This is the endgame in a 7 year scandal, except it isn’t. The
report is from The Independent; Mid Staffs NHS Hospital Trust is to go into
administration. You would think it was a business – except it isn’t.
If a business goes bust it’s sold off, closed down. This
can’t be – the people of the area need the same treatment from the same Doctors
as before. The State has to pay, as before.
So, the bust ‘business’ is divided up between the surrounding
trusts, who then have to sort it out. With it goes all the debts – including
the massive Public Finance Initiative debts – they don’t go away – we pay.
And of course, in South London that meant the efficient Greenwich
Hospital lost it’s A and E and maternity to bail out the inefficient one.
Thursday 28 February 2013
The scandal-hit Mid-Staffordshire NHS Foundation Trust is to
be put into administration, an NHS regulator has announced. The move comes two
months after officials from Monitor, the NHS Foundation Trust regulator,
concluded it was “clinically and financially unsustainable” after it was
revealed it would need a subsidy of £73 million over five years to keep it afloat.
Monitor said it was making the move “in order to safeguard
services for local patients.” The trust is likely to be broken up and some
services transferred elsewhere. Last month a public inquiry into failings at
the trustsaid patients had suffered
“appalling” care between 2005 and 2009 and that the trust had put “corporateself interest and cost control ahead of
quality and patient safety”.
The trust has been the subject of three inquiries in the last
four years and the damage to its reputation has made it difficult to recruit
medical staff and retain the confidence of patients. However, existing patient
services have been a clean bill of health by the Care Quality Commission.
Monitor is consulting the Health Secretary, Jeremy Hunt, and
other organisations about its proposed move but it is unlikely to be opposed.
Once it gets the go-ahead it will appoint special administrators to take over
the running of the Trust.
The special administrators willproduce a plan for the reorganisation of the trust
which will go out to public consultation. Any changes proposed would require
the approval of the Secretary of State.
Mid Staffordshire is the first foundation trust – the
flagships of the NHs – to be put into administration, and only the second NHS
trust after the South London Healthcare Trust suffered the same fate last year,
following a report showing it was losing over £1 million a week.
David Bennett, Chief Executive of Monitor, said: “We are now
consulting on whether to appoint Trust Special Administrators with the
expertise to reorganise services in a way which is clinically robust and sustainable.
Their priority will be to make sure that patients can continue to access the
services that they need and they will work with the local community to do
“Taking into account the consultation process, it would be
several weeks before Trust Special Administrators were in place. In the
meantime the Trust Board will continue to ensure the current range of services
are delivered for patients and Trust Special Administrators would then continue
I’m looking for a miracle worker. We need to become a ‘most improved’ trust;
It’s Ok, Boss -
I’ll Cooka Da books
I was going to review the ‘Private Eye’ special on the
Mid-Staffs report later (I will), but events have moved forward too quickly to
leave it. It’s a fast moving story.
One section, ‘Change the diagnosis’, deals with how a hospital
can change the cause of death from an illness which shows up in a category that
rings alarm bells to one that doesn’t. You cook the books by altering cause of
death so it doesn’t show up in the standardised mortality rates.
So, if someone comes in with a broken femur (that’s very
treatable) but dies later of pneumonia (that’s not good) resulting from the
break, you record it as caused by pneumonia and not the break. Then it doesn’t
show up as a death that should have been prevented by better treatment.
So, the ‘Eye’ shows that in 2009 Mid Staffs Hospitals
patients with hip fractures were 5 times less likely to die from that cause
than the English average, even though the Hospital was losing far more patients
with hip fractures than it should have done. It was credited as being one of
the 5 ‘most improved’ trusts in 2009 as a result.
Well, they are all at it again!
Check out this Daily Telegraph report;
Wednesday 27 February
The head of an NHS trust has "stepped aside" amid fears
that staff tried to mask high mortality rates by recording the wrong cause of
death for patients. Dr Jackie Bene, medical director and acting chief executive
of the trust, has 'stepped aside'
By Stephen Adams, Medical Correspondent6:30PM GMT 27 Feb 2013
2011, Bolton NHS Foundation Trust recorded a large spike in
septicaemia deaths, which are not included in official mortality figures, at
the Royal Bolton Hospital in Greater Manchester. During the same year, it also
recorded a significant improvement in death rates and was given an award for
the “most improved” trust.
But a recent audit demanded by local doctors has unearthed
evidence that these improvements may have been fictional. On Monday staff were
told that Dr Jackie Bene, medical director and acting chief executive of the
trust, had “stepped aside” to “allow a fully independent view to be
taken". The report is expected to be completed by March 6.
Professor Sir Bruce Keogh, medical director of the NHS, last
night (Wed) said hospitals “must behave openly and honestly about their
performance”, while campaigner Julie Bailey said: “It’s fraud in my mind.”
Until 2011 the Bolton trust had been one of the worst
performing hospital trusts in England, with death rates well above the national
average. But that year its mortality rate plummeted, leading to the award. Last
December it was ranked as having death rates that were “better than expected”. Yet
between April 2011 and March 2012 some 800 deaths from septicaemia were recorded
at Bolton - four times the number one would expect in a trust of that size. A
septicaemia coding also means the hospital would have received more money for that
Dr Wirin Bhatiani, lead GP for the Bolton Clinical
Commissioning Group, said he first became aware of the "unusually
high" number of septicaemia cases in October. The group has commissioned
the hospital rating firm Dr Foster to carry out an independent audit looking at
200 cases. Dr Bhatiani said interim findings based on 50 cases showed “cause
for concern”. He said: “While we are keen to wait for the final report, we are
sufficiently concerned by the interim findings to commence further
David Wakefield, chairman of the trust, said it wanted to
"rule out any serious issues as soon as possible" and make sure the way
patients were coded met the"highest quality standards". He was
brought in by Monitor, which regulates semi-autonomous foundation trusts, after
it put Bolton in the highest risk rating for governance and finance.
A trust spokesman emphasised the issue was solely with the
way “some causes of death were recorded”, and did not change the number of
people who had died. Neither did it mean patients’ death certificates were
inaccurate, she added. Julie Bailey, founder of the Stafford group Cure the
NHS, said the Bolton situation showed “each and every hospital” should be
vetted to find out “just how many unnecessary deaths there have been”. She
said: “We are hearing more and more instances of people apparently ‘gaming’ the
data to mask high death rates. If that’s what’s been going on here, it’s fraud
in my mind.”
Professor Keogh said: "If we're to have an open and
accountable NHS, where patients and the public know how NHS hospitals are
doing, those hospitals must behave openly and honestly about their performance.
"These allegations have been picked up by the local NHS working together
and scrutinising what has been going on - with support from the Care Quality
Commission and Monitor. As yet, there is no evidence that any patient has been
harmed. But we will be monitoring the situation and learning any lessons."
Bolton is not one of the 14 trusts currently being examined for apparent high death
rates. However, a Department of Health spokesman said Prof Keogh “reserves the
right” to call it in if he felt it necessary.
Why get told off for failing patients when you can just move
a few figures around, get out of trouble and get paid more money as well?
How many more ‘trusts’ are doing this?
Probably all of them.
Can this actually be Doctors who are doing this?
Mind you, Dr Wirin Bhatiani seems like a pretty courageous
guy to me. Hall of Fame?
Early on, I wrote an entry about the Rothko Room at the
London Tate Modern which became my 5th most popular post. While it
wouldn’t seem to have much to do with the NHS, the point I was making was that
something that cost nothing can be very valuable because people love it and at
the same time, because it belonged to everybody it could be so easily destroyed,
if we let it. It was an allegory.
Banksy is a street artist – he works in Graffiti although it’s
pretty sophisticated stuff. He comes out of the alternative scene in Bristol,
from which also came the music and art collective known as “Massive Attack”,
which I like very much.
I like Banksy a lot too, he’s a guerrilla artist and comes
from a critical left wing tradition, which Bristol is also well known for. His
name is an open secret, but due to the illegal nature of what he does, it is a
secret we are all going to keep for him, aren’t we?
Nowadays you can see his art on a variety of walls, from my
beloved Camden Town to the West Bank of Palestine.
Recently, a Banksy disappeared from London, only to appear
again in America on sale at auction. It’s now been withdrawn after a storm of protests
here (give us back our Banksy !).
There have been an increasing number of cases where Banksy’s
have been chiselled out and sold (still attached to the cement) as art works.
This most recent one was estimated at USD 450,000. A couple of years ago,
Moorfields Eye Hospital, found a Banksy rat behind some scaffolding, where it
had been forgotten for a few years. They chiselled it off and it was sold for
£30,000 for a much needed extension. Understandable but wrong. When I go to my
clinic it would lift my heart to see a Banksy.
It’s very sad. People love Banksy’s when they appear and
grieve if they are removed or damaged. And that makes it art. It’s not unusual
that local councils sign post them as a tourist attraction and often Perspex is
used to protect the images.
The trouble is, the walls usually belong to someone, and if
the landlord chisels it off, the Banksy which once belonged to everybody becomes
private property rather than something we can all enjoy.
Once again I get pulled back to ‘The White Man in the
Hammersmith Palais’ by the Clash;
“Oh no, you think it’s funny, turnin’ rebellion into money”.
All my stuff is free to use, as long as you make no money
from using it – understood?
Meanwhile, Give us back our Banksy!
(a don’t stop till you drop production)
P.S. these images are from Banksy’s own website at www.banksy.co.uk, well worth a look.
Caught up in a flurry of calls to make, things to do, I suddenly
realised that “Patient Experience” has not come back to me. It’s hard to know
how to deal with contempt. Do you phone again and lose your temper? Go round
and confront them? Write a letter? That hasn’t worked for me up to now. This is
why I ended up on the internet in the first place, letting off steam.
I was late at the Red Lion, Isleworth last night. I made the
second half and to my surprise found it wasn’t full. Good to get a seat, always
a good night.
Now I was forced to confront something I wouldn’t have chosen
if it hadn’t been a cold, windswept Monday night. This was (forgive me)
progressive 1970’s jazz, not normally my thing –Chick Corea amongst others. I
had to work at it.
I revelled in the playing, as did a big group of
Belo-Russians on the back row. The club pulled them in just as it did me.
I’ve seen John Horler before – a great pianist, tonight
playing at the far end of the spectrum. Haven’t seen Jimmy Hastings before,
very expert on Saxophones and flute. Again, tonight I was looking for a blood
transfusion rather than too much thinking.I preferred the last number a pretty impressive ‘four brothers’ by Jimmy
I won a raffle prize – an Art Themen Al Haig CD from 1978 – it
was another time, another rhythm for me back then.
In yesterday’s post I made a mistake about the case study I
sent to the Care Quality Commission, it was, of course an earlier post
regarding an A and E incident, rather than bad treatment generally.
I need real life case studies. I can do things with them. People
keep telling me horror stories but don’t then send them in – get in touch.
Friday morning I phoned “Patient Experience” to arrange an
appointment to come in to discuss my “concerns”. It was an answerphone. “We aim
to get back to you in 1 working day” – that’s today, Monday, as in now. Perhaps
later on, who knows?
It’s funny, the Hospital has an award scheme – you can
nominate staff for doing well, which is a very good thing. These ‘good news’
stories end up in the local papers every so often. However, when they do badly….silence.
No action, no press releases, no media photo-shoots. Just silence and delay.
But for me the clock is ticking.
So, what did I do?
I emailed the Care Quality Commission and sent them two stories
about St. Peter’s Accident and Emergency department and the way they look after
The first was the one concerning the 84 year old (Book ‘em
Danno), the other I haven’t yet put up here – I will but I think we all need a
break from the sad stories. I again asked the CQC to investigate the A and E,
which I hope they will do. They now have three instances from a 6 month period.
What can you do?
If you’re a patient; I need case studies
of problems with A and E to force the Quality Care Commission to start an
investigation. E-mail me direct.
If you’re employed by the Trust;Its
time to blow the whistle on A and E. E-mail me direct – privacy guaranteed.
This is from ‘Get Surrey’ website, which is the web home of a
number of newspapers from the area around St Peter’s Hospital.The relatives were so angry about their
gran’s treatment that they phoned the Police. Unfortunately, Danno isn’t going
to be interested; we have to stop this ourselves.
Gran's treatment at St Peter's criticised by family
By David Stubbings
February 14, 2013
THE family of a grandmother who was readmitted to St Peter’s
two days after being declared fit for discharge has criticised the hospital.
Alice Hearn, 84, from Langton Way in Egham, has been admitted
to St Peter’s Hospital in Chertsey four times in the past two months suffering
from pneumonia and pericarditis (fluid on the heart). But despite being sent
home three times, she is still in hospital after returning on Friday last week,
two days after her previous discharge note described her as ‘medically stable
and fit for discharge’.
Relatives also claim Mrs Hearn collapsed in the hospital’s
discharge lounge on Thursday January 31 after being admitted three days
Her daughter-in-law, Zoe Hearn, 46, of Monsell Gardens,
Staines, said: “How can anyone recover from pneumonia in two-and-a-half days? “I
went there on Thursday and found her in the discharge lounge on a heavy week’s
worth of tablets and can’t walk anywhere. She was laid out in the discharge lounge
and was not compos mentis. “Other patients said ‘this is disgusting’.
“She collapsed in the discharge lounge toilet when I was
getting her dressed and she went back to her bed as she had left it.”
Relatives have contacted the police about Mrs Hearn’s
treatment after she was readmitted last Friday to St Peter’s, where she remains
a patient on the cardiology ward. Surrey Police confirmed that a report had
been received from a member of the public relating to her treatment at the
Suzanne Rankin, chief nurse at the Ashford and St Peter’s
Hospitals NHS Foundation Trust, said: “We are really sorry to hear that Alice
Hearn and her family have concerns about some of the care we have provided in
our hospital and will, of course, be looking into these fully. Sometimes it can
be difficult to manage elderly and frail patients and however carefully we plan
the discharge process, patients can leave hospital medically stable and relapse
at a later date and require readmission.”
Retention figures at the NHS trust for over-75s have been
published by data company Sentif Intelligence, showing how it was above the
national average in 2009/10 and 2010/11. These rates, where patients are
readmitted to the accident and emergency department less than 28 days after
being discharged, stood at 18.09% and 18.76% in 2009/10 and 2010/11
respectively, compared to a national average of 13% in 2009/10 and 15.63% in
However, the total number of emergency readmissions has
dropped from 18.2% to 15.8% according to the trust’s own statistics.
Mrs Rankin added: “We are seeing an increasing number of
frail, elderly patients coming to our hospitals and we know that this group of
patients will always be more at risk of being readmitted to hospital.”
Well, perhaps you had better start doing something about it,
Got my copy of ‘Private Eye’ this week on a cold day which had forced the spring flowers to go back into hiding. “M.D.”, their tame medical correspondant has done a three page review of
the Francis enquiry into the Mid-Staffs NHS trust scandal plus some of the
background. It’s good stuff; not that I agree with it all nor do we have the
same political outlook.
There’s an anger I recognise and share together with the
frustration of watching a giant tanker ship, frantically turning the wheel
(full a port cap’n it is), putting the engine into reverse and throwing down a
sea anchor while the harbour wall gets closer and closer. Should have changed
direction about 10 years ago.
It’s an important article and I’ll do a full review of it
after the magazine is off the shelves. You should buy it and then disagree
The thing is, whatever has changed since 1947, the people
want the same from the NHS today as they did then (mostly) and the staff are
just as full of idealism about what they do (mostly). There isn’t anything about it
that can’t be fixed if we want to fix it.
I came across some new terms this week; I.R.L. or its cooler
Now I understand what they mean.
I.R.L. stands for ‘In real life’, while A.F.K means ‘away
from keyboard’. They are the same, sort of, except A.F.K. is used by people who
believe that what happens on the net is as real as any other kind of experience
while the I.R.L. people feel the net is only a virtual world.
Either way it means dumping the computer and talking/meeting
real people instead of just doing things on the net.
Today, by accident that’s what I did, I bumped into someone I
know who is going through the same complaints procedure with St Peter’s as I
am. It’s fair to say that her complaint about her late Mother’s treatment is a
lot more serious than mine is. It’s being dealt with, just the same, however.
I’d been feeling low and was depressed about the final letter
I’ve just had from the Chief Executive. I’d been offered the chance of a
meeting with “patient experience” to answer any questions I may have. I had
pretty much decided to pass and just go ahead with other ways of fighting them.
I was worried about losing my temper, getting upset, losing it.
These meetings are a formality – nothing is going to change
their minds or the decisions that were taken, after all they didn’t discuss any
of it with me.
Instead, we talked it through and she gave me a morale boost,
an injection of something solid into the old backbone, describing how she had
got through the ordeal of going back and having it out with them. She still has
another meeting due and is building up to it.
I feel good about it now, I need to go back there and face
them. I need to confront them with what they have done and will do so. I’ve got
questions and I need answers. I’m not prepared to let them do this to anyone
else and making them face a real live patient (with a real live ankle) is
It’s good this I.R.L.
Mind you, I still think I should take ‘The Ankle Rankle’ with
me and read it out to them. It’s becoming something of a mascot for me.
This Blog entry is a painful one to make. I let them do it
again. When I left St. Peter’s Hospital I promised myself I was going to put a
stop to what was going on. It took me a fair time to get started and I always
felt bad about that.
I had a broken ankle and other problems, but the truth is I
should have done more and quicker. Should have got my act together; higher,
So, my reward is on www.careopinion.org.uk, which is a
site to encourage people to make comments about standards of treatment; this
entry dated 18/2/13, is about Accident and Emergency at St. Peter’s.
Regular readers will have read similar stories which I have
re-printed here from the last few years. As long as I am able to I will go on
doing so; those you can check out in the archive section.
“Poor care of my elderly, very poorly, father”
Posted by neeliethere (as a relative) 18/2/13
My story started almost two weeks ago. I took my father to
A&E at St Peters on a Monday afternoon. He had completely lost the use of
his legs due to complete weakness. We arrived and had to have assistance to
help him into a wheelchair. He was eventually triaged and then transferred into
a cubicle. After several hours he was seen by a doctor. He was told he would
stay overnight and was discharged the next day with a prescription for
antibiotics. His condition worsened and I telephoned for a doctor several times
to no avail. Seven days later he fell and was again taken to A&E where he
was observed for a few hours, the consultant in charge insisted that his
infection had cleared up and discharged him. They were unaware that I was
actually at the hospital and had booked for transport home, despite me telling
them on numerous occasions that he lived alone. The consultant made the
decision to discharge without taking any further x-rays of his chest, blood
tests or urine tests. I stood there and asked him if he would take tests to see
if his chest infections had indeed cleared and he said there was no need, he
knew it had. Two days later, another fall and once again taken to A&E by
ambulance where he was eventually admitted for more observation. Within hours
of being admitted his condition worsened to such a level he was completely
delirious and remains so three days later. He still has not seen the consultant
that is supposed to be deciding on his treatment or diagnosis. I too noticed
during our time in A&E there were staff that were standing around seemingly
with nothing to do, not just a few of them but a lot. There was one member of
staff that stood around and did not appear to have a clue about patient
treatment. He did not seem to liaise with any other staff and just kept asking
me questions about my father's condition and treatment but rather disturbingly
didn't understand what I was saying, but insisted that I tell him as he was 'in
charge' of my father's care. When I asked him what he was planning to do in
that capacity he walked away. He did nothing for my father or any other patient
as far as I could see, but just wandered up and down the cubicles. I have found
it very difficult to speak to anyone that appears to know, or is able to,
retain any information written down or spoken to them about my father's
previous or current condition. Indeed when telephoned today we were told that
he had been moved to another room, only to find when we arrived that he was in
the same place. I can only assume the person on the telephone was talking about
the wrong patient. I am furious that an elderly gentlemen suffering with
pneumonia and other infections was almost sent home on no less than three
occasions in a week. I am disgusted that there are so many staff standing
around that appear indifferent to what is going on around them and are, most
certainly, not busy. I have today rescued another patient from falling out of a
chair whilst there were many members of the nursing team sat at the main desk.
I have witnessed elderly patients being ignored when calling out. Today a
patient was assisted to the toilet and promptly forgotten about for almost an
hour. I am also afraid to complain or make a fuss at the actual ward where my
father is currently for fear it might affect the treatment he is receiving.
This is truly a horrific experience and I am afraid to leave at the end of each
So, how is this great country of mine doing? You can look at
all kinds of indicators to decide; income, wealth, car/home ownership, literacy.
I’m taking a look at infant mortality. According to the
health minister on Monday; “for too long, Britain’s childhood mortality rates
have been amongst the worst in Europe when compared to similar countries”
I was particularly struck that looking at the deaths of
children under 14 years old, a quarter showed “identifiable failure in the
child’s direct care”. These are all quotes from the Guardian Newspaper, Tuesday
It’s alright, there is now a government forum, there are
“I am determined that children and young people should be put
at the heart of the new health and social care system”.
The scandal is that it seems to be manageable diseases like
asthma and diabetes that are a big part of the problem. These two straight
forward illnesses are badly managed in adults too – many die too early as a
Funnily enough it seems like only yesterday that the
government was claiming that it was going to put elderly people’s care at the
heart of the health service.
It’s not just those at the start or the end of their lives
that are losing out; many groups have life expectancies which are lower than the
average. Off the top of my head; travellers, people in the North of England, Scotland,
ethnic minorities, the poor.
People with mental health problems die much younger than they
should from ordinary, physical illnesses.
Anyone with cancer in the UK is likely to have an outcome (that
ominous word again) that is worse than most similar European countries.
A lot of this is plain old inequality in society being
reflected in unequal access to healthcare. There are also some groups better
able to exploit the system than others.
Some years ago I was working and driving fast through
Hounslow on my way to a job. A little girl crossed the road in front of me
without looking. When I say I was driving fast, my friends would laugh because
they know how slow my fast is. So, no problem, but when she saw me she stopped
and I was horrified to see that she had rickets.
Ricketts is a preventable disease of poverty or ignorance
caused by a vitamin deficiency. My parents generation banished it when they
fought for “no return to the 1930’s”
It’s why as a child I was given a little bottle of milk every
morning, free at school. It was a measure stopped by Margaret Thatcher when she
was schools minister in the 1970’s, to save money.
Everyone hated the milk. We would have hated rickets more.
What really upsets me is that people don’t seem to care. A single case of rickets
should have set alarms ringing. Today, there’s a lot of it about. Now when I
listen, I don’t hear any bells.
Monday at the cancer clinic didn’t go well, no surprise there.
I’m reaching the stage where ‘the drugs don’t work any-more’, as the song goes.
There are a few more things to try, and my specialists uncontainable optimism
is charming but……it’s time to really speed things up.
The suits have wasted six months of my life, burying my
complaint against St. Peter’s Hospital, Chertsey. Well, they can try to ‘bury’
my complaint but they won’t bury me – not just yet, anyway. In one of my first
Blogs, back in December, I said this would be my last fight and that is what it
will be. Bring it on!
Sometimes just complaining is not enough. Sometimes only
really bad poetry will do;
The Ankle Rankle.
I’ve got a problem
and it’s really starting to rankle.
You see, I hurt my leg
in fact, I broke my ankle.
The problem was my mistake
Oh what would that be?
The ambulance took my break
to St. Peter’s A and E.
Because instead of trying
to fix it there and then.
Some idiot, what was he was doing?
Sent me home again.
You can mess up a finger
You can bugger up a wrist
but only a consultant at St. Peter’s
would think a break was a twist.
Meanwhile, last night instead of moping about, I made it to
The Red Lion, Linkfield Road, Isleworth for my jazz club. It’s a great place
with a really good atmosphere but on Monday my heart wasn’t really in it.
I was looking for lively music, angry even, to match my mood.
Probably not helped by playing Oasis on the way up there.
Instead it was a fairly languid night. Great performances,
though; Steve Waterman on a bright sounding trumpet and flugelhorn, while Karen
Sharp seemed dwarfed by a tenor sax, but the sound was big and throaty.
I start to look out for the quiet Trevor Tomkins moments –
his delicate cymbol work is about as good as it gets.
The rules are simple – it’s free but you buy raffle tickets
to pay the musicians. There are no better Monday nights to be found.
morning my neighbour plays music on his gramophone. Why does he play music? I
hear that it is because he does exercises. Why does he do exercises? Because he
needs to be strong, I hear. Why does he need to be strong? Because he has to
get the better of his enemies in the town, he says. Why must he get the better
of his enemies? Because he wants to eat, I hear”
learnt that his neighbour played music in order to do exercises, did exercises
in order to be strong, wanted to be strong in order to kill his enemies, killed
his enemies in order to eat, he put the question; “Why does he eat?”
“Anecdotes of Mr Keuner”
the Calender, by Bertholt Brecht.
(a don't stop till you drop production)
Well, I got my reply; they say you get what you wish for.
I got a reply, I didn’t want a whitewash.
I’m not doing anything about it until after I’ve been to
hospital on Monday, that’s my main battle.
Right now, I’m so angry.
The thing is, if they had wanted to make me angry and
determined, they went the right way about it.
It was Tom Lehrer (1960’s Harvard professor turned satirical
songster) who famously retired from satire saying that after the bombing of
Cambodia, satire no longer had a role. Mind you I am tempted to send the Chief
Executive “The Ankle Rankle” – what do you think?
So what am I doing?
I’m sprouting Mung beans. It’s the only way I can think of to
calm down and be rational.
You take a tablespoon of beans, soak them for 8 hours. Drain
them off and put them in a jar or any similar container, covered with a cloth
held on with an elastic band. Like us they need to breathe.
Then twice a day, you wash them in water, drain them and put
them back in the container, as before.
Then you watch them grow. I think any bean will do but I like
Mung. They are ready to eat when they are ready to eat.
Then after Monday, when I know where I am and where I’m
going; I start to fight again.
Now the health Minister has had to step in to clarify, in a
letter to every Trust, that employees can’t be gagged when it comes to patient
From the Independent 16/2/13;
Jeremy Hunt stepped up pressure on NHS bosses to end the use
of legal gags on whistle-blowers today but faced calls for an independent
inquiry into his own department's involvement.
In a letter to the chairmen of every Trust, the Health
Secretary warned against a culture in some quarters of "institutional self-defence
that prevents honest acknowledgement of failure".
In order to avoid a
repeat of the Mid-Staffordshire scandal it was vital to "recognise and
celebrate staff" who had the "courage and professional
integrity" to speak out over safety concerns, he suggested.
He called on all
bodies to ensure their actions met both the letter and the spirit of NHS whistle-blower
Mr Hunt yesterday warned United Lincolnshire Hospitals Trust
that it faced action if it had wrongly tried to silence a former chief
executive from speaking out about patient safety concerns as part of a unfair
dismissal case settlement.
Well, that’s going to be quite important. We are going to
need a bit of whistleblowing if patients are to be protected.
However, you need a guarantee that’s watertight; here’s mine.
NO GRASSES HERE !
On this Blog there are no Finks, Grasses, Stool pigeons or
If you get in touch, your secrets are safe with me.
On the quiet.
What can you
If you are a Patient; I need case studies of problems
with A and E to force the Care Quality Commission to start an investigation.