I think the answer to that is long and complicated and very much
influenced by personal experiences.
In a nutshell, my own theory is that for decades the NHS trundled along
with an invisible policy of taking short cuts every where and when. GMC
guys were either too stupid to see that or wise enough to avoid taking
it on. Inevitable result of refusal to blame the system was that when
blame had to be apportioned then scapegoats were found. Blame had to
stick somewhere.
We--as in our profession, the NHS, the GMC--are still to some extent
working in this mode.
I think Liam Donaldson did try to get beyond this back in his sensible
phase--An organisation with a memory etc--- but then the revalidation
nonsense hit and I think he changed his tune a bit then.
An official policy like Harvard's would certainly help a lot.
Declan
<<at harvard, their medical director introduced a policy that notifying
an SUI would guarantee no action against the person except in the v rare
event of illegality. result- a huge rise in notifications, followed by
introduction of new safer systems with eventual big reductions in
morbidity and mortality, after 3 years a falling rate of notifications,
plus crucially doctors reporting faith in notifying SUIs. why cant we do
the same?>>>
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