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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. John Clarke‏ @C7RKY Jan 26

      John Clarke Retweeted John Clarke

      7 retweets 3 likes 31 profile views Read into that what you will...https://twitter.com/c7rky/status/956797705807958016 …

      John Clarke added,

      John Clarke @C7RKY
      General reaction from clinicians to the #BawaGarba case: 'If you're going to prosecute us, we're going to cover up more. These are unintended consequences.' General reaction from NHS complainants: 'And? You've been doing that for decades anyway. Nothing unintended about it.'
      2 replies 1 retweet 1 like
    2. Cathy Cooke‏ @Cleverestcookie Jan 26
      Replying to @C7RKY

      I don't think that they're saying they'll cover up, I see that they're saying they won't work in those conditions any more where senior directors take no acccountability

      1 reply 1 retweet 2 likes
    3. John Clarke‏ @C7RKY Jan 26
      Replying to @Cleverestcookie

      John Clarke Retweeted Dr David Nicholl

      Depends who you speak to, I suspect? But duty of candour is 'now dead', according to some. I guess you can read into that a number of ways.https://twitter.com/djnicholl/status/956578132387131392 …

      John Clarke added,

      Dr David Nicholl @djnicholl
      Replying to @MPS_Medical @gmcuk
      ANY MPS members must ask the MPS to take #BawaGarba case to The Supreme Court as 'Duty of Candour' is now dead due to GMCs actions today http://www.bailii.org/ew/cases/EWHC/Admin/2018/76.html … (note MPS represented both #BawaGarba & #DavidSellu PL RT
      1 reply 0 retweets 0 likes
    4. Cathy Cooke‏ @Cleverestcookie Jan 26
      Replying to @C7RKY

      I don't think someone can choose to ignore duty of candour, owning up to errors is always better than cover up. Everyone should in all walks of life, people aren't perfect and make mistakes. Effective org systems mitigate impact of errors which is why CEOs are accountable

      1 reply 0 retweets 0 likes
      John Clarke‏ @C7RKY Jan 26
      Replying to @Cleverestcookie

      I agree with you, but if we're being real Cathy, I think plenty choose to ignore the duty of candour all the time. Nobody will say so, of course, (unless they're daft), but it's happening. #bawagarba is what happens when patients get sick of being lied to. Likely more to come.

      5:31 AM - 26 Jan 2018
      • 1 Retweet
      • GP Survival
      1 reply 1 retweet 0 likes
        1. New conversation
        2. Cathy Cooke‏ @Cleverestcookie Jan 26
          Replying to @C7RKY

          There will be no clinical staff soon. Nobody is going to want to work in the conditions currently being experienced. People function on basic instincts under such pressure. I wouldn't.

          1 reply 1 retweet 2 likes
        3. John Clarke‏ @C7RKY Jan 26
          Replying to @Cleverestcookie

          No, nor me. Don't think I'd last 5 mins anyway - too honest for how things work currently. This is a reaction, imho. A push-back from patients who know the true cost that a lack of candour brings. Been coming a while, as Francis warned. Fix candour, prosecutions will drop, imho.

          1 reply 0 retweets 0 likes
        4. Cathy Cooke‏ @Cleverestcookie Jan 26
          Replying to @C7RKY

          But I suspect that poor attention to duty of candour is more prevalent in trusts where the leadership at board level is poor, staff aren’t supported and management block expressions of concern. It’s principally an organisational cultural thing.

          1 reply 0 retweets 2 likes
        5. John Clarke‏ @C7RKY Jan 26
          Replying to @Cleverestcookie

          I wouldn't disagree with that. I'm sure there must be good, honest leaders out there. But on current experience, they don't appear to be common. Cover up seems to have been the widespread default option for some time, based upon any serious cases I've encountered.

          1 reply 0 retweets 0 likes
        6. Cathy Cooke‏ @Cleverestcookie Jan 26
          Replying to @C7RKY

          But being practical, how many cases are there as a percentage of total patient admissions across the country during eg a year? I can’t believe that most clinicians are lying unethical people. I’ve only come across one or two in my whole career and I’ve been around a lot. >>

          1 reply 0 retweets 1 like
        7. Cathy Cooke‏ @Cleverestcookie Jan 26
          Replying to @Cleverestcookie @C7RKY

          I’m not of course saying that lying etc is totally unacceptable, it can only ultimately lead to bad outcomes for all parties.

          1 reply 0 retweets 0 likes
        8. John Clarke‏ @C7RKY Jan 26
          Replying to @Cleverestcookie

          Last point first: I'm not sure you can judge the outcome from lying, in isolation from telling the truth re clinicians. Yes, the outcome from lying may be bad if discovered (unlikely) but the outcome from being caught telling the truth (guaranteed) can be much worse. All relative

          2 replies 0 retweets 0 likes
        9. John Clarke‏ @C7RKY Jan 26
          Replying to @C7RKY @Cleverestcookie

          On your point about prevalence, I think my description of 'serious' cases matters. It's not about admissions, it's about the response to serious failures, which we obv hope are rare. That's a much smaller number. A high % of which appear to suffer from cover ups. £? Reputation?

          1 reply 0 retweets 0 likes
        10. 1 more reply

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