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January 30th, 2002
Q?:WHAT DO BAD DOCTORS
AND BAD NURSES FEAR MOST?
A: PATIENTS
.....
..... who have
been medically abused - either physically, sexually, verbally,or in
writing - and those who have been denied medical care, getting together,
networking, uniting, obtaining publicity so their voice and the truth
can be heard. So becoming a force to reckon with. Good doctors and nurses
have nothing to fear!
29TH JANUARY 2002
PANDORA'S BOX
"HAUNTED BY FIFTY SCANDALS A YEAR" Daily Mail 28th
December, 2001, article by Beezy Marsh
This article claims that
in a leaked secret memo , written by the Chief Medical Officer,
ministers were desperate to avoid embarrassing public inquiries into medical
blunders.
His memo
states he believes that giving into the demand for these inquiries
would be disastrous because they are all "problem doctor" cases. QUITE SO!!
but isn't that the very reason for doing
the investigations ? What moral justification is there for leaving "problem"
doctors loose in the system?
From his letter
it emerges that the NHS expects up to 50 scandals every year ( only 50 ?
SIN would put the figure much higher) in which doctors have maimed or killed
patients in botched operations ( not to
forget mis-diagnoses and wrong drug treatment) and
subjected them to verbal, physical or sexual abuse. (and denial of medical care)
The D.o.H has
already agreed to two major Public Inquiries : the Bristol
Babies & the Shipman scandals. But think about this:
everyone knew about these scandals - all the facts were
in the public domain. - the Inquiries were almost unnecessary
So, the strange logic is that you must have proved publicly
there is a scandal ie. by going to the GMC and who can get a case through
the GMC unless you have a backing of a doctor? The cost of these huge public
inquires is about £10 mill. each and the times scale is long - two
years.
These Inquiries
should concentrate on:"Who knew what & when".
Who raised concerns
about the doctors in question ?
To whom did they
raise these concerns & when?
What did did
these people do about the doctors in question when told?
Which people knew
that patients were being damaged, but did nothing and why?
Accountability
should be established. OOPS! Sorry, we have just mentioned the taboo
word : "accountability"! In a just, democratic society, people should
be responsible for their own actions or inactions. To collude with
incompetence and malpractice which brings harm to innocent patients cannot
be tolerated. One can say " lessons will be learned " ad infinitum, but one
must never, never, not for one second, breathe the word
" accountability"
The article goes
on to state that the reason the NHS is resisting g these demands for public
inquiries is because they will be so costly and the NHS is short of funds.
Huge Inquiries like the BRI Inquiry cost over £10mill. However, we
believe this is a red herring, more likely the BMA has put a veto on further
embarrassing inquiries! What is needed are smaller Tribunals which are
really, yes really, independent of the govt. and which can examine the facts
presented by the patient and investigate into these KNOWN scandals
of patient abuse. The bad apples must go! Who is saying they must remain?
The alternative
is to go on as we have been doing for the last 50 years - with a denial and
cover up culture. We have paid a heavy price for this for without honesty
& accountability there can be no quality control SIN believes that to
ignore these scandals is very short-sighted
- Standards have been falling.
- Wrong kind of
message to our junior doctors: they see (high ranking) consultants
being incompetent , malpractising and even being malicious to innocent patients
and then getting away with it for years.
- corruption of the
medical profession: -doctors must be allowed to tell the truth!
- Confidence in the medical
profession is plumeting and this will not stop until the denial and cover-up
culture ceases!
- A growing number of victims
of substandard care and medical abuse who are suffering
Mr. Alan Milburn has acknowledged
that his department receives a request for an inquiry every day of the week.
This does not surprise us with so many patients dying from
medical errors and so many being left permanently damaged
every year. Is it right, or even sensible to reject all these requests
? Why do they not start having " Tribunals" ? These need not be held
in the full glare of publicity. This would soon re-establish patient confidence
and would start to weed out the "bad apples"
We are saddened
that this memo was written by Prof. Donaldson because when we have heard
him speak at the BMA/BMJ conferences he has always said the right thing and
so we had confidence in him. In March 2000 at the " Medical Errors " Conference,
he told the doctors present that patients would not accept a "no blame culture
" that they were demanding a culture of accountability. Yet he has now signed
up to a " no blame pact"! He also said at the same conference that one of
the deadly sins was " to avert the gaze" ie. to turn a blind eye! At the
Ethics Conference in February 2001 he told the assembled doctors that they
must not go around saying that there were no more scandals, because patients
would not believe them. He added that there were more major scandals
in the pipeline!
The NHS has been
likened to a giant carbuncle, which has received no treatment for decades.
Now and again there is a small eruption and the pus runs out. What is needed
is for someone brave enough to take a sharp scalpel and lance this festering
sore. Then a period of healing will follow. Otherwise, this carbuncle, which
is now very angry and throbbing violently will erupt explosively - making
the healing more difficult. For the sake of the innocent suffering victims
and also for the well being of the medical profession, we urge that
these long standing scandals are addressed.
What is the abused
patient to do? The NHS Complaints Procedure is a cruel farce.
Few can go to law and those that do have little chance of succeeding because
of the "rigged" bias in favour of the medical profession. The GMC is dysfunctional
We believe the government has lifted the lid on Pandora's Box,
has seen what is in there, has lost its nerve, and is now struggling
to close the box. SIN emphasises that we support good doctors and good
practice: we are against bad practice and bad doctors. We believe that
there is more bad practice than bad doctors. But it is obvious from
the above newspaper headline that there are far to many
substandard and malicious doctors in the system and these dangerous
doctors must be exposed and removed - for the sake of the vulnerable
patient and for the well being of the medical profession.
30th January,
2002
"Trust me, I'm a doctor?
No fear!"
This article
appeared in the Observer in the issue dated 26th November, 2001, was
written by Cristina Odone and sent to us by a member.
SIN applauds
the sentiments expressed in this article because they coincide with the experiences
of our members. It is interesting to give some quotes
:" .....Your
doctor may look like a caring, sharing "Peak Practice "star, concerned only
with your welfare. But beneath that glinting stethoscope beats a cold,
arrogant heart that rejoices in membership of the
superior profession......."
This opinion
is even shared by the retiring president of the GMC, Sir Donald Irvine
who called for :" an end to continuing arrogance, paternalism and complacency"
of the medical profession.
"....For
millennia, doctors have basked in our adoring deference.....knowing that
no one would dare to question their authority or call their bluff. Sheep-like,
the rest of us paid homage and often fees.....And for their mistakes , we
paid with our health or our lives....."
"....think
how many gynaecologists devastated women with unnecessary hysterectomies,
surgeons removed perfectly healthy organs and GPs killed patients with
mistaken diagnoses...."
",,,You'd
never guess this dishonourable record from the airs and graces these pompous
professionals put on. For one thing, these doctors close ranks against mere
mortals: for every brave whistle-blowing medic, there are legion who turn
a blind eye to their colleagues' failings. They refuse to comment on the
*whisky they
smelled on the paediatrician's breath or on the trembling hands of the scalpel-
wielding surgeon...."
"....This
kind of masonic self-protection goes on at institutional level as well: the
GMC refused to pass on information about Shipman to the police during their
enquires into the killer quack's past. Even when the Shipman case suggested
serious flaws in the self-regulatory powers of the medical profession, the
GMC, the Royal College of Medical Practitioners and the BMA responded with
less than lightening speed to right the wrongs committed by one of their
own. All this points to an attitude position...."
"....If
doctors hold their subordinates in contempt, you should see them with their
patients: any attempt at assertion is mocked and any quibble quashed...."
The author concludes
by saying the internet is going to give patients much more power and in the
end the medical profession will lose their dominant superiority.
* One of our members will closely relate to this comment. Her young
son was operated on by a neuro-surgeon who had a reputation for being an
alcoholic and the family had indeed smelt the drink on his breath. It was rumoured that he had a bottle of alcohol in a
cupboard in his consulting room, and cleaners had found a crate of beer.
The surgeon damaged permanently her son. The mother made a complaint and
went to law. Long afterwards she discovered by chance he had been suspended
and he had eventually left the hospital. He is now practising as
a medical "expert . witness" for medico-legal cases! The son's case,
as usual, went nowhere. He remains seriously damaged with an uncertain
prognosis, and is unable to obtain medical care because to give him this care
would be to acknowledge that something has gone wrong and would give more
evidence for a successful law suit.
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