5 years or more ago. I suspect because it is a requirement of good consent practice to give a copy.

        1 reply 1 retweet 1 like
      9. John Clarke‏ @C7RKY Jan 15
        Replying to @theveindoc

        Where do you take your lead from these days for what represents good consent practice? I'm just looking to find anything that specifies the need to hand a copy to patient, or auditing the same.

        2 replies 0 retweets 0 likes
      10. 11 more replies
      1. New conversation
      2. shibs‏ @dr_shibley Jan 15
        Replying to @C7RKY @TaminaRashell

        Sweet all.

        1 reply 0 retweets 1 like
      3. John Clarke‏ @C7RKY Jan 15
        Replying to @dr_shibley @TaminaRashell

        I'm going to guess that's about the size of it, Shibs. I'm just looking around for any signs now. Think I've got more chance of finding evidence that the flu vaccine is safe and effective, tbh. :)

        1 reply 1 retweet 1 like
      4. shibs‏ @dr_shibley Jan 15
        Replying to @C7RKY @TaminaRashell

        Yes. The consequences of it not being safe and effective are not worth thinking about.

        1 reply 1 retweet 0 likes
      5. John Clarke‏ @C7RKY Jan 15
        Replying to @dr_shibley @TaminaRashell

        John Clarke Retweeted John Clarke

        Quite! Whichever of the two subjects we're talking about.https://twitter.com/c7rky/status/953008486673248256 …

        John Clarke added,

        John Clarke @C7RKY
        >>A taste "The review showed that reliable evidence on influenza vaccines is thin but there is evidence of widespread manipulation of conclusions and spurious notoriety of the studies. The content and conclusions of this review should be interpreted in the light of this finding."
        Show this thread
        1 reply 2 retweets 2 likes
      6. shibs‏ @dr_shibley Jan 15
        Replying to @C7RKY @TaminaRashell

        I don't believe in conspiracies.

        1 reply 0 retweets 0 likes
      7. John Clarke‏ @C7RKY Jan 15
        Replying to @dr_shibley @TaminaRashell

        Not sure what you're thinking there, but you don't have to.. that's the Cochrane review I quoted from. So you don't believe that more than one person can conspire to achieve a common goal? Really? #TrumanShow

        0 replies 0 retweets 0 likes
      8. End of conversation
      1. New conversation
      2. PhyllisStein2‏ @PhyllisStein2 Jan 15
        Replying to @C7RKY

        I wrote to him about how badly children are treated on CAMHS units. We now know 7 x more likely to be restrained than on adult wards

        1 reply 5 retweets 2 likes
      3. PhyllisStein2‏ @PhyllisStein2 Jan 15
        Replying to @PhyllisStein2 @C7RKY

        it is evidenced herehttps://youngminds.org.uk/blogs/time-for-action-on-childrens-mental-health/ …

        1 reply 3 retweets 2 likes
      4. John Clarke‏ @C7RKY Jan 15
        Replying to @PhyllisStein2

        That's astonishing. What could possibly account for a seven-fold greater use of restraint against children, when compared to adults in mental health care? Someone needs to be taking a long, hard look in the mirror over those figures.

        1 reply 3 retweets 2 likes
      5. PhyllisStein2‏ @PhyllisStein2 Jan 15
        Replying to @C7RKY

        There is worse here and it is increasing. Under 20 and female and you will be at most risk. Prejudicehttps://www.theguardian.com/society/2017/dec/09/women-black-patients-physically-restrained-mental-health …

        1 reply 5 retweets 4 likes
      6. John Clarke‏ @C7RKY Jan 15
        Replying to @PhyllisStein2

        I remember when a cry of 'women & children first' meant they could get on a lifeboat, prioritising their protection. Now it's a comment on restraint policy in mental healthcare. What the hell happened to our world?

        0 replies 2 retweets 0 likes
      7. End of conversation
      1. New conversation
      2. Kate Masters‏ @katemasters67 Jan 15
        Replying to @C7RKY

        Mike Richards is gone, David Behan is going, Neil Churchill says ‘not me’ and CQC inspections have to ‘look to find’ - have they been looking at the forms?

        2 replies 3 retweets 2 likes
      3. John Clarke‏ @C7RKY Jan 16
        Replying to @katemasters67

        Well they didn't seem to be doing anything some 6 months after that letter which would help them gain executive understanding of the problem : https://www.whatdotheyknow.com/request/risk_assessment_of_consent_forms?nocache=outgoing-443887#outgoing-443887 … I'm just looking for evidence of any change now.

        1 reply 0 retweets 0 likes
      4. John Clarke‏ @C7RKY Jan 16
        Replying to @C7RKY @katemasters67

        John Clarke Retweeted John Clarke

        Looks like GMC are finally getting round to reviewing their consent guidelines now, as CQC & NHSE requested. Only took them 3 years to respond. >https://twitter.com/c7rky/status/953033480883048448 …

        John Clarke added,

        John Clarke @C7RKY
        Replying to @MarkCheetham @theveindoc
        Is whichever is most up to date the only determining factor? GMC are reviewing their guidelines now (a bit late - that letter above is dated Oct 2014!) but will the torch then just be passed to GMC as the most definitive, when it becomes the latest? https://www.gmc-uk.org/guidance/news_consultation/30001.asp …
        0 replies 0 retweets 1 like
      5. End of conversation

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