Posts Tagged ‘Mid Staffs’

According to Westminster groupthink, Andy Burnham is favourite for leader. Yet again, it’s wrong

18/05/2015, 06:32:58 PM

by Atul Hatwal

The Westminster groupthink, which recently had Ed Miliband walking into Downing street, has a new favourite: Andy Burnham.

Labour MPs talking among themselves and to journalists, journalists talking to each other in Westminster bars and on the conveyor belt of rolling news comment slots, then bouncing off MPs and vocal activists on Twitter – this is the echo chamber that got the result of the general election so badly wrong and has now reconvened to similar effect for the Labour leadership race.

Andy Burnham certainly has support in the PLP, almost half by some accounts, and an active briefing operation shaping journalists’ perceptions. If the leadership election was to be decided among MPs, journalists and Twittervists, he justifiably would be a runaway favourite.

But party members are also involved. Over 220,000 of them. And they do not even vaguely resemble any of the participants in the Westminster groupthink bubble.

Instead, Labour’s members are like the general public.

According to internal party estimates, over 95% do not attend a single party meeting in a year, deliver a leaflet or knock a door. They are not consumed with the minutiae of politics or deeply tribal.

They’ve just made a choice to join Labour, as many people join clubs and societies without any sense that this membership defines their life.

Under Labour’s new leadership election rules, it’s one member one vote. With a membership that reflects the public, the same priorities which so recently decided the general election will similarly shape this race.

Economic competence and the preference for prime minister will be the key criteria against which contenders are to be judged and on both counts Andy Burnham’s candidature is critically flawed.

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Jeremy Hunt’s response to Francis will penalise patients while protecting the bureaucrats who cover up abuses

21/11/2013, 03:20:56 PM

by Sam Fowles

I really miss the days when the worst we thought Jeremy Hunt could do to the NHS was privatise it. At least you knew what you were getting with privatisation. But what Mr Hunt is doing, incredibly, manages to be worse. It is an act of legislative contortion which would have done credit to Mitt Romney on his most pliable days: In an (apparent) attempt to “get tough” on standards and ensure the high quality of the NHS, Mr Hunt has made certain that it cannot possibly offer anything but a substandard service.

At least one can see a logical argument of privatising the NHS. It may be exceptionally wrongheaded, but the case has a logical progression: Competing providers will force standards up as a result of their competition for consumers. The problem with this is, of course, that demand for healthcare is inherently almost completely elastic. As such, the impact of market forces on quality and price of provision will only ever be exceptionally limited, leading to monopolistic tendencies and, inevitably, substandard service. But at least there is a justification based on some sort of reasoned analysis.

Mr Hunt’s response to the Francis Report is a masterclass in irrationality.

One of the central issues in the report was poor patient care. Beds were not changed, patients were not fed; essentially the care and attention necessary for a decent quality of existence were absent. Unless the nurses at Mid Staffs spent their days playing scrabble and watching repeats of Monarch of the Glen (in my experience, pretty much the only thing on hospital television) one might perhaps assume that neglect is a function of understaffing. Stunningly this was also one of the conclusions of the Francis review.

Much of the review focused on governance issues, particularly regarding oversight organisations and community engagement (which Mr Hunt’s substantive proposals have singularly failed to address). Those sections which concentrated on the day to day running of wards recommended a more labour and resource intensive model. This is hardly surprising. One doesn’t have to be an expert in healthcare management to realise that if, as a patient, you get more focused attention more of the time, you’re going to have a better experience. The logical corollary of this is that, if everyone is to have more focused attention more of the time then the hospital might need to employ more people to provide it.

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The Tories are creating a Mid Staffs of the criminal justice system

01/05/2013, 04:18:10 PM

by Dan McCurry

The government’s reputation for incompetence shows no signs of abating, as they mimic the management ethos of Mid Staffs hospital and apply it to the criminal defence service.

These are government proposals which are to be applied to solicitors’ firms providing advice in police stations and courts. They propose the removal of choice of solicitor from the service user, in order to create a greater economy of scale and drive down costs. But, by doing so they will remove the competition which drives up standards and establish a local monopoly, rarely the most effective model to promote efficiency.

Consider this scenario. Your son has been arrested after his friend got into a fight. Your son was there when the fight happened, but wasn’t a part of it. However, he then prefers to say nothing to the police, because he doesn’t want to get his mates in trouble. The police interview will be much quicker if the lad makes no comment. The solicitor advises him to speak, but he doesn’t push the issue when the lad objects. As a result, your son refuses to answer police questions and this leads to a £10k trial where the young man is acquitted after he gives his account at court.

In the above scenario, the legal adviser gets paid regardless and cannot be criticised, on paper. He or she has also generated a fee from a trial. Your son’s A level results are effected by the several months of stress and distraction. You and your son cannot influence whether this solicitor gets more work or not, since there is no longer any personal recommendation. There is no competition.

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The Royal College of Nursing has forgotten about the victims in their response to Mid Staffs

25/04/2013, 07:00:15 AM

by Peter Watt

One of the lessons of the Mid Staffs hospital scandal should be that those involved in the delivery of health care should show some humility.  But humility doesn’t seem to be something that the Royal College of Nursing (RCN) is familiar with.

Let’s face it, if a single hospital can be found to have between 400 and 1200 deaths caused by poor care between January 2005 and March 2009 then something has gone wrong.  The fact that subsequently a raft of other hospitals are being looked at adds to the strong sense of a system that isn’t working.  As David Cameron rather too eagerly reminded Ed Miliband at PMQs yesterday, this happened under a Labour government at a time of rapid growth in spending on the NHS.  This wasn’t a time of cuts – quite the contrary.

The Francis report was a comprehensive review of what went wrong at Mid Staffs and its conclusions were damning.  Blame was shared across a number of fronts:

  • A bullying culture in the NHS so that those expressing concern were silenced and others were too fearful to speak;
  • A focus on healthy finances rather than the health of patients;
  • Regulators not regulating properly – in fact not noticing that anything was wrong;
  • Managers not managing effectively;
  • The disorganisation of reorganisation after reorganisation.

So there were plenty who should be a little humble from the Labour party itself to the department of health.  But there is another group who need to take a good long hard look at themselves: nurses.  Because one of the other key problems identified was that there were nurses who were not good enough.

Now this obviously does not mean that all nurses are poor or that they do not care about patients. I had a message from a friend the other day who had just finished a 12 hour nursing shift with only a twenty minute break.  So there are thankfully plenty of dedicated, caring and compassionate nurses often working many long hours to ensure that their patients are cared for.

But what is also blindingly obvious is that a report into poor care that causes hundreds of deaths will find that some nurses got things badly wrong.  And they did.  As the Guardian reported of the Francis report:

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