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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 19

      Mike Stone Retweeted John Clarke

      Tick - but everyone who looks at it, sees the same problem: reaching an effective solution, is much more difficult, based on 'the problem continuing to exist'.https://twitter.com/C7RKY/status/953994774834483200 …

      Mike Stone added,

      John Clarke @C7RKY
      Replying to @kateheydonorg @katemasters67 @MikeStone2_EoL
      So just frightened they'd missed a diagnosis & might be sued? *sigh* We've got to create an atmosphere where without fear, clinicians feel compelled to be honest about mistakes and to react to them. To rectify them where possible. Minimise damage & anguish where not. Learn always
      1 reply 2 retweets 1 like
    2. John Clarke‏ @C7RKY Jan 19
      Replying to @MikeStone2_EoL

      It needs an amnesty, or some such watershed moment. I fear the true picture of harm & avoidable deaths is likely much worse than the controlled glimpse we are permitted currently. Even an amnesty may hold too much fear for some. Fear of public reaction to the true picture.

      1 reply 0 retweets 0 likes
    3. Mike Stone‏ @MikeStone2_EoL Jan 19
      Replying to @C7RKY

      'avoidable deaths' is a complex concept, hidden behind an apparently clear term: mind you, 'shared decision making' is much worse http://www.bmj.com/content/349/bmj.g4855/rr/761712 … See also http://www.bmj.com/content/355/bmj.i6165/rr …pic.twitter.com/atTXH62H2P

      1 reply 1 retweet 2 likes
    4. John Clarke‏ @C7RKY Jan 19
      Replying to @MikeStone2_EoL

      The one clear thing about the phrase 'shared decision making' for me, is how clearly wrong it is. The ONLY one making this decision will be me, as a pt with capacity. And the only thing being shared will be the information the clinician is providing to help me decide.

      2 replies 0 retweets 0 likes
    5. Mike Stone‏ @MikeStone2_EoL Jan 19
      Replying to @C7RKY

      Shared Decision Making doesn't describe Informed Consent (which is Supported Decision Making). It doesn't describe MCA best-interests decision-making either (unless there are several welfare attorneys whose powers are 'joint'). https://www.dignityincare.org.uk/Discuss-and-debate/Dignity-Champions-forum/Patient-Centred-Care/869/ … Cliniicans LOVE 'shared DM'.

      1 reply 0 retweets 1 like
    6. John Clarke‏ @C7RKY Jan 19
      Replying to @MikeStone2_EoL

      Aah, ok. That makes me feel marginally better to hear the 'supported decision making' phrase alongside it. Your writings on best interest decision making is v interesting for me. I have POA in place for my relative now, but hadn't appreciated the significance of that terminology.

      2 replies 0 retweets 0 likes
    7. Mike Stone‏ @MikeStone2_EoL Jan 20
      Replying to @C7RKY

      Sadly, it isn't 'alongside'. Whereas the Royal College of Surgeons (England) avoided the use of shared decision making in its recent consent guidance, using supported decision making instead, most clinicians bandy about 'shared decision making' as it if means something!

      2 replies 2 retweets 2 likes
      John Clarke‏ @C7RKY Jan 20
      Replying to @MikeStone2_EoL

      Hmmm. I'm glad to have become aware of this now, before the public consultation opens on GMC's review of consent guidelines - which I've had to wait 4 years for. I can see value in making efforts to ensure that phrase does not make an appearance.https://www.gmc-uk.org/guidance/news_consultation/30001.asp …

      4:28 AM - 20 Jan 2018
      0 replies 0 retweets 0 likes

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