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care in the uk - a disgrace

NHS spends £30 million on preparing staff for inquests into patient deaths
One trust spent over £650,000 in a single year

NHS trusts have spent £30 million on “witness coaching” for inquiries into a series of hospital scandals, a Telegraph investigation has found.
Since 2012, NHS hospitals have spent over £28,000,000 on preparation for staff for coroners inquests into patient deaths, according to newly-released data.
One trust spent over £650,000 in a single year, amid accusations that NHS staff are still being “coached” to give model answers to influence coroners to limit damage to a hospital’s reputation.
“The fact that NHS trusts are spending such large amounts of taxpayers’ money on legal advice re inquests, when most bereaved families are left to fend for themselves is scandalous,” says Peter Walsh, Chief Executive of Action Against Medical Accidents (AVMA).
“It seems to me that some NHS trusts are paying lawyers not so much to assist the coroner in establishing the full facts, but to seek to influence the coroner so as to minimise his or her reaching findings that would be damaging to the trust’s reputation.


“I have heard lawyers who offer their services to the NHS cite this as a reason for instructing them. This is not a reasonable use of taxpayers’ money in my opinion.”
“We have known trusts to go to great lengths to avoid inquests in the first place. There is also some evidence that the line between legitimate ‘preparing’ witnesses for an inquest and ‘coaching’ witnesses is over stepped.
“The Morecambe Bay Inquiry recommended measures be taken to prevent NHS trusts ‘fending off’ inquests or ‘coaching’ witnesses. The Government agreed with this recommendation ‘in principle’ but I am not aware of this having been put into action.”
In 2015 the Government published its report into hospitals in Morecambe Bay which found serious failures had led to the avoidable deaths of 11 babies and a mother at Furness General Hospital between 2004 and 2012.
The same NHS trust has spent over £285,000 since 2012/13 on legal fees for coroners inquests. It did not provide a comment when approached by the Telegraph.


Following the 2015 scandal NHS England were advised to implement a national protocol which would ensure “the avoidance of attempts to ‘fend off’ inquests, a mandatory requirement not to coach staff or provide ‘model answers’, the need to avoid collusion between staff.”
The Telegraph can reveal that NHS England never established this protocol, instead reminding trusts of existing guidance to staff. It refused to commit to establishing in light of these new findings, as it believes existing guidance for staff is adequate.
The three NHS trusts found to have spent the most money on legal costs for inquests were specialist mental health specialists operating secure units for vulnerable patients.
Cumbria, Northumberland, Tyne and Wear, South London and Maudsley and Nottinghamshire Healthcare NHS Trusts have cost the taxpayer over £6 million in legal fees over patient deaths. None of these trusts provided a comment when approached by the Telegraph.
South London and the Maudsley was found in 2018 to have had the third highest number of injuries in the country from restraining patients at the mental health trust, with 255.
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Nottinghamshire Healthcare Trust was found in 2014 to have encouraged more than 500 of its staff to help vulnerable patients post positive reviews on the website Patient Opinion.
“‘Lawyering-up’ at inquests is a systemic issue across deaths in NHS settings,” Deborah Coles, the executive director of Inquest, an independent charity working with families bereaved by state-related deaths.
When asked if she was aware of witness coaching on the NHS, Ms Coles said: “Yes. There was an opportunity to demonstrate candour by adopting that protocol. The decision not to and to say that they can do it themselves just shows their culture of denial and defensiveness.
Inquest told the Telegraph that they deal with “systemic issues” in NHS mental health units including a “failure to monitor and observe highly vulnerable people, inadequate care plans, dangerous ligature points, failure to involve families in a person's care, the overuse of restraints and seclusion.
A spokesperson for NHS Improvement said: “In 2016, NHS Improvement reminded trusts of the guidance already in place to ensure appropriate engagement with inquests, and crucially, the NHS has put significant effort into helping staff feel able to speak up at work in support of patient safety, including last year by publishing a world-leading patient safety strategy aimed at preventing incidents occurring in the first place.”

 
Won’t be any riots over this. White fragility I guess



Whether or not the friends and relatives of those who lost their lives in this institution, and others concerned about what is coming to light, choose to riot once all the full facts are known will, no doubt, be a matter for them. However, I doubt that white fragility will be a factor in any such decision, unless or until some racial motivation is uncovered for the appalling "care". What is difficult to understand is how such treatment of the elderly and vulnerable could have persisted over what must have been a significant period of time:

Care home inquiry: Dr Prana Das will not stand trial (Note: he subsequently died).

Brithdir care home inquest: Daughter fed mum instead of 'hopeless' staff

Senior nurse admits care at home where multiple residents died was 'bordering on negligent'

Care worker 'drew moustache on woman's face with permanent marker'

Coroner criticises nurse for ‘not caring’

The inquest continues.
 
The good news keeps on coming doesn’t it


Elderly and vulnerable people could be forced to move out of their own homes into institutional care unless the chancellor invests billions of pounds to shore up social services and reform England’s broken care model, The Independent has been told.


In an exclusive interview ahead of Rishi Sunak’s Budget on Wednesday, James Bullion, president of the Association of Directors of Adult Social Services (ADASS), warned the care system risked “catastrophic failure in some areas” without urgent changes to the way vulnerable people, including younger disabled people, are looked after.”

 

Surprise fucking surprise. It's been the mentality all along. This is the latest in a long line of reasons that can be used to continue to cut services and shift the costs on to others.
 
It seems to me that councils are treating "social care" as another low-hanging fruit that they can slash away at to "save" money on their budgets ... and maybe one where cuts will not be widely noticed.
 

And then, this article is in Unison's spring 2021 magazine..

‘I can’t afford to retire’ – why carers need a living wage | Magazine

And I just .. can't even ..
 
England’s care regulator, the Care Quality Commission, is raising serious concerns about the use of Do Not Resuscitate orders during the pandemic.

Families and charities say the orders, which can deny people potentially life-saving care, have been wrongly placed on elderly and disabled people over the past year at unprecedented rates.

An interim report from the Commission last year found concerns over at least 40 orders between March and September, up from just 9 in the preceding 6 months.


 
I do sleep ins and I never sleep well cos I've always got half an ear listening. I also never get to go off shift at 10pm cos someone is always still awake and if I'm finishing at 7am I can never just leave cos I have to handover and complete paperwork so I would argue I should get paid for an hour each end as well as the sleep in rate.
 
I'm thinking of collecting some reports of people's experiences of working through the pandemic and linked into people's general wrok conditions to publish via BCWN if anyone's interested in contributing. I am still formulating this idea in my head about what might be good to think about.
 
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