Food for thought... The fate of Dr Hadiza Bawa-Garba

[BMWZ4MC]

This is a damning review of the NHS and the GMC. The former at least purports to promote a no-blame culture.

Furthermore, if the implied differences between staffing levels in the American Healthcare system and the NHS are real, then the British public is woefully underserved in comparison.

https://www.medscape.com/viewarticle/89 ... 8480&faf=1

[Scooba_Steve]

No blame is folly, the evolution is a just culture. The medical profession still has a long way to go when it comes to errors and reporting.

[BMWZ4MC]

It’s important to foster an environment in which failings can be reported without fear of reprisal in order to facilitate system changes. Such a culture doesn’t mean that negligent or criminal activity is ignored or condoned, rather it prevents recurrent shortcomings in the system precipitating to serious avoidable errors.

[Scooba_Steve]

Which doesn't describe no blame.

[john-e89]

It’s important to foster an environment in which failings can be reported without fear of reprisal in order to facilitate system changes. Such a culture doesn’t mean that negligent or criminal activity is ignored or condoned, rather it prevents recurrent shortcomings in the system precipitating to serious avoidable errors.

100% correct. The compensation chasing, blame culture needs to be told your day has passed, it won’t be tolerated anymore. Having said that I do think the better services become the more the public demands and thinks it’s entitled to a fault free first class service 100% of the time, we expect too much imho. Unless we start treating nursing staff, elderly care workers etc, better, the troops on the ground, it’ll grind to a halt. There’s an argument for the American pay system surely?

[BMWZ4MC]

Which doesn't describe no blame.

No it doesn’t.

The NHS tells its employees that they are working in a no-blame culture yet the article linked reflects the reality (at least for that doctor in the circumstance detailed).

I described a system that is designed to establish causative factors and correct them rather than scapegoat individuals.

[BMWZ4MC]

It’s important to foster an environment in which failings can be reported without fear of reprisal in order to facilitate system changes. Such a culture doesn’t mean that negligent or criminal activity is ignored or condoned, rather it prevents recurrent shortcomings in the system precipitating to serious avoidable errors.

100% correct. The compensation chasing, blame culture needs to be told your day has passed, it won’t be tolerated anymore. Having said that I do think the better services become the more the public demands and thinks it’s entitled to a fault free first class service 100% of the time, we expect too much imho. Unless we start treating nursing staff, elderly care workers etc, better, the troops on the ground, it’ll grind to a halt. There’s an argument for the American pay system surely?

I think the NHS needs to undergo a complete structural transformation from the way that it is funded through to the way services are delivered. The current system is shambolic at best and it is taken for granted by many of its users.
There needs to be a politically independent body created that will deconstruct the current system and rebuild it into a service that is fit for purpose. At the same time there needs to be a change in the perception held of the NHS by the public.
The 1948 model of a health service that is entirely public-funded and free at the point of delivery is as anachronistic as the nation’s biggest employer being managed largely by people trained as healthcare professionals who prefer office work to clinical activities.
The current system is propped up by the good will of the employees who see their role as a vocation and tolerate being consistently exploited out of compassion for their patients. The ship is sinking yet no political party would dare to suggest the NHS is failing and needs to be replaced for fear of inciting the fury of the masses. Instead, it is being allowed to collapse until eventually the time will come that the public will demand wholesale change in the NHS.

[buzyg]

Interesting points of view.