4/n investigation. This PCT person, did not take the elementary step of asking me to tell her, what I wanted the PCT to investigate. Instead, she assumed that the questions I had put to the nurses, were the questions which an investigation needed to answer: they were not, I had
-
-
I was indeed confusing Wayne Smith and you - which is why you were baffled! Isn't it depressing, that 'the NHS seems unable to learn relatively quickly from the experiences of its users'?
-
Ha! That explains it. And yes, it's thoroughly depressing. For all its massive budgets, the only thing truly valued by those who run the NHS is reputation. That tends to be protected at all costs, whether right or wrong. Even if those costs can be measured in lost lives.
-
That is definitely a problem - but change is also difficult, because of the complexity of joining together the behaviour of different 'groups' within the NHS (doctors/nurses/paramedics etc) and getting them to all behave coherently [and differently].
-
Whilst I do agree - it is undeniably complex - there's another undeniable truth which I can't ignore: If just half of the effort & resources employed to defend the often indefensible, were instead redirected to learning from the mistakes, we'd have significantly fewer problems.
-
Once you formally complain, Trusts protect their reputation, and individual HCPs are nervous of 'being made the scapegoat' - hence 'inefficient learning'. If you 'informally raise a concern' then your concern isn't seriously looked into - hence 'inefficient learning'.
-
Failure by design, imho. Everything from the complaint systems locally, to the lack of medical record integrity and on through every confusing layer of limited remit regulation, is all seemingly designed for one purpose: Containment.
End of conversation
New conversation -
Loading seems to be taking a while.
Twitter may be over capacity or experiencing a momentary hiccup. Try again or visit Twitter Status for more information.