On Friday, I gave evidence to the Nottingham Inquiry.
My thoughts are with the families and survivors, whose courage and dignity throughout has been extraordinary.
The Inquiry must lead to change. In my blog, I reflect on what must change for victims.
🔗https://t.co/U5B3JhVCzy
Tired of serving & ex officers telling me i should be able to 'get' why Henry Nowak was arrested, cuffed, & his cries for help ignored cos i 'did the job & should know how it works.'
Well to be clear i dont 'get it'.
I don't get it at all. & i'm glad i havent got that mindset.
@Johnrashton47 You are directing your anger at the wrong people .
I am a patient and even I can see that the problem are the institutions that ran these courses and NHSE who sold these PA students a lie . This is not the Dr’s fault, they raised legitimate concerns and protected pts.
@DonnaDlm71@dalibor_posta@Loops4442 Just in the very last seconds the second female police officers leans forward and looks at his face , then says “his pupils aren’t even reacting” ... as he is lying collapsed , pale white , unresponsive , minutes after saying he had been stabbed.
Apart from when treated in hospital VC was v paranoid, v avoidant of services & posed significant violent risks to others
He was never going to feel “at home” in a Neighbourhood Mental Health Centre
The way this offer is being presented isn’t realistic
#NottinghamInquiry
@dalibor_posta@Loops4442@DonnaDlm71 The female officer definitely says his pupils are not reactive . I don’t really want to watch it again to get a time stamp - but it’s definitely there .
@Loops4442@DonnaDlm71 I couldn’t believe her reaction when she said his eyes were fixed and dilated … then she didn’t react or show any sense of understanding as to how serious the situation has become . He was dying in front of them …
@Chuffin_ell At one point they had a LD nurse who you could liase with , they could act as an advocate for you and y the young person and help facilitate an easier pathway to appointments/ admissions
What British people have in their freezers:
-Frozen peas (some in a bag, some rolling around loose)
-Full bag of oven chips
-Another bag with three oven chips left in it
-Tupperware half-filled with unidentified brown stuff
-Half a scoop of mash potato that you saved for some reason
-An empty box that used to contain ice lollies that fools you every time you look in it but you still don’t throw it away
-Bag of hash browns
-Some sort of meat joint (possibly lamb) from 2014
-A near-empty ice cream tub
-Something that might be chilli or might be bolognese but you didn’t label it
-Some party food from three Christmases ago
-An empty bag that used to contain ice cubes
-A pack of chicken or fish that you needed to eat but you chucked it in the freezer because you ordered a takeaway instead
-One drawer that doesn’t open anymore
@history99917180 I am VN as well , I cringe when I see dogs out in the afternoon sun (especially the short nosed breeds) .
Genuinely interested to know what happens with the police dogs in hot weather - do they still work ? (I realise this is not your area - thought you may know )
Have heard “collective responsibility” a few times in #NottinghamInquiry
Just NO
Just as I, as a consultant, am ultimately clinically responsible (unless I’ve no knowledge of an issue) executives need to hold their hands up
Until there is accountability there’ll be no change
@Mustafus69@britmatters It occurred at 5.30am , she could have easily just be going to work or even just coming home from work . There doesn’t have to be a sinister reason as to why the victim is out at 5.30 in the morning .
NHS FINGERPRINTED A DOCTOR FOR REPORTING A COLLEAGUE WHO WAS INJECTING DRUGS ON DUTY
Dr Patricia Mills was an anaesthetist at West Suffolk Hospital. In 2017 she saw a colleague injecting himself with drugs while looking after patients. She raised the alarm. The NHS's response was to investigate her.
Management hired handwriting experts and fingerprint analysts to work out who had been tipping off a grieving family about a potentially botched operation.
They narrowed the suspect list down to seven doctors. Four of them had one thing in common: they had all previously raised concerns about the self-injecting colleague.
Dr Mills was among them. She was off sick for six months. She said she thought she was going to lose a 30-year career.
The drug-injecting doctor continued to practice for years after her original disclosure.
When Dr Mills turned to the National Guardian's Office, the body specifically set up to protect NHS staff who speak up, she said its response was, in her words, literally useless.
The CEO who ordered the fingerprinting resigned when it became public.
An independent review in December 2021 fully exonerated Dr Mills. It called the fingerprinting incendiary and extremely ill-judged. It said the treatment she received verged on victimisation. It said her concerns were well-founded from the start.
So to recap. Doctor raises a patient safety concern. Hospital spends public money trying to unmask her. She gets sick. The wrongdoer keeps working. The regulator does nothing.
And three years later a review says yeah, she was right all along. Sorry about that.
Sources: The Guardian, BBC @BBCNews, The Telegraph @Telegraph, Patient Safety Learning @PSLearning, NHS England independent review by Christine Outram, December 2021
HE PROTECTED 54,000 DOCTORS. THE @NHS PROTECTED ITSELF.
In January 2014, Dr Chris Day (@drcmday) was working overnight in the intensive care unit at Queen Elizabeth Hospital in Woolwich. Two locum doctors didn't show up. The unit was running at double the patient load the national guidelines allow. He raised the alarm. He reported unsafe staffing. He linked the situation to two patient deaths.
That's what the NHS calls a whistleblower.
What followed was eight years of litigation, a legal battle all the way to the Court of Appeal, and over £700,000 of public money spent by Health Education England (@NHSE_WTE) and Lewisham and Greenwich NHS Trust (@LG_NHS) trying to stop his case being heard at all.
Here's the really elegant bit. HEE's opening legal argument wasn't that they'd done nothing wrong. It was that whistleblowing law simply didn't apply to them, because they didn't directly employ junior doctors. They were just the organisation that controlled the career progression of every single one of England's 54,000 junior doctors. Totally different thing.
Dr Day fought that argument to the Court of Appeal and won. The law was clarified. All 54,000 junior doctors below consultant grade in England now have statutory whistleblowing protection. One man, crowdfunding against three QCs, changed employment law for an entire profession.
No formal apology from the NHS. No reinstatement. No path back to a consultant career. He has worked as a locum A&E doctor ever since, doing overnight shifts while his opponents collected salaries, pensions, and the occasional glowing tribute to NHS transparency.
During the 2022 tribunal hearing, the communications director at Lewisham and Greenwich NHS Trust deleted up to 90,000 emails. The director whose entire NHS email archive was also deleted during live litigation happened to be the instructing legal client in the case. The tribunal described the conduct as extraordinary. Nobody was prosecuted. The trust issued a partial apology about a press release.
The system did exactly what it always does. It absorbed the cost, deflected accountability, and waited for the man it destroyed to run out of money or energy.
He hasn't.
Sources: The Guardian | @BBC | BMJ | Westminster Confidential @davidhencke | Protect @WhistleUK | @BylineTimes | @CrowdJustice
We're nearly there 96,353 and counting. Do your thing internet.
As for that vacuous act of futility that is govt's response?
The Sewage Campaign Network has asked for a right to reply, we want to be able to write to the very same people govt did shredding their nonsense response.
Sign now, sign today.