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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. 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
    2. 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.

      1 reply 1 retweet 0 likes
    3. 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
    4. 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
    5. 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
    6. 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
    7. 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
    8. 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
    9. 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
    10. Cathy Cooke‏ @Cleverestcookie Jan 26
      Replying to @C7RKY

      I don’t know. Facts are usually fuzzy as everyone has their own personal version of the truth (speaking from a philosophical perspective)

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

      See... that's what happens when you go out buying big books to read over your Christmas break. You start getting all philosophical on my ass! 😁

      1:45 PM - 26 Jan 2018
      1 reply 0 retweets 0 likes
        1. New conversation
        2. Cathy Cooke‏ @Cleverestcookie Jan 26
          Replying to @C7RKY

          I’ve been interested for years but don’t agree with any of the philosophers 😏. But seriously, perception is a very individual thing based on the sum of a person’s life experience

          1 reply 0 retweets 1 like
        3. John Clarke‏ @C7RKY Jan 26
          Replying to @Cleverestcookie

          Im already converted on that one actually. In the NLP arena they talk about everyone having their own, unique 'map of the world'. Unique because of their own personal influences & life experiences. Still.. some facts are just facts. :)

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

          Only when they’re very clearly black or white. People disagree about the particular shade of grey, even if they all saw it.

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

          True. I like numbers best. Maths is like gravity - won't negotiate.

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

          Until you move into statistics 😏

          1 reply 0 retweets 1 like
        7. John Clarke‏ @C7RKY Jan 26
          Replying to @Cleverestcookie

          As in lies, damned lies and...? 🤕

          1 reply 0 retweets 0 likes
        8. Cathy Cooke‏ @Cleverestcookie Jan 27
          Replying to @C7RKY

          Yes. You can if you wish manipulate how you present statistics to show what you want to a significant degree

          0 replies 0 retweets 1 like
        9. End of conversation

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