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No learning, no candour and no accountability #CQCDeathsReview

13 Dec 2016 - 2 Comments

The CQC Deaths Review publishes today. You can download and read the report here. It makes for a gut churning read. The headline message is that the NHS is failing to identify deaths that need investigating, failing to investigate properly (when investigations happen) and failing to learn lessons, improve care or prevent future deaths. It […]

What the Donkey Sanctuary could teach the #NHS and #socialcare

23 Oct 2016 - 1 Comment

Disclaimer: this blog post may just be a very simple cover to share pics of donkeys, but hopefully the words might make sense too, if not enjoy the donks  I am very fortunate to live about half an hour from the Donkey Sanctuary headquarters at Sidmouth and consequently when I’m looking for a day out, […]

Action plans: complete misnomer when it comes to learning from deaths?

21 Oct 2016 - No Comments

It’s twelve months today since the second Verita investigation into the circumstances of LB’s death was published. I wrote this blog post a year ago, 10 reasons why I can’t support the Verita 2 conclusions and sadly since then I’ve become more convinced that I was right to mistrust it, not less (which is what I […]

Unofficial #NHS guide to all things inquest

16 Oct 2016 - 1 Comment

Alternative title, not to be used publicly: how to protect your reputation at all costs When a patient dies  Don’t bother apologising or the family might get the wrong idea and try to sue us. Assign as much as possible to ‘natural causes’, especially if they’re using mental health services, have a physical disability or are learning […]

Inquest reflections #JusticeforLB

16 Oct 2016 - No Comments

Last week I wrote a post reflecting on the first week of LB’s inquest last year. It focused on some of the themes that emerged in that first week, the sprinklings of candour, the constant undercurrent of mother blaming, the contradictions and flaky knowledge of epilepsy, even then, years after LB died, years after Southern […]

A year on from LB’s inquest: candour, contradictions and mother blaming #JusticeforLB

08 Oct 2016 - 2 Comments

All week we’ve been sharing some of the lowlights from LB’s inquest a year ago. Sara has blogged about how this strange anniversary feels for her and the utter despair at the complete absence, still, of anything vaguely resembling accountability: I think my new tear configuration has (re) emerged because of the utterly shameful banality […]

Exit stunts #JusticeforLB

07 Oct 2016 - 3 Comments

I’m not one for conspiracy theories, however, as the news spread that Katrina Percy has ‘reflected’ (it’s only taken her three years) and decided her employment at Southern Health was no longer tenable (Trust statement here), something just didn’t smell right. We’ve been around Southern Health long enough to know that very little smells right, but […]

Scrutiny, media blaming and defending ones own

02 Sep 2016 - No Comments

I’m training for #CaminoLB at the moment which mostly involves wandering around in walking boots and a rucksack, putting one foot in front of the other and musing the latest madness at Southern Health. There’s been a lot of musing this week (although slightly less walking) as the latest development has seen Katrina Percy, CEO […]

#CQCDeathsReview – what families experience

02 Aug 2016 - 3 Comments

The aspect of the #CQCDeathsReview that I’m most involved with focuses on the experience and treatment of families and bereaved relatives. This is the area that I’m most experienced in, and most interested in. It doesn’t come without some reservations and concerns though, some of which I’ve previously blogged here. I’m lucky because I have […]

#CQCDeathsReview – Share Your Experience

23 Jul 2016 - No Comments

A week or so ago I wrote a post introducing the Care Quality Commission Deaths Review and my initial thoughts about it. I’m not going to repeat it here, but please do go read it if you’re interested. The aspect of work I am most heavily involved with is looking to ensure families and bereaved relatives […]

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