My working life since 2009 & attending International Forum On Quality & Safety in Healthcare has been committed to striving to improve on the significant minute by minute threats to #patientsafety endemic in the NHS. So endemic they go unnoticed
#OrdinaryWrongs not #BadApples
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Crucial work and I sincerely thank you for it, but I'm not sure how that addresses the delayed outrage point Gordon? For what it's worth, I also consider
#OrdinaryWrongs &#BadApples to be mutually excusive concepts, not an either/or discussion. Both need attention, imho. -
We Drifted into Failures And suddenly a lot of people have woken up Its very Human
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Patients have been shouting about it for a VERY long time. It's a shame it took a criminal conviction and erasure to wake people up, but whatever works...pic.twitter.com/okMYA2ipEV
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I need to raise my GiF game
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Haha! See what you've started now? It's like you've given me access to forbidden knowledge.

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Where is it?
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All seniors are fond of their
#juniors and feel it is the responsibility of the systems leaders, process, and consultant who must be held to account. Having read the judgment in full I now agree with the court#BawaGarba Sad story but now we must learn lessons -
Yes, although I'm not qualified to judge, you're the 3rd clinician who has seemed satisfied that she did indeed do wrong after reading the details. Not sure how fond the consultant was of this junior though? Thrown under the bus seems to be a common observation.
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It is all about judgment. I strongly feel any junior should not be sent to prison or erased when there are systems failures. This is a purely personal view but she did make many mistakes and that as someone who is a registrar is not acceptable. There are no right or wrong answers
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This case aside for a moment, you don't think ANY junior should be erased? Even the ones convicted of gross negligent manslaughter? You know how high that bar is as well as I do. Convictions extremely rare. Surely that demands a robust response to protect the public?
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Please do not go by conviction. Not in this case but I know 3 cases of miscarraige of justice. So I read everything before I give my opinion. My reputation matters to me and so is my integrity.
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I know of more miscarriages of justice than I can count, so I understand that. But we either give weight to a serious conviction or we don't. What needs focus here is the legal representation and why system issues (plus the consultant & employers) were sidelined.
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Not when you destroy some good human being. No No No. 27 doctors have committed suicide! Think of their family! Please
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I think of all the many families who have been destroyed by the actions/inaction of the NHS & regulators. Including those 27 doctors. But ignoring court decisions seems wrong. Much needs to be examined about this case and it may not mean the verdict is wrong.
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Absolutely right. All the more reason why I'd have expected this extreme reaction after the conviction though. There's something odd about the reaction happening now she's been struck off instead. Implies this matters more & I don't understand why.
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Because she has lost her career? It's the consequences. People can put up with injustice if the punishment seems tolerable.
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So you think being convicted of gross negligent manslaughter is tolerable, but being struck off the GMC register isn't? I have to say I find that odd. And what injustice are you referring to? I'm being told the individual charge was fair by clinicians who have read the judgement.
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Bit too complex for twitter. Neither is acceptable to me but the prison sentence was suspended so she was allowed to work & continue life.
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Why is neither acceptable to you? She was convicted of gross negligent manslaughter in court, failed at appeal and has now has a high court ruling against her registration. What do you think should have happened instead?
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My understanding is she was off mat leave, left understaffed,unsupervised & IT system down. Made error in presence of team of professionals
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I think we're in broad agreement on most of that and I don't think this story has run its course by a country mile yet. Tho I'm led to believe her extreme personal failures still warranted the charge, I think others have questions to answer too.https://twitter.com/c7rky/status/957249890018578432 …
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