Perusal

NHS truth seeker

[Perusal @NHStruthbomb]

‼️🚨@WGHealthandCare has issued their ‘intention to escalate’ @AneurinBevanUHB to special measures for performance (urgent care) & finance, strategy & planning on behalf of @mabonapgwynfor (NHS Wales act 2006) with a tight schedule for improvement … 🧵

[Perusal @NHStruthbomb]

@medicalmodelbri @OldHCW @drvikaz @AneurinBevanUHB @WGHealthandCare @gmcuk @ConorGogarty @southwalesargus @WalesOnline @BMACymru @natasghar @HIW_Wales @Chris_EvansMP @Lindsay_Whittle MS & MP oversight is required on this issue. Natalie is vulnerable and may not know to visit her member. Also - the whole population surely deserve better!

[Perusal @NHStruthbomb]

Natalie was tortured by a PA who falsified her records. @AneurinBevanUHB covered it until she went to the press. Workers tell us the PA is working on a ward whilst they re-investigate. join me in asking them to update the public. @WGHealthandCare #nhs https://t.co/IPpB4YGIJo

[Perusal @NHStruthbomb]

@medicalmodelbri @OldHCW @drvikaz @AneurinBevanUHB @WGHealthandCare @gmcuk @ConorGogarty @southwalesargus @WalesOnline @BMACymru @natasghar If this is the case- does ANYONE believe Natalie Dyke will get justice? They can’t be taking the incident seriously or believe he’s a danger if this is their interim solution ? @HIW_Wales

[Perusal @NHStruthbomb]

@OldHCW @drvikaz @AneurinBevanUHB @WGHealthandCare @gmcuk He is registered @medicalmodelbri but his referral status is unknown …

[Perusal @NHStruthbomb]

@DavidSmithWales @natasghar @SeneddWales @WGHealthandCare @HIW_Wales @WalesOnline @reformukwales @mabonapgwynfor The new Chair at his appointment committee was focussed on making friends with the executives as opposed to holding them to account.

[Perusal @NHStruthbomb]

Still no leadership change or public accountability. Shame on them. @natasghar @SeneddWales @WGHealthandCare @HIW_Wales @WalesOnline @reformukwales @mabonapgwynfor

[Perusal @NHStruthbomb]

How many serious patient safety, governance and accountability failures can one NHS organisation experience before fundamental change?

Here are some of the major publicly reported incidents involving @AneurinBevanUHB

Judge the pattern for yourself 🧵 👇

[Perusal @NHStruthbomb]

@gmcuk are you listening. There are credible sources this PA has been moved to a ward of vulnerable patients whilst findings are awaited on whether he’s a risk to the public.. 🤯 actions of @AneurinBevanUHB here cannot be relied upon or trusted. “The consultants have my back”

[Just another HCW @OldHCW]

@drvikaz @NHStruthbomb @AneurinBevanUHB @WGHealthandCare @gmcuk Is PA registered and been referred to GMC ?

Based on information in public domain, if referred, an interim order to limit practice to protect patients should already be in place. Is it?

[Artur Nadolny @ArturNadol7566]

NHS TRUST DELETES 4K FILES AS INQUIRY WATCHES

Somewhere in Essex, a senior NHS manager looked at 4,000 staff incident reports covering self harm, assaults and racial abuse, and decided the correct clinical response was to delete the evidence.

As if 4,000 reports of harm inside a mental health trust are a spam folder problem and not a paper trail leading somewhere uncomfortable.

Brian O'Donnell, clinical lead at the St Aubyn Centre in Colchester, was the one asked to do the deleting at the end of 2024, right as the Lampard Inquiry @LampardInquiry was getting underway.

The inquiry exists because more than 2,000 mental health patients died in Essex over 24 years, and Baroness Lampard has since said the true number could be significantly higher. So the timing here is not subtle.

An inquiry opens its eyes and a trust starts asking staff to close the filing cabinet.

O'Donnell refused to play along. He had already raised concerns with a coroner over the death of 16 year old Elise Sebastian. Four days later his access to the incident reporting system was pulled. He calls it a clear cover up. I am struggling to find a kinder word for it too.

Essex Partnership University NHS Foundation Trust @EPUTNHS told the @BBC that all reports are taken seriously, recorded and investigated. Somebody should tell that to the 4,000 reports that were told the opposite.

Deborah Coles of the charity Inquest already told the Lampard Inquiry that falsifying safety records is well known within the Essex context. A high prevalence, she called it. So we are not looking at an isolated slip. We are looking at a system that treats its own paperwork as the enemy.

Whistleblowers like O'Donnell are usually the only reason any of this becomes public at all. He lost his access for speaking up. The trust kept its funding.

Guess which one the system was built to protect.

SOURCES
@nikkijfox @BBCNews @LampardInquiry @EPUTNHS @CareQualityComm

[Perusal @NHStruthbomb]

When evidence no longer serves, moral denunciation frequently becomes the weapon of last resort. The accusation of bullying has become the ultima ratio of those unable to prevail on the merits.

[@medicalmodelwithabriochebun @medicalmodelbri]

👀

[@medicalmodelwithabriochebun @medicalmodelbri]

@BeckyHall016 @pa_StephenNash But what about Natalie Dyke and Joanne Sellars who died /was harmed after the Leng review ?

Do you care about those patients ? They deserved to be seen by doctors did they not ?

‘ access’ to medically unqualified PAs isn’t the best for pts despite being seen quicker ..

[Perusal @NHStruthbomb]

Doctors are capable of maligned actions too.. but the framework they operate within would lead to immediate restrictions; reflections, deanery/local interventions or regulatory action. PAs who become friendly with their consultants can form an extremely dangerous blind trust.

[Perusal @NHStruthbomb]

Can’t people see how the problem creeps in and becomes dangerous and insidious. In the case of Natalie Dyke; she came to see her doctor, extremely nervous, and expecting safe and competent care. She begged for her required sedation. She went through an agonising torturous …

[Jill D 🅾️ -ve @mmaryJ]

@BeckyHall016 @medicalmodelbri @pa_StephenNash Nobody wants PAs treating them

[Perusal @NHStruthbomb]

Procedure. At no point are we aware that the PA called his supervising doctor when he decided to go rogue. He is then reported (@WalesOnline ) ‘the consultants have my back’; it was all then covered up. Natalie had no idea he was a PA- her choice was taken on so many fronts…

[Perusal @NHStruthbomb]

@BeckyHall016 @Anisocyte @medicalmodelbri @mmaryJ @pa_StephenNash Does your GP/consultant know that you feel you ‘practise medicine’? This is the problem; how do you expect patients to know what’s going on when you blur the boundaries and obfuscate? How does one ‘practise’ anything when you can’t make a decision without supervision. Unsafe.

[Perusal @NHStruthbomb]

@BeckyHall016 You train to see undiff patients. You incur costs (loans). You get a job.. the gov commission a review which renders your role fallow in respect to a lot of the promises and training. Why is the anger & contempt directed at the BMA & the system? Put the blame where it belongs.

[Perusal @NHStruthbomb]

Why is quickcashnash not bringing a huge class action to the Government on the mis-selling of a profession to thousands of , I assume, hardworking professionals? This is the true scandal which requires leadership. All would be behind this.

[Rebecca @BeckyHall016]

@medicalmodelbri @pa_StephenNash Celebrating a permission-stage ruling as though it settles the entire debate is a category error. It addresses the legal threshold for judicial review, not whether the recommendations are evidence-based, proportionate, or the right policy for patients and the NHS.

[Perusal @NHStruthbomb]

@BeckyHall016 I agree ☝️ I don’t know you but I suspect your energy is best spent on fighting the injustice of what you were sold versus where patients, the public and wider workforce actually see the PA role. You’ve also aligned with Nash who commands zero credibility or respect.

[Perusal @NHStruthbomb]

@BeckyHall016 @medicalmodelbri @pa_StephenNash They upheld Leng’s position who DID throughly consider the evidence. You and I can go back and forth all night, ad nauseum. If only there was someone to settle this.. the High Court maybe ? 🤔🙌

[Perusal @NHStruthbomb]

@BeckyHall016 @medicalmodelbri @pa_StephenNash What can be asserted without evidence can also be discarded without evidence (Hitchens razor). You’re not referencing evidence that patient safety is at risk here? If you feel you know more than Prof Leng & a high court judge I would suggest you are a scope creep risk.

[Perusal @NHStruthbomb]

@BeckyHall016 @medicalmodelbri @pa_StephenNash Workforce shortages are not driven by readjusting PAs back into their intended and limited assistant scope/role. There are rising levels of unemployment of doctors. The answer is not as you see it. Regardless; a high court judge is best place to assess evidence and merit than us

[Perusal @NHStruthbomb]

@BeckyHall016 @medicalmodelbri @pa_StephenNash The debate will never be settled until patients are safe. The celebration is marking one step closer to the full implementation of the recommendations.

[Perusal @NHStruthbomb]

We would appeal to TV outlets to give Natalie a voice on a national platform. Her story is harrowing by all accounts @ConorGogarty @reallorraine @GMB @thismorning @LBC @BBCWales @ITVWales