Whistleblowing Nurse Struck Off (Full Version)

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MissMorrigan -> Whistleblowing Nurse Struck Off (4/16/2009 2:17:03 PM)

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I have every sympathy with this lady, as I'm sure many others will. There were other avenues she could have taken to address the issues highlighted in the programme (I did see it at the time of airing and I have also been a patient at the hospital in question - and a subsequent complainant of appalling conditions, understaffing and poor service all round) but I do feel that her behaviour in secretly filming patients for Panorama was unacceptable in terms of patient confidentiality. I am sure she understood the risks and there's a part of me also that wants to commend her for making a stand when no one else would by highlighting the gross neglect.

I was at the RSCH following an emergency operation to remove my tonsils as a result of quinsy in recent years. The doctor that stayed with me for the duration of the night (even though he should have been off duty) will always be remembered for his tireless care, consideration and sheer professionalism in calming an extremely frightened person who thought they would die that night - me, and so did he. The ward I was placed on following my operation was filthy.

  • Only ONE of the nurses observed good hygiene and infection control from patient to patient. A woman's wound had been dressed, the nurse wearing the same gloves attempted to take my vitals and then give me my medication which she took from the bottle and placed in a cup - not bloody likely.
  • The ward doctors/consultant were just as bad, going from bed to bed, touching each patient (each one of us had just had an operation) and yet no hands were washed between patients that were touched, no gel was used, no gloves worn.
  • In the morning I needed to urinate. The door to the bathroom was smeared with faeces. I went to another ward to use theirs. I notified the nurse on duty that the bathroom needed attention and she gave it some - she used a paper towel wetted to wipe it off. The person that arrived an hour later to clean the bathroom was also the same person that served breakfasts and lunches. I jokingly asked if he had a twin brother - he jokingly replied that he wished he had as he was run off his feet.I believe him, too.
  • I didn't eat or drink anything that was supplied by RSCH.

I still have not the courtesy of a reply from the hospital. I was then forty two years of age and I can only imagine the resignation in those subjected to such malpractice.




Lynnxz -> RE: Whistleblowing Nurse Struck Off (4/16/2009 2:47:18 PM)

That sucks :(

I suppose it wouldn't have helped her if she had had the pts sign a release form at the time, would it?

I have had pretty decent luck with hospitals, except for the time in the Army where I was prescribed cough drops for a broken pelvis.




MissMorrigan -> RE: Whistleblowing Nurse Struck Off (4/16/2009 2:54:53 PM)

To be fair to the NHS in this country, I have rarely had a problem and they by no means undermine the good I have experienced especially under the excellent care of the staff at Princess Royal and Worthing hospitals over the years and more recently - the NHS still provide an excellent service generally.

It'll be interesting to see what happens now, I can't see how she can claim compensation for her dismissal and removal from the register given she has admitted breaching their policies concerning patient confidentiality and exposed her own lapse in nursing obligations in the process.

When these failures are repeatedly highlighted in the same hospitals the govt. needs to come down hard on the administrators. There are still problem hospitals that are performing well below acceptable standards and I think the malais will continue until the administrative issues are remedied.

Edited to add the following as I am now logging off for the night:

Only last year a plan was utilised by the govt. to bring in private managers to tackle continued poor performance in the UK's hospitals. All trusts governing hospitals were to be given supposed rigorous standards to adhere regarding overall patient care, cleanliness and financial mismanagement and yet despite this clean up, some hospitals continue to fail.

Is bringing in private managers just another step toward privatisation, it would seem so.

Haven't we already fallen victim to this practice since the 80's by the Managers farming out our NHS services to private contractors?  In the Healthcare Commission's Assessment for quality of services and use of resources, twenty Trusts scored as 'weak', five were rated 'poor' for two years running and others were listed as 'financially challenged'.




MissMorrigan -> RE: Whistleblowing Nurse Struck Off (4/17/2009 12:47:35 AM)

On the BBC website as of today - full story can be read here - it is stated the NHS are to start disclosing the mortality ratio and other tables on its site for the public to view. While I see it as a good commitment to openly sharing information with the public, I would like to see this commitment extended on all levels throughout the NHS' services.

It's a shame no-one else was interested in discussing either topic noted despite it receiving 59 views.




RCdc -> RE: Whistleblowing Nurse Struck Off (4/17/2009 7:17:01 AM)

quote:

ORIGINAL: Lynnxz

That sucks :(

I suppose it wouldn't have helped her if she had had the pts sign a release form at the time, would it?

I have had pretty decent luck with hospitals, except for the time in the Army where I was prescribed cough drops for a broken pelvis.



As far as I heard on a report was that they did get permission to use film footage of the patients (from them or from family) before it was broadcast but after it was recorded (if that makes sense).  I am torn on that.  On the one hand I can see the loss of privacy, but without filming in secret, it could be claimed to have been 'put on' or never broadcast because she may have been discovered.
 
the.dark.




MadAxeman -> RE: Whistleblowing Nurse Struck Off (4/17/2009 7:37:48 AM)

Saving money costs lives.




kazzaslave -> RE: Whistleblowing Nurse Struck Off (4/17/2009 7:54:19 AM)

kazza agrees that there was probably no other way to get decent footage as proof other than secretly. she believes it would have "disappeared" otherwise. As long as the nurse got consent from the patients afterwards she sees nothing wrong with what she did.

Cleaning conditions in the hospital kazza works in used to be disgusting. Eight fulltime Housekeeping staff were let go and those who were still there were given a solution of 1% bleach to clean the wards. Then a nasty stomach virus struck and things turned around. Still there is such a shortage of nurses and other staff that patients sometimes wait for a long time before being cleaned. There is also a lack of airconditioning....while the boardrooms are always well cooled.

Sorry Miss M, kazza only just saw this thread.

kazza




MissMorrigan -> RE: Whistleblowing Nurse Struck Off (4/17/2009 8:07:08 AM)

 Kazzaslave, you have nothing to apologise for, I was being most impatient last night and for that, you have my apology. I have to get offline for the timebeing, but will come back to properly answer your post and others'. Thank you.




kazzaslave -> RE: Whistleblowing Nurse Struck Off (4/17/2009 8:12:38 AM)

That's sweet Miss M but no need to apologise. kazza looks forward to your thoughts on her post.

kazza




Politesub53 -> RE: Whistleblowing Nurse Struck Off (4/17/2009 3:49:35 PM)

The other issue to remember is that while this lady was filming, she wasnt carrying out her duties as a nurse. Even if she did have a noble cause, patient care should have come first.





LadyEllen -> RE: Whistleblowing Nurse Struck Off (4/17/2009 3:57:46 PM)

In her interviews following the hearing, she made it clear that from the off her priority was patient care not the filming.

The problem here is that as many in the NHS know, there is no means of raising concerns unless one wishes to be fired. If one keeps quiet then one can get along and keep a career.

It is a poor manager who, when having issues brought to attention, makes an issue of the newsbringer rather than the news; but then Britain is replete with probably the worst managers in the world.

E




Politesub53 -> RE: Whistleblowing Nurse Struck Off (4/17/2009 4:12:00 PM)

quote:

ORIGINAL: LadyEllen

In her interviews following the hearing, she made it clear that from the off her priority was patient care not the filming.

E


The panel found otherwise, and that was why she was struck off.

quote:


The panel at the fitness to practise hearing ruled Ms Haywood, from Liverpool, prioritised the filming and did not fulfil her obligations as a nurse.
Chair of the panel Linda Read said she also breached confidentiality and her misconduct was "fundamentally incompatible with being a nurse".
Ms Haywood had admitted breaching patient confidentiality but denied her fitness to practise had been impaired.




philosophy -> RE: Whistleblowing Nurse Struck Off (4/17/2009 4:18:48 PM)

FR

...speaking as an ex-whistle blower on the NHS i'm not surprised she was sacked. When they couldn't get me on anything legal they made shit up. i'm an enormous believer in the NHS, but managers are the spawn of the devil.........well, some of them are anyway. Usually the ones with the most to hide.




Politesub53 -> RE: Whistleblowing Nurse Struck Off (4/17/2009 4:24:19 PM)

Phil, is the Nursing and Midwifery Council independent from the NHS ?  I thought that was the case. While the nurse concerned has my sympathy, she did know the risks. I noticed there have been calls today for a system whistleblowers can report to. I seem to remember Blair and Brown proclaiming no whistleblowers would lose their jobs, so much for that.




stella41b -> RE: Whistleblowing Nurse Struck Off (4/17/2009 4:58:46 PM)

Sadly today the NHS is about anything other than patient care, especially when it comes to hospitals. Today's top priorities for the NHS in hospitals appears to be over management, underfunding, and as we can see from the OP hiring specialist cleaning agencies who hire migrant workers on minimum wages not to do the cleaning they're contracted to do. This is what the NHS has become about in hospitals - cleaning, and cleaning operatives (as they are now known).

Yet another clear example of where we Brits appear to have screwed up over our priorities as a society and another reason for genuine anger from the people.

Don't get me wrong Bruv, I see it all the time, and it's like we're all being dumbed down by the media, innit? it's not just the NHS, this goes right through the media, other public services, central government, the media and local government... it's like a malignant cancer spreading through society.. It starts with the media and journalists telling young people and kids how to behave (don't listen to your parents) and parents who either haven't got the time, energy, or it to bring up their kids. As a society we are becoming rude, arrogant, obnoxious, in yer face, aggressive, no consideration for anyone else and no comprehension of anything which doesn't directly affect you - just like proper loonies.

The NHS is full of advice - eat healthily, give up smoking, drink only 2 units of alcohol a week, have you got a dose of the clap, do you wear condoms, you get fobbed off when you go for a doctor's appointment (we can see you in a week if you're dying, otherwise please contact NHS Direct or visit your local Accident and Emergency Department), you get tests, referrals, X-rays, oh and only the standard 10 minutes to discuss anything at an appointment with your GP who is restricted to one topic per patient.

So what is this? Is this really the 'stiff upper lip' and 'mustn't grumble' attitude, where it's the whistleblower who is seen as the problem and not the problem itself which is brought to the attention of people.

Yeah right, well bollocks to all that, and I mean it. The writing has been on the wall ever since the Liverpool Dockers and SOGAT 82, it's been on the wall ever since the Miner's Strike in 1984, the Tube strikes, and the accession of the poorer former Eastern European countries to the European Union. Rupert Murdoch is still the longest serving Prime Minister in this country, Margaret Thatcher never was your friend, and now you have the real bastards - and bastards they are - and I'm talking about the same ministers today as who I marched with at Aldermaston and Greenham Common in the 1980's, the fuckers who did the dirty on Ken Livingstone and Len Murray, and who are now doing the dirty on you dear people from their offices in Westminster. They were never interested in selling the Socialist Worker outside the Tube stations nor with the simplistic 'Smash Thatcherism! Troops out of Northern Ireland' message, they were only interested in themselves, and what they could get out of it.

And just like they sold those Liverpool dockers down the Mersey they are selling you the country out right left and centre for whatever they can get out of it. And the sooner people start waking up to this fact and coming together and showing some real solidarity the better it will be for everyone.




MissMorrigan -> RE: Whistleblowing Nurse Struck Off (4/18/2009 2:26:45 AM)

Hi Kazza, thank you for your post, it's much appreciated. The problem with following official channels to highlight poor nursing/general cleaning standards is that they are long, laborious, typically bureaucratic and do nothing to utilise effective relief to those experiencing the malpractice of those concerned.

This is an issue that doesn't just affect us here in the UK, I have friends in the US who have experienced the indignity of being ignored in waiting areas for hours after firstly reporting with acute symptoms, of going without much needed prescription only medications b/c they could not afford the fees and despite govt. reports of the 'average wage' many continue living well below that average, and the result is no healthcare insurance. But once those situaitons are overcome, can people be assured of having their care applied with dignity?  What is pitiful in the second link I provided and which specifically focused on a hospital in Stafford, is that patients were denied even basic care, resulting in high death rates and those suffering continued neglect were forced to drink water from vases b/c none was provided.

Staff shortages and quality of nursing care is always a huge concern, I think that's b/c traditionally a nurse's career was considered vocational - it likely still is, I certainly hope so. I worked briefly for the NHS and couldn't stand the heat, so got out of the proverbial kitchen for the same reasons as many others do. After working for social services long-term and then moving to the south coast, I began working at a charity which provides care for the elderly. MANY of the RNs on nightcare duty would leave their 13 hour shift (they get an hour for rest/eating) thoroughly exhausted only to be picked up in a taxi and taken to one of the local hospitals to begin their day shift! These are not isolated cases, it's par for the norm and given their exhaustion leaving the care homes (there are several as part of an umbrella company) there is no possible way they can conduct their duties in a hospital effectively for those shift/s. This is an area that is not monitored.

Due to poor wages/working conditions my nephew, who is a psychiatric nurse, is seriously considering leaving this country in preference of a career in NZ or Australia where nursing staff are valued and their commitment rewarded.




MissMorrigan -> RE: Whistleblowing Nurse Struck Off (4/18/2009 2:54:17 AM)

Hi Politesub, I believe Midwifery is completely separate as a nursing degree is no longer necessary to become a midwife.

I think anyone considering the undertaking of whistlebowing must also consider the ramifications of doing so, as their viability to continue in their career will be jeopardised as Phil and the lady in the OP discovered to their cost - but I'm sure both will agree that the risks of highlighting these failures were worth the undertaking, even at a loss of job - their integrity is never in question.

As for Blair and Brown, despite assurances that whistleblowers' jobs would not be threatened, we only have to look at their antics to know the value of their words - Smartprice for the people - on paper, great value, but shite products. 




Politesub53 -> RE: Whistleblowing Nurse Struck Off (4/18/2009 3:00:24 AM)

Hi MissM... My question was more about the actual panel that struck the nurse off. Am i correct in thinking its a panel of ones peers, rather than ones employers.

Good point about the excellent work of Worthing hospital btw.




MissMorrigan -> RE: Whistleblowing Nurse Struck Off (4/18/2009 3:10:49 AM)

Apologies Politesub, I misunderstood. I have been to the website and there is repeated reference to a collective 'we', yet no definitive answer, as far as I could see, of who makes up that collective 'we' and despite the declaration that the panel is independent, one can only presume the panel would be peers. It would be interesting to find out.

I do agree that the nurse did not follow correct protocol and failed to raise her concerns with her employer, and in by doing so, breached the Trust's policy. What needs to be addressed is despite these policies being in place, why do staff not feel confident highlighting issues to their employer? 




MissMorrigan -> RE: Whistleblowing Nurse Struck Off (4/18/2009 3:21:20 AM)

Hi Stella, thank you for an excellent post. I think the bottom line is that the average person in the UK hasn't swallowed quite enough of the brown stuff for them to make the effort to stand in unison against the abuse of a basic human right in this country.

Tony Benn was so bloody right insofar as the political manipulation of a large body of people - in the UK, that would be the average working class man and woman, me, you and millions of others. Perhaps people do feel downtrodden to the point of apathy. One small change which would reap instant rewards would be to turn the tabloids that operate under the guise of being 'the paper for the people' into cat litter. We, through our personal greed, allowed Thatcher to pervade our society and disempower the working class. Britain can be Great once again, but it takes the people to recognise that... Where will it start?




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