Interesting implication is that doc who are CEs or medical advisors of
Trusts/HAs will be held responsible for their colleagues actions if they have
been informed of poor performance. This may well result in that they will
insist that all crafts regularly inform the advisors/CEs of the results of
mortality/morbidity audits and any action taken. Failure not to do either and
failure by the med advisor/CE to take action will be misconduct?
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From: [log in to unmask] on behalf of Andrew Herd
Sent: 31 May 1998 08:45
To: [log in to unmask]
Subject: RE: RE: Heart surgeons and the rest of us
The key thing was that everyone knew about it, but no-one did anything about
it! I agree about the bloke who went to Oz, but I just wonder if that was
the entire reason, since there was a huge shortage of anaesthetists at the
time, and no-one north of Watford had heard of the surgeon concerned until
now, so the fix he put in can't have been that good.
Your original post:
> [mailto:[log in to unmask]]On Behalf Of Adrian Midgley
Snip
>must include demands to management and the Treasury that we are
>provided with the means to handle the information required, which
>includes sufficient time to do it, and the equipment and management
>committment to using that equipment needed to handle large amounts
>of outcome information.
Snip
The major problem in this case was that the bloke was clinical (surgical?)
director, and no-one wanted to touch him, not even management, who lacked
the balls to take him out. The irony is that he actually got a merit award
while it was all going on!
On the whole, I don't think more money for audit would have fixed it - I
think the Trust Board and Chief Exec ought to resign, unless they can
provide evidence that they tried to act. Maybe they did, does anyone know?
It will be interesting to see what the GMC does. A suspension and retraining
at the very least would seem appropriate, with limitations on future
practice. The problem is that this case seems to have been brought under the
old rules, under which the GMC is even more toothless than it is now.
Andrew
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