A now traditional Christmas Carol-esque cautionary tale for busy doctors, which also owes something to another, less esteemed cultural influence... oOo Jim, a thirty-something medical registrar, stared out of an eighth floor window into the lifting darkness. With dawn came the prospect of home, and the end of his fourth night on call. He thought about... Continue Reading →

The place of blame

The importance of a ‘no blame’ culture in the NHS has become axiomatic. It is accepted that the chain of learning that connects adverse healthcare events to improvements in safety is fatally interrupted when incidents are not reported. If people fear blame and censure, they will not report. Berwick focussed on this in his 2013 post-Francis report, ‘A promise to learn –... Continue Reading →

Consultant outcome data – GP skit

Terence needs a bowel resection for cancer. This was found at colonoscopy as part of his company’s health insurance policy . His GP has referred him to Miss Emma Thomas, a colorectal surgeon at the local Trust. Terence has looked her up on the new NHS England ‘Consultant outcome data’ website. He has some concerns.   In the GP... Continue Reading →

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