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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.  ✨ ✨Celebrating Adam ✨ ✨‏ @4AdsthePoet Feb 7
      Replying to @iceman_ex @Allyncondon and

      It is why the most important thing in medicine is good communication, between #HCPs & between #HCPs, patients & families. Poor communication is at the root of many if not most serious incidents.

      5 replies 7 retweets 17 likes
    2. Kate Masters‏ @katemasters67 Feb 7
      Replying to @4AdsthePoet @iceman_ex and

      I could not agree more. It's why dad's case was all about the communication, not the clinical decision making.

      1 reply 5 retweets 11 likes
    3.  ✨ ✨Celebrating Adam ✨ ✨‏ @4AdsthePoet Feb 7
      Replying to @katemasters67 @iceman_ex and

      Also when you analyse in detail ‘clinical decisions’ as many researchers have, often very little clinical about them. Repeated studies have shown the characteristics of the doctor are more influential on outcome than the patient’s clinical situation.

      1 reply 5 retweets 10 likes
    4. Kate Masters‏ @katemasters67 Feb 7
      Replying to @4AdsthePoet @iceman_ex and

      that 'characteristics of the doctor' statement certainly hits home as does assessment of mum's clinical situation - the PM for mum highlighted an issue where the trust had been wrong that affected their thinking of mum's overall picture. Never investigated.

      3 replies 1 retweet 2 likes
    5.  ✨ ✨Celebrating Adam ✨ ✨‏ @4AdsthePoet Feb 7
      Replying to @katemasters67 @iceman_ex and

      Medics acknowledge this in research and between themselves, but present a public face of Dr’s decisions being scientific & objective. Also research show disagreements between Drs as to right action, common place.

      2 replies 3 retweets 6 likes
    6. Kate Masters‏ @katemasters67 Feb 7
      Replying to @4AdsthePoet @iceman_ex and

      when you sit in court and defence that comes up time&time again is 'she was dying anyway' to a claim of non communication your faith in scientific evaluation in medicine goes out the window. We always thought she was written off because of cancer, nothing has changed that for me

      2 replies 4 retweets 9 likes
    7.  ✨ ✨Celebrating Adam ✨ ✨‏ @4AdsthePoet Feb 7
      Replying to @katemasters67 @iceman_ex and

      ‘She was dying anyway’ should never be the answer. The question should be BUT FOR the #HCP’s action or inaction would the patient have died in this way, at this time? It is used to excuse appalling treatment & care of the most vulnerable patients.

      1 reply 6 retweets 12 likes
    8. Kate Masters‏ @katemasters67 Feb 7
      Replying to @4AdsthePoet @iceman_ex and

      We had criminal and civil cases. The criminal judge's thinking was that if anyone is responsible for reducing someone's life even by a minute they must be held to account. in this case that was the driver of the car who never deviated from taking responsibility for the accident

      2 replies 3 retweets 4 likes
    9. John Clarke‏ @C7RKY Feb 7
      Replying to @katemasters67 @4AdsthePoet and

      In stark contrast to the tone of debate on Twitter right now. It honestly feels like exceptionalism gone mad sometimes. But when criminal law starts being targeted with a view to bending it to suit the will of clinicians, I think we risk entering a dark phase.

      3 replies 4 retweets 12 likes
    10. Kate Masters‏ @katemasters67 Feb 7
      Replying to @C7RKY @4AdsthePoet and

      I agree. I'm interested to see what the TOR are for this review, who will be asked for their opinion etc. I have the same panicky feeling I did at Mr Hunt's attempts at expanding the safe space from HSIB to the whole of the health service.

      3 replies 3 retweets 5 likes
      John Clarke‏ @C7RKY Feb 7
      Replying to @katemasters67 @4AdsthePoet and

      Candour, or rather the utter lack of it, is at the heart of all this. I'm not confident this review is going to be established with a view to improving candour, so much as it is to ensuring doctors can't be prosecuted. And all without a transcript to know what they're defending.

      3:07 AM - 7 Feb 2018
      • 5 Retweets
      • 8 Likes
      • Kate Heydon Lillington noreen boland Nicky Higby stendec #FBPE 54% PhyllisStein2 Kate Masters ✨✨Celebrating Adam✨✨ Ken Lownds
      3 replies 5 retweets 8 likes
        1. New conversation
        2. Kate Masters‏ @katemasters67 Feb 7
          Replying to @C7RKY @4AdsthePoet and

          it's not a case review but a broader look at the issue I think. Hence wanting to see the TOR. I feel very nervy about potential outcomes. Candour at the point of harm would be a great point to look at to see why manslaughter is considered and other factors might have been lost

          1 reply 1 retweet 2 likes
        3. Kate Heydon‏ @kateheydonorg Feb 7
          Replying to @katemasters67 @C7RKY and

          Thanks for sharing. Thinking out loud: personally, I’d see candour as a reason for not prosecuting, where an oversight or unanticipated medical outcome resulted from multiple system failures? I’m all for acknowledging oversights, correcting where possible; where patient alive.

          1 reply 0 retweets 1 like
        4. Kate Masters‏ @katemasters67 Feb 7
          Replying to @kateheydonorg @C7RKY and

          Candour is a powerful thing. Most people can accept "we messed up. We let you down. We are sorry and this is what we are going to do..."

          2 replies 4 retweets 7 likes
        5.  ✨ ✨Celebrating Adam ✨ ✨‏ @4AdsthePoet Feb 7
          Replying to @katemasters67 @kateheydonorg and

          Agree, it is the ‘we did nothing wrong, if we did it was your fault, we are not going to apologise, medics and nurses are God’s & angels & any one questioning them is mad, bad or sad & probably all three’ approach that leads to litigation.

          2 replies 4 retweets 5 likes
        6. John Clarke‏ @C7RKY Feb 7
          Replying to @4AdsthePoet @katemasters67 and

          Abusive and vexatious. The only 2 things mentioned in the NHS constitution which permit them to refuse access to services. Including not replying to correspondence. Is it any wonder they're so keen to affix the label to awkward complainants? The 'mad' label is the back-up plan.

          4 replies 0 retweets 2 likes
        7.  ✨ ✨Celebrating Adam ✨ ✨‏ @4AdsthePoet Feb 7
          Replying to @C7RKY @katemasters67 and

          Yes - in Scotland a health board was routinely labelling the gentlest of parents of disabled #CYP abusive. It turned out they did it if a parent talked about their child having ‘rights’.

          3 replies 5 retweets 2 likes
        8. Kate Heydon‏ @kateheydonorg Feb 7
          Replying to @4AdsthePoet @C7RKY and

          That’s terrifying.

          1 reply 1 retweet 2 likes
        9. John Clarke‏ @C7RKY Feb 7
          Replying to @kateheydonorg @4AdsthePoet and

          That's reality.

          1 reply 0 retweets 2 likes
        10. 3 more replies
        1. New conversation
        2.  ✨ ✨Celebrating Adam ✨ ✨‏ @4AdsthePoet Feb 7
          Replying to @C7RKY @katemasters67 and

          Appointing a medic to lead the investigation is not a good start.

          2 replies 1 retweet 5 likes
        3. John Clarke‏ @C7RKY Feb 7
          Replying to @4AdsthePoet @katemasters67 and

          Far from it. Well the child sex abuse inquiry went through a few chairs once people started looking more closely. Let's see where this goes...

          0 replies 0 retweets 1 like
        4. End of conversation
        1. Steve McQueens‏ @WTF_Holmes Feb 7
          Replying to @C7RKY @sarasiobhan and

          Agree.

          0 replies 0 retweets 1 like
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