Some of you might be interested in attending...

 

Mary Hawking

Retired from NHS on 31.3.13 because of the Health and Social Care Act 2012

"thinking - independent thinking - is to humans as swimming is to cats: we can do it if we really have to."  Mark Earles on Radio 4

blog http://maryhawking.wordpress.com/ And Fred!
http://primaryhealthinfo.wordpress.com/2013/11/02/freds-saying-you-just-dont-get-it/ 

 


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Subject: Hope you can make it

 

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nhsManagers.net

21st February 2014

 

 

 

Live Health News  |  Weather  |  Archive

 

Conference:  Jeremy Taylor, National Voices 'What's happened to the patient voice'?  

in conversation with Roy Lilley - Health-Chat  

25th March Kings Fund, 5.30pm.      

 

 

Hope you can make it.   

News and Comment from Roy Lilley

 

 

 

Here are my 9 Tips for Whistle-blowers:

 

(1)  Consult your loved ones before you blow.  You will be ostracised and probably lose your job.

(2)  Test for support among colleagues; expect them to turn their backs on you.

(3)  Try and get the internal system to work for you but see (1 and 2) before you do.

(4)  Don't embellish concerns, if anything play them down.

(5)  Get legal advice; maybe a union or professional association but see (1 and 2) above.

(6)  Collect all the evidence at your own expense and resource, not the employers; write contemporaneous notes, assemble rock-solid, irrefutable evidence before you blow and think about (1) and (2) before you speak. 

(7)  Try and stay on good terms with people not involved but expect them to regard you as toxic.  See para (2) above.

(8)  Network; does anyone else have the same issues?  But beware of (2) above.

(9) Keep your nose squeaky clean at work.  Don't have skeletons or be cynical and beware of (2) above. 

 

If you do all that still 'see (1) above'.

   

Yes, my 9 Points are ludicrous but whistle-blowers know they have more than a hint of reality and will tell you they've been through them all. 

 

'We played the flute but you wouldn't dance,  

we played a requiem but you wouldn't weep.   

We sang but you wouldn't listen'.

 

I find it inconceivable that managers don't beg their staff to tell them what is going on; implore their people to say what they know.

 

But; I'm not part of the labyrinth that is today's NHS and the job of keeping people happy; Off-Sick, Carbuncle, CCGs, media, guidance, finance, targets that aren't called targets but miss them and lose your job.  Answering the phone to LaLite... and supporting the front-line.

 

My post bag tells me; Boards on the fifth floor who think they have a clear line of sight to the ground floor, don't.   Whistle blowing is tangled up in fault, fear and a corrosive culture of blame.  Something's gone horribly wrong. Or has it?

 

Last year, every hour of every day, someone like you called the CQC Whistle-blower's line, roughly; 7,500 were about standards in social care and 300 the private sector.  Six hundred were from the NHS.  That's two-a-day out of 1.4m staff.  Is that a lot; reasonable, likely, tip of the iceberg?   Are they genuine or axe grinders?  What were the outcomes?  I've no idea.

 

I am fortunate, there are few parts of the NHS you don't invite me to look at or you write to me about.  I don't claim to be smarter or know more but by the end of the year I'll probably have meet as wide a range of NHS people as anyone.

 

And, you and I have conversations like this 3-4 times a week.  You trust me with a glimpse of what it's like to be:

 

# a clinician; distressed at not being able to convince others to take your concerns seriously.

a manager under so much pressure to deliver financial and performance targets you've no time to visit the front line and see what's happening.

on the frontline, too busy to be aware of how short of staff you really are and know nothing will improve if you complain

a board member, annealed to clinicians' shroud waving, not knowing who to take seriously.

 

There's a lot of smart people working on whistle-blowing but I just wondered what would happen if we put together, in one room, the kind of people I meet and write to me and quizzed them about what we should be doing. 

 

People like Sir Robert Naylor boss of UCH who could tell us how a huge Trust handles the problem.  Doc, comedian and Private Eye journo Phil Hammond, whistleblower at Bristol, NHS Employers, actual Whistle-blowers like James Titcombe and David Drew sharing their experiences, plus academics in organisational behaviour and NHS specialist lawyer Chris Newdick. 

 

Could we come together and produce a consensus and advice on the practical everyday behaviours that would make my 9 Tips history?  It's worth a try, isn't it?

 

Let's give it a go.  On 8th May we are planning the Speaking Out Summit, a different kind of conference; a get together, a chance to chat, talk and make a difference.  There are more details about the SOS here.

 

I hope you can make it.

 

Have a good weekend.

-------------

  Contact Roy - please use this e-address

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Know something I don't - email me in confidence.

Leaving the NHS, changing jobs - you don't have to say goodbye to us! You can update your Email Address from the link you'll find right at the bottom of the page, and we'll keep mailing.


Disclaimer

 

MaM Logo

Medicine for Managers

-------------

Dr Paul Lambden

 History of Surgery
Surgeons, a cut above the rest?

-----------
  News and Stuff

News boy

------------

>>  'Yer granny's too old for pills' story - continues to reverberate.  How did the DH and the Press Office let this get so out of control?
>>  Carbuncle - latest.
>>  Going to Expo - see you there.
>>  The Flat-Earthers travel plans - 20 Trusts getting ready to be inspected.  If they don't pass muster with this much notice they deserve to be shot. #whatawasteoftime.
>>  Commissioning and funding general practice - this is a new report from the King's Fund.  It's a bit pedestrian, dense in places and not much new or exciting but it is a good snapshot of where we are, some solid history and interesting for the  background story and what the problems are.  Worth a look.
>>  Post acute care - that's where the problems and costs are.  This is from the New England Journal of Medicine and written for the US.  However, it is a must read as I think you could cross out US and put in UK.
>>  What's happened to the Nuffs - their latest is about payment reforms; I think they mean funding and tariffs.
>>  care.data delay - will cost lives.
--------

Book Review

Dr Paul Lambden reviews

Fast Facts Behind Skin Cancer

Karen Agnew, Christopher Bunker and Sarah Arron

'... a truly excellent book'
Download a copy here.

--------------

Up-coming Health-Chat



Jeremy Taylor

National Voices

'Why has the patient voice made so little impact - what will it take?'

In conversation with Roy

Kings Fund
25th March 5.30pm
Don't miss this!

Book here
------------

Gossip

shh

This is what I'm hearing;

if you know different,

tell me here

>>   I'm hearing the Big-Beast is upset because on a recent rail journey (2nd class) he was served porridge with a fork.  Could I suggest we have a whip-round and buy him this for a retirement present?
>>  NICE guidance that every man and his dog should have a Statin seems to fly in the face of advice from the US that they don't work?
>>  Have we had a winter crisis?  I can't quite decide.  It seems it's a crisis all the time?

-----------------

>>  The more I know the less I sleep - excellent global perspectives on clinical governance from Mark Britnell and others, via KPMG.  A really interesting read.  Cuppa-builder's moment methinks.
>>  Health Select Committee - looking into careless.data; better be on your best behaviour Tim.
>>  care.data - here's what the HSCIC say about it.
>>  Male suicide rate - national tragedy.
>>  Uncle Bruce - has concerns over Welsh outcomes.
>>  Wales, High death rate - cover-up?
>>  More defibrillators - needed says report.

>>  Twitteratti will know @mentalhealthcop - he is a serving police inspector who writes and blogs on policing and mental health issues.  He won awards but it didn't stop his clunky bosses closing down his Twitter account.  He's back now and if you are on Twitter and MH is your thing, he is worth following.
>>  Serco - dumped.
>>  F&F test is a wonderful thing - we all know it isn't but this article in the HSJ says it is, turns out to be little more than an advert for the bloke who runs the company that does the F&F test.  Unusual for the HSJ to do trade puff?
>>  Top slicing CCGs for the Better Care Fund - HSJ again but a very informative article, must read.
>>  LaLite tipped as the next PM - that means the next Sec o' State is probably Micheal Gove!
>>  More resource for the front-line - no says Guardian writer.

---------------
Today's Larf

with

Martin Shovel
cartoon martin

 

 

 

 

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