HOSPITAL OFFERED HER DOUBLE PAY TO MAKE THE DEAD LOOK LESS DEAD
In 2011 Royal Wolverhampton NHS Trust @RWT_NHS hired Sandra Haynes Kirkbright as head of clinical coding, the job where you turn patient records into the numbers regulators use to judge a hospital.
She says she was headhunted because bosses wrongly believed she had helped massage the same numbers at Stafford Hospital. This was months after the Mid Staffordshire scandal, where up to 1200 patients died needlessly. The trust had one of the worst mortality rates in the country and apparently the fix was never going to be the wards.
She says bosses offered to double her salary to 54,000 pounds a year to help the death rate look better on paper.
She refused. She claims colleagues were pressured to reclassify deaths as palliative care even when no palliative doctor had seen the patient.
Between 2009 and 2011 the trust's recorded mortality rate dropped 13 percent while deaths coded as palliative care jumped from 2.19 percent to 20.3 percent, nearly double the national average.
She also flagged the trust was billing for procedures never carried out.
She says she was told to keep it off paper because a Freedom of Information request could hand it to journalists ...
4 months into the job she got suspended, officially for bullying and harassment, which she denies.
Chief executive David Loughton @david_loughton called the allegations false and the mortality improvements independently verified.
3 years later an actual independent report told a different story.
Commissioned by NHS Trust Development Authority, it found the trust's investigation into her was significantly flawed, that she was not treated fairly, and that Loughton knew about her concerns from April 2012 but chose to manage a regulator visit instead of opening a whistleblowing investigation.
She was still suspended on full pay when the report finally came out.
David Loughton is still chief executive of the trust today, one of the longest serving in the NHS
Sources
@MailOnline@ExpressandStar@ITVCentral
And others.
@DocPriyamMD Why is it always hoofs and zebras? 99% of the time in this scenario the person is a liar 🤣. Don't be encouraging the SHOs to go searching for some random disease
@LizWebsterSBF@MattChorley It'll be interesting to see what information comes out when the investigation is complete. There surely will be a paper trail of legal advice on said gift declaration
@Doctors_GUILD COPD, type 2 RF can be managed on bipap on an acute respiratory unit or level 2 bed on the ward. Without giving some background a lot of end stage COPD patients aren't appropriate candidates for invasive ventilation
If there’s one CKD topic that confuses junior doctors the most, it’s anemia.
We all see low HGB and immediately think "give iron". But in CKD, the real problem is often NOT iron. It’s the kidney’s inability to make enough erythropoietin.
Here’s the 60 second approach I teach my HOs:
Young patient presents to the casualty sweating profusely with severe palpitations and a pounding headache.
Blood pressure is severely elevated at 240/130.
The doctor pushes IV Propranolol to control the heart rate and bring the pressure down.
Instead of dropping, the BP instantly skyrockets to 280/160 and the patient suffers a massive hemorrhagic STROKE.
What went wrong?