Here again, another public inquiry recommends regulation of NHS managers and duty of candour for individuals. 13 years on from Mid Staffs, 25 years since Bristol Heart inquiry, 21 years since Shipman. The Kark Inquiry set out a sensible approach. Here is Thirlwall recommendation:
For decades, Hillsborough families have fought the institutions that should have served them.
Tomorrow, the Hillsborough Law returns to Parliament, with a duty of candour on public authorities and officials and legal aid for families when the state is represented at an inquest.
THE WATCHDOG THAT WATCHES NOBODY
A baby died. Her name was Ida. She was six days old.
The Care Quality Commission sent an inspector to look into her death at Royal Lancaster Infirmary, part of University Hospitals of Morecambe Bay NHS Trust (@UHMBT).
That inspector, Ian Kemp, says he wrote a hard report. He says the CQC watered it down before anyone saw it.
Three hours before Ida's inquest was due to start,
Kemp emailed the coroner directly. The inquest was halted. The CQC's lawyers told the court his allegations were not recognised.
The coroner concluded Ida died because of the gross failure of three midwives to provide basic care.
This is the same trust. The same hospital system found guilty in 2015 of a lethal mix of failures that killed 11 babies and a mother.
Investigator Bill Kirkup told Ida's inquest the internal review praising staff had all the same shortcomings as the institution he had dissected a decade earlier.
The trust's internal investigation after Ida's death found no care failings. It praised the great cohesion and communication of the delivery suite team.
A regulator that softens its own inspector's findings. A trust that investigates itself and gives itself a clean bill of health.
And a family that spent years fighting just to be told what anyone paying attention already knew.
Source: @IndexCensorship / @ITVGranadaRpts / @BBC / @ComputerWeekly |
NHS RECYCLING SCHEME: SILENCE A WHISTLEBLOWER, KEEP YOUR JOB
Simon Holmes launched unlawful disciplinary proceedings against Dr Jasna Macanovic after she raised patient safety concerns about dialysis patients. She won £219,000 at tribunal. The NHS spent £460,000 fighting her. Holmes retired and walked into a role at Hampshire Hospitals to oversee their speaking-up culture.
His old HR colleague Tim Powell, who blocked an investigation into the people targeting Dr Macanovic, is now Chief People Officer at the same trust.
Kathryn Magson's treatment of whistleblower Dr Rosalind Ranson was ruled "vindictive" and "self-serving" by a tribunal judge. Dr Ranson won £3.2 million. Magson is now employed at South London and Maudsley NHS Foundation Trust (@MaudsleyNHS).
Dr Ranson cannot get a job in the NHS.
Jacqueline Totterdell wrongfully suspended cardiac surgeon Prof Marjan Jahangiri. A High Court judge called her reasoning "wholly inadequate."
Cost to the trust: £11 million in lost revenue and nearly £1 million in legal fees. She kept her £180,000-a-year salary.
Martyn Pitman (@MartynPitman) named it accurately. The re-appointment merry-go-round. Disgraced managers recycled into neighbouring trusts while the doctors who spoke up are locked out of the profession entirely.
One of these recycled executives was hired specifically as a non-executive director for speaking up.
The NHS does not have a culture problem. It has a perpetrator protection programme.
Source: The Telegraph via Yahoo News |
@Telegraph@MaudsleyNHS@MartynPitman
Today the NCA launches the National Strategic Assessment (NSA), an annual report that outlines the serious and organised crime threats facing the UK.
Read the NSA 2026 for the NCA’s latest threat assessment of serious and organised crime here ➡️ https://t.co/d2Q54IhrKT
We’re building a youth justice system which reflects and meets the complex needs of children today. Our reforms will give local services the support they need to stop children from getting caught up in crime in the first place.
https://t.co/P5Zwn77tjX
NEW
£1.4m settlement agreed between ex-CEO and Countess of Chester Hospital FT, @HSJnews understands
Comes after court found Susan Gilby was unfairly dismissed last year
Story: https://t.co/ZGaYL1zUNz
Today we honour Jack and Paul Sykes, two young lives lost 11 years ago to domestic abuse.
Their mother, Claire Throssell, made a promise to her boys to change the law and protect other children. Today, that promise is fulfilled.
The Government has repealed the presumption of parental involvement, ending the legal assumption that abusive parents should have contact with their children.
One of the best things in the Hillsborough Law Bill is not the duty of candour on public officials, as welcome as that is, but news that bereaved families will have publicly funded legal representation at inquests. Finally an equality of arms that's been lacking for so long
New report out today: A New International Approach to Beating Serious and Organised Crime – a collaboration between Crest Advisory and @InstituteGC
Read the full paper here: https://t.co/TmncZ2cUUJ
It was saddening to listen how widespread this is at a senior level in the NHS & the common modus operandi methods used on whistleblowers . Yet refreshing to hear firsthand with members of both houses how we are going to address these, accountable leadership with integrity key to move the NHS forward #avoidabledeaths #FitfortheFuture #DashReview
George Findlay boss of Sussex hospital has stepped down at University Hospitals Sussex. Listen to our #fBBCfileon4report about the Sussex trust where police are investigating up to 200 allegations of avoidable deaths and harms and corporate manslaugter https://t.co/IoSIzjA2OX
Our report on 'Tackling violence against women and girls: funding' publishes on Friday 11 July 📄
We've explored themes around funding that the Government needs to address in its strategy to be able to halve VAWG in a decade.
Read it on our website.
Three senior leaders at Countess of Chester hospital arrested on suspicion of gross negligence manslaughter as part of investigation following Lucy Letby case
For more on this and other news visit https://t.co/NEDMP2uP6W