bresail

Shaun Howe,

Welcome.

Whilst it is easy to suggest there are cultures of pretending things do not happen or perhaps even colusion to prevent blame, this is NOT my experience. Since the 5th Shipman enquiry, there has been a sea change in healthcare.

I am also ex military.

In the services there are penalties that are enforced in the case of negligence, etc. These penalties are or can be savage. Another thing is that there is more community even to enemies than there is in the NHS at the present time. Most important there is someone in charge of even the smallest unit.

Shipman began 1971.

If you take the time to read Dame Janet Smiths recommendations you will see that her suggestions are still being implemented and they are arriving slowly. Lets us be realistic and accept that human error (however heartbreaking) happens and that sometimes we should be operating in a no blame culture. This is not excusing negligence or incomptetence which must be answered, it is just a fact that we sometimes err.

This I have done.

The third report was in July 2003

!0 years later,

arriving slowly,

Accidents, murder, negligence, bad luck?

TOTAL IRAQI insurgents and Iraqi soldiers deaths 157,531 Wikileaks

How many more deaths are needed to get through to the NHS and the dept of health that there is a need for a little more haste.

Like instantly.

I don't want anyone to tell me that these things take time.

Maybe some of our redundant sevicemen medics should be taken on to show how it can be done in the NHS.

After all they save a lot of lives, they smile more and they get shot at.

Petty gagging orders are irelevant.

Regards.

Rex.

No, I haven't gone away.

I have been preparing for a probable reactionaryattack from NHS Shetland.

This below is worth watching if you missed it last night.

http://www.bbc.co.uk/i/b01rg10h/

The horror behind it is, that this is not from one single hospital. It seems that someone very cleverly finds a way, not to improve care but, to cheat the system and passes on this method.

I wonder do they laugh at how easy it is to fool the people that have to trust them?

The fiddled waiting lists, palliative care manipulation, the covering of blunders in some instances.

Mid Staffs nurse 'ignored pleas of dying patient'

21 Mar 2013.

The screams for help from a patient that needed help and subsequently died because her head was stuck through the bars of her bed.

The poor nurse that wanted to see what was wrong with this patient and was told to stay where she was, by the ward manager who was talking to this nurse. The patient only had a broken leg. This couldn't happen here because all alarms from the various machines are answered immediately, as long as it isn't coffee or meal times.

So if you're a nurse and go through the correct channels and complain the crumpled uniform or other excuses come to the fore. It seems that you cannot be a good nurse with a crumpled uniform

If you are not victims of a gagging order. You have to wait to see which of the stock answes are used ie;

We are aware of this problem and will be making changes.

We are aware of this problem and have made changes.

We are aware of this problem and find it funny.

This is also not funny,

Mid Staffs nurse claimed a patient was asleep when she had already died, court hears

18 Mar 2013

It is not a joke but a truth.

I fail to see what business it is of anyone questioning a persons sexuality.

I personally treat all people the same.

I also don't call a girl a lesbian if she will not go out with me.

The jaffa cake reference amused me, as I have a friend that cannot eat them but, loves to eat Jaffa Tarts.

He lives in Tel Aviv, in a district named Yafo, english= Jaffa so he gets the opportunities.

Regards,

Rex.

I did not cause the norovirus though.

Remember to wash your hands, plates, door knobs and prevent visitors.

regards,

Rex.

Hi, no wonder they are cutting back in Shetland!

Damn I am at fault! The powers that be, believed what I wrote and rather than check the true figures, based their cut backs on my figures.

Sorry.

I also apologise to the Medical board, the NHS executive board, the NHS non executive board and the other three non remembered boards for leading them astray.

It should have read,

The percentages above follow a similar pattern for Shetland NHS.

Frightening isn't it.

This post is an attempt at humour but I had to add a barb.

From The Guardian Friday 15 March 2013 15.39 GMT

Woman charged over death of child in nursery playground

 

Woman charged with gross negligence manslaughter after death of Lydia Bishop in York in September last year

The above is about a tragic health and safety issue.

The two cases below are not health and safety issues?

More than 20,000 lives could have been saved if government ministers and the NHS had paid attention to warnings about high death rates in hospitals, according to a government health adviser.

 

From The Guardian Friday 15 March 2013 15.39 GMT

 

Professor Sir Brian Jarman, who co-founded the health statistics and research service Doctor Foster, said he had sent the then health secretary Andy Burnham a list of hospitals with higher-than-average death rates in 2010, but no action was taken.

 

Several of those hospitals are now the subject of a government review into their high mortality ratios.

From The Guardian Friday 15 March 2013 15.39 GMT

Panel rules that Joanne Thompson's fitness to practise was not impaired after baby boys given 'excessive' dose of morphine

 

Stafford hospital nurse who treated overdose twins allowed to keep working

 

Panel rules that Joanne Thompson's fitness to practise was not impaired after baby boys given 'excessive' dose of morphine

Regards,

Rex.

I am as most people know very interested in this subject and I have now read hundreds of pages of documents for and against the present NHS debacle.

I am becoming more and more surprised at the lengths that some ministers and managers are going to, to protect themselves and their, at times flawed and downright dangerous decisions.

Do we really have people that are willing to cause deaths and then lie or attempt to squirm out of the blame?

Are these people also willing to put their family and friends in jeopardy or do they have a method of drawing attention to the importance of certain patients? Maybe a recognisable mark on the documents!

I do not want to believe this but, I also don't want to believe that they would allow their family and friends to receive bad services.

Shipman was a murderer, but a person or persons who allow thousands of negligent deaths to occur is not even reprimanded.

Another thing that I have found is that the NHS insurance for frontline and secondline staff is obviously biased towards protecting the NHS more than the staff. I should have realised this before, because it is so obvious.

So they too can be thrown to the wolves!

How would the people who set up the NHS feel now?

Rex Fearnehough fuit hic 1948.

Part of an Article from Mail online

Department of Health surveyed 101,000 doctors, nurses and paramedics

 

One quarter said they had been harassed or bullied in the past 12 months

38 per cent suffered work-related stress and 15 per cent bullied by patients

 

The poll also revealed that nearly a quarter of workers had been harassed or bullied by other colleagues over the past 12 months.

 

Nearly 40 per cent of doctors would not recommend their own hospital to friends or family, startling new figures reveal.

 

A further one in three do not believe NHS managers act on the concerns of patients.

 

The Department of Health’s own survey also found that a third of NHS staff had witnessed medical blunders or near misses at least once in the last month.

 

Read more: http://www.dailymail.co.uk/news/article-2286336/Now-doctors-dont-trust-hospitals-Study-finds-nearly-40-health-service-workers-recommend-workplace-friends-family.html#ixzz2NE7byH65

Follow us: @MailOnline on Twitter | DailyMail on Facebook

The figures above follow a government survey for Shetland NHS in Jan 2012.

Frightening isn't it.

Peat, I thought I was the only one in world that was awake at this time, I blame my sleep apnoea.

regards.

There are people going through or attempting to go through the courts to prosecute Cur David Nicholson

From "The Spectator",

If David Cameron wants to save the NHS, he should sack David Nicholson

Now would be a good time to contact your MPs.

I'm sorry about the cut and paste that I use in my posts but, some of the reports run into hundreds of pages. Gobbledy gook is another tactic to hide suspect clauses. This means that readers give up reading quickly.

Today, Robert Francis QC, Chairman of the Inquiry publishes his final report.

This is just an extract from a report.Today the Chairman makes 290 recommendations designed to change this culture and make sure patients come first by creating a common patient centred culture across the NHS.

The Chairman’s recommendations include:

 

A structure of fundamental standards and measures of compliance:

 

A list of clear fundamental standards, which any patient is

entitled to expect which identify the basic standards of care

which should be in place to permit any hospital service to

continue.

 

These standards should be defined in genuine partnership with

patients, the public and healthcare professionals and enshrined

as duties, which healthcare providers must comply with.

 

Non compliance should not be tolerated and any organisation

not able to consistently comply should be prevented from

continuing a service which exposes a patient to risk

 

To cause death or serious harm to a patient by non compliance

without reasonable excuse of the fundamental standards, should

be a criminal offence.

 

Standard procedures and guidance to enable organisation and

individuals to comply with these fundamental standards should

be produced by the National Institute for Clinical Excellence with

the help of professional and patient organisations.

 

These fundamental standards should be policed by the Care

Quality Commission (CQC)

 

Openness, transparency and candour throughout the system

underpinned by statute. Without this a common culture of being

open and honest with patients and regulators will not spread.

Including:

 

A statutory duty to be truthful to patients where harm has or may

have been caused

 

Staff to be obliged by statute to make their employers aware of

incidents in which harm has been or may have been caused to a

patient

 

 

Trusts have to be open and honest in their quality accounts

describing their faults as well as their successes

The deliberate obstruction of the performance of these duties

and the deliberate deception of patients and the public should

be a criminal offence

 

It should be a criminal offence for the directors of Trusts to give

deliberately misleading information to the public and the

regulators

 

The CQC should be responsible for policing these obligations

This is what I want to see.

Zombie, I wasn't looking for a job!. I may apply though?

Hector's House, a hands on approach is more my style. I am a little out of touch, though, I may even be older than Berlosconi, so the bunga bunga could be mucho mucho.

regards.

Boa tarde, I wish to improve my portugese does anyone have the contact number?

Abraços,

Tchau.

Rex.

I really do not wish too and I am certainly not meaning to pick on individuals on this forum.

Peat you have experienced problems in the NHS with the PCT reporting, silvercloud is campaigning for One World Birth, Paul is suggesting that the doctor cuts for outlying areas is a mistake. My campaigning is to bring to the fore the basic but dangerous flaws in the NHS. I am not gagged so I can say what I need to as long as I don't break the law. So we have at least four people here that see problems and faults with the NHS and all from different angles and cases that is approx 50% of the of the folk using this thread.

If you have tangible evidence, you would not be on here, unless it is part of a wider campaign, which, given your posts, I am assured it is. If there is something wrong, why has nothing been done by yourself and like minded people.

Have I got tangible evidence? I will not answer any questions about this at this moment. I'm ex military and would not set up an ambush with a brass band and bunting. Each time there is a complaint reported to the NHS and it is not acted on it puts people in danger. It also gives the NHS forewarning so that they can trot out the excuses like, "We are aware of this problem, and have the case in hand."

I do not have a wider campaign no, that is wrong my campaign is to try to get some sense of dignity and welfare for patients. I can remember when nurses used to come into the wards oozing confidence and cheer. When there was none of the internecine fear and rivalry that pervades today.

I do not hate anyone, I am not gunning for anyone.

Our NHS is rubbish. I am not interested in it being better than a hospital in timbuctoo or worse than a BUPA health servce in Barbados.

Regards.

Shetland Peat.

I know that there seems to be a sustained attack on the healthcare, many surveys have shown, the superfluous reasons folks have taken up doctor time when a pharmacist could have advised. As well as attacking practices, some attention should be given to those who waste time as well.

I am bringing down my list from above.

In order of importance My own list.

1. Everyone has the right to free health care.

2. Doctors of the same standard as the mainland

3. The Nursing Staff as above.

4. The relatives and loved ones of the patients.

All of the above should be protected by law.

5. The Admin staff.

They should be made responsible and encompassed by law.

The dead wood, inefficient, lazy should be pruned.

The NHS itself is an empire, when it should be a democracy.

Petty local empire building that costs us money is ridiculous and that is why we have our problems. We have given away too much money to quieten people This must stop.

The admin staff know full well that there are inefficiencies and they also know why..

Feel free to alter my priorities list.

I am wondering if the list should be amended, should the pharmacist come before No's 2 & 3, but I am unsure that Boots etc are a part of the NHS.

If our first port of call should be a dispensing chemist are they covered to give diagnoses?

Not all persons can make a sensible decision on what is a case for a doctor or for a pharmacist. Other persons need the reassurance of a doctor wether it is because of fear or loneliness.

I am a warfarin user and I am often given a doctor's prescription for medication for other oldies illnesses that are not recommended for use by warfarin takers. Thank goodness for Jim and the staff at Boots Pharnacy who usually sort it out for me and for lots of other folks too. I was also given some painkillers on discharge from GBH that were dangerous for my condition. When I challenged the use of the medication and told them why. The next question I was asked was, " Do you always use warfarin."

I had been in the hospital 2 days and it wasn't known that I was a an AF sufferer, hence the use of warfarin.

We can't just close our eyes to the fact that the NHS is failing Britain. I cannot understand why people are even willing to close their eyes and make excuses for the NHS.

I misquoted the number of killings in the Staffordshire NHS in my post above, apparently it was in the thousands.

Still Saddat is doing that in one day.

I personally cannot just stand by and not attempt to make a difference.

Why put your families at risk?

So Peat I am sustaining my attack on an inefficient and dangerous NHS

and the people who are willing to cut and gag our doctors.

Regards,

Rex.

So we are getting a reason for the cuts and why there is a problem for the NHS in Shetland.

Ian Kinniburgh is a member of the NHS National Performance Management Committee, Chairman of the NHS National Evaluation Committee and Chair of the Chairs and Chief Executive North of Scotland Planning Group. Within Shetland, he is the Chairman of the Shetland Partnership which is the group responsible for delivering the Community Planning agenda in Shetland and holding partner organisations to account for delivery of the Single Outcome Agreement. Ian is also a Trustee of the Shetland Recreational Trust and actively promotes the close links between physical activity and good health.

In 2005 he noticed that there was an exceptional number of town dwellers, "seeking face to face appointmernts with doctors and nurses." he was criticised for saying this but, the number seeking appointments has now mushroomed.

So the population has either increased or the problem has worsened.

If the population has increased bring in compulsary neutering or the snip.

If it is a worsening of the situation it is surprising how much can change in 8 yrs or not. So after the increase in people trying to see a doctor face to face now in 2013, not much has been achieved by the board.

(Sorry but I keep wanting to say ass to ass.)

I presume that some of the folks wanting to see a doctor F to F or A to A

may be patients who have mental problems. Others may have other problems and symptoms.

So how can we cut the amount of people wanting to see doctors?

1. Staffordshire managed to cut their patients by 180 as you will have seen in the news.

2. Another way is to cut spending for the mentally ill.

3. Cut back the rural doctors.

No money/ doctors less patients, simples.

Doctors nurses, meerkats and asses should all be kissed by the board.

Regards,

Rex.

The cost of flights were not significant - everybody has an ADS card, and quite frankly I'm buggered if I'm going to spend days away from my family for the NHS unecessarily, for the sake of 20 quid. The managers who have to go to lots and lots of meetings on the mainland - why should they miss out on their family life day in day out? What about the 1 hour meetings the government insists they attend face to face? Should they get the boat to those meetings?

I think I agree with the above, anyone who was forced into such a job, to provide for his family should be rewarded. It is not right that they should be separated from their family

Our soldiers have to do the same, conscription and press gangs, are an abomination.

Damn! That is a problem with age I'd forgotten that press gangs finished in 1840 and national service in 1960.

You must have been very important to be forced to stay on all that time!

The pension must also be good.

Regards.

The Telegraph

"Tory MPs to demand resignation of NHS chief over Mid Staffs scandal

Conservative MPs will today demand the resignation of Sir David Nicholson, the NHS chief executive implicated in the Mid Staffs hospital scandal. "

Around 20 MPs are expected to sign a Commons early day motion tabled by Charlotte Leslie, “There has been a thunderous silence around the NHS and Mid Staffs scandal, and relatives of those who died needlessly have been screaming into a vacuum for those in positions of authority who were responsible to be held to account,†Mrs Leslie said.

 

She also said that any former ministers and officials responsible for what happened at Stafford hospital should “face the consequencesâ€.

The Scotsman

Published on Monday 25 February 2013 00:00

THE NHS has “lost focus†and any hospital – including in Scotland – could encounter the same problems as those in Mid-Staffordshire, where a lack of care led to up to 1,200 deaths, Scottish medical leaders warn today.

 

The Royal College of Physicians of Edinburgh (RCPE) says hospital staff now face so much pressure, including doctors being over ruled by their bosses who do not have any medical qualifications, that a repeat of the Mid-Staffordshire scandal is a real possibility.

 

It is so concerned about falling standards of patient care that it plans to set up a confidential hotline to encourage doctors to report colleagues they think are not doing their job properly.

So things are starting to move, all that needs to happen now is for the other 50 percent not on threats of gagging orders in Shetland to help their friends and families remain safe.

My dog and I will help because he knows that I protect him too.

Regards,

From Stug.

Paulb - of course there is a difference to the access to services in London and here primarily because we live on an ISLAND! It is one of the factors people have to take into account when moving here - yes you will have a safer, more relaxed way of life but you have to balance that with the fact that you will not have access to the same services offered on the mainland. If access to those services is the most important thing to you then Shetland is not the place for you.

Stug, are you saying that we have a lesser quality of health care in Shetland due to geography and that we must expect that? We are at the moment still part of Great Britain/Scotland/EU and we must expect the same standards.

I know we have problems with the NHS here but, why? Because we have lost the priorities and heirarchy of why the NHS was founded.

In order of importance My own list.

1. Everyone has the right to free health care.

2. Doctors of the same standard as the mainland

3. The Nursing Staff as above.

4. The relatives and loved ones of the patients.

All of the above should be protected by law.

5. The Admin staff.

They should be made responsible and encompassed by law.

The dead wood, inefficient, lazy should be pruned.

The NHS itself is an empire, when it should be a democracy.

Petty local empire building that costs us money is ridiculous and that is why we have our problems. We have given away too much money to quieten people This must stop.

The admin staff know full well that there are inefficiencies and they also know why..

Feel free to alter my priorities list.

paul, I just found that the the acronym language that had to be learned was far from the meaning of e-KSF, (keep it simple and flexible.)

It was NM, TBC, of the e-KSF system. IAS.

NM=not meant.

TBC= to be critical.

e-KSF= Keep it simple and flexible.

IAS=I am sorry

paul, I just found that the the acronym language that had to be learned was far from the meaning of e-KSF, (keep it simple and flexible.)

It was NM, TBC, of the e-KSF system. IAS.

NM=not meant.

TBC= to be critical.

e-KSF= Keep it simple and flexible.

IAS=I am sorry

I couldn't resist posting this gem that was probably paid for by NHS Shetland

Implementing KSF in NHS Scotland

Keeping it Simple and Flexible

NHS Shetland Case Study

Title: Using the eKSF as a learning needs analysis tool and as a support for meeting the Health Professions Council (HPC) Continuing Professional Development (CPD) standards for Allied Health Professionals (AHPs) employed in NHS Shetland.

The Organisation

NHS Shetland employs around 750 staff and is responsible for the health of a population of 22000 people. It is an island community, with thirteen inhabited islands stretching over 100 miles from Muckle Flugga in the north to Fair Isle in the south. The largest town, Lerwick, has a population of approximately 7,500 people. NHS Shetland currently employs a total of 31 AHPs, support workers and administration staff representing the following groups: Dietetic, Occupational Therapy, Orthotics, Podiatry, Physiotherapy, Diagnostic Radiography and Speech and Language Therapy

What we did and why

A continuing professional development (CPD) needs analysis was carried out by the Practice based Education Facilitator (PEF) for Allied Health Professionals (AHPs) using e-KSF. As part of this NHS Education for Scotland (NES) funded programme the AHP PEF was tasked with supporting AHPs in their locality to meet the Health Professions Council’s (HPC) standards for CPD. A further NHS Shetland organisational goal was to ensure 100% of staff agreed and recorded their personal development plans (PDPs) using e-KSF in order to meet the Scottish Government performance target.

The key words are KEEPING IT SIMPLE AND FLEXIBLE, (KSF).

I can spell better than I seem to be doing at the moment is there an edit button or do I have to really read it before submitting it?

Peat, I agree that they are unlikeiy to be enforcable but it seems that the fear of insidious repercussions is believed. This is a powerful tool for the employer to hold against their staff. No threat, has been made nor is there a denial.

There is yet another factor to this and that could be the worry, by some employees, that they are not adequately trained or even up to the tasks that they are given. Of course there is also the knowledge that things are not right but they turn a blind eye to them, which is back to the fear of reprisals.

"RD Laing in "Knots,"

"They are playing a game.

They are playing at not playing a game.

If I show them I see they are, I shall break the rules and they will punish me.

I must play their game, of not seeing I see the game."

"If it were in the public interest, then no gag should stop someone."

Very true but we humans can justify why we don't do things if it is not us that is causing an upset. Omission is easier to handle than commission. After all we don't cause these problems we are too nice for that.

If we use another questioning strategy for example by saying, "I am guilty of allowing these things to happen and it could happen to my loved ones," and picture it. If you are on the ward when your loved one comes in and you fill out the Early Warning document, they have acute pain a 10 possibly, all other details are normal and remain normal. Would you then give them painkillers and send them home? I know that I am being very harsh pushing these pictures into your mind.

If the above was was done by your superior would you just let it go at that.

Regards

It is a good job that I never feel lonely.

Is it something that I said?

So back to the gagging clauses which in fact are illegal and are being investigated at last.

I have worked out a rough guide to the population that are under gagging orders in Shetland,

Population approx 22,500

Sic workers -- " -- 2,000

NHS -- " -- 750

Total 2750

No. of people affected by gagging order includes 2 adults and 2 dependants

= 11000 gagees.

That is going on 50 percent of population.

Does this mean that 50 percent do not want a better NHS?

Regards.