Trust disintegration, and a disintegration of Trust

The increasing list of resignations suggests my predictions when I started this site are coming about. N Wales executives had little choice and were going to be punished either way, but the financial imperative is first in the WG and they would be good candidates for audio interview – if only they are willing….

27 June 2013 Cardiff and Vale health board jobs at risk in staff shake-up

Cornwall hospital trust chairman resigns after two days 27 June 2013

Why are doctors so angry?  Doctors speaking during the debate were angry.

Led by consultant radiologist Jacky Davis, who said the NHS in England had been “wrecked” by the “vandals in Westminster”, speaker after speaker was critical of what was happening.

Traditionally the chair of the BMA, who at the end of debates gives their view on the issue, takes a more moderate line. But not this time. Dr Mark Porter said doctors should show no mercy

Chief executive resigns at Midlands trust 9 January, 2013 By Julia McWatt

Betsi Cadwaladr University Health Board chairman Professor Merfyn Jones resigns after damning report on board

27 Jun 2013 06:00 Auditor report warns breakdown of working relationships may contribute to “gap between the ward and the board By David Williamson

The chairman of Betsi Cadwaladr University Health Board has resigned after a damning report into the board’s ability to identify problems with quality and safety of patient care. … “The report expressed “very real concern” that the health board’s current service model is neither clinically nor financially sustainable.”

NHS trusts chief faces resign calls 22nd June 2013 in National News

A senior NHS official faced calls to resign over his links to a scandal-hit hospital trust where mothers and babies died.

Mike Farrar, who heads the body representing NHS trusts, was in charge of North West Strategic Health Authority (NWSHA) at the time of the failings at Morecambe Bay. The Parliamentary and Health Service Ombudsman (PHSO) confirmed it was investigating complaints against the NWSHA.

Trusts ‘used schemes to avoid VAT’ – Alexi Mostrous in The Times June 28 2013

Dozens of NHS trusts in England are under investigation by Revenue & Customs over their alleged use of schemes to avoid millions of pounds in VAT.

Up to 30 trusts used one scheme that allowed them legally to avoid VAT when employing locum or part-time doctors, according to an investigation by ITV news

Camilla Cavendish in The Sunday Times 23rd June 2013 reports:

Deaths, incompetence, cover-ups: this was the NHS’s Hillsborough

…..Now, of course, we know that what went wrong at the Mid Staffordshire and Morecambe Bay NHS trusts was even worse than incompetence: it was incompetence compounded by deceit.

Morecambe Bay is the NHS’s Hillsborough. It changes everything. It shows that the NHS chief executive Sir David Nicholson was quite wrong to claim that the tragedies at Mid Staffordshire were “singular” — unique to Stafford Hospital. It seems more likely that there is systemic failure in many hospitals. And the report into Morecambe Bay suggests an alarming collusion between the NHS and other institutions…..

The Sunday Times leader published on 22rnd June says:

Loving the NHS to death

“….The assumption is that Morecambe Bay and Mid Staffordshire are rarities but that may be because we are blinded by our love for the NHS.

We love the NHS, it seems, despite a creaking A & E service and GPs unavailable at evenings and weekends. And despite the fact that whistleblowers are demeaned or threatened with dismissal, as was the case with Kay Sheldon, a board member of the Care Quality Commission, the body that tried to cover up the appalling failings at Morecambe Bay.

Our love for the NHS is doing serious damage. Reform, the think tank, says in a new report that most of the things the government wanted to achieve, including shifting care from hospitals, a smaller and more flexible workforce, better integration of primary, secondary and community care, and greater choice for patients, are stuck at first base. Politicians are scared of meddling with this apparently much-loved institution. And as long as they are, its failings will keep on mounting.”

This entry was posted in A Personal View, Community Health Councils, Patient representatives, Political Representatives and activists, Stories in the Media, Trust Board Directors on by .

About Roger Burns - retired GP

I am a retired GP and medical educator. I have supported patient participation throughout my career, and my practice, St Thomas; Surgery, has had a longstanding and active Patient Participation Group (PPG). I support the idea of Community Health Councils, although I feel they should be funded at arms length from government. I have taught GP trainees for 30 years, and been a Programme Director for GP training in Pembrokeshire 20 years. I served on the Pembrokeshire LHG and LHB for a total of 10 years. I completed an MBA in 1996, and I along with most others, never had an exit interview from any job in the NHS! I completed an MBA in 1996, and was a runner up for the Adam Smith prize for economy and efficiency in government in that year. This was owing to a suggestion (St Thomas' Mutual) that practices had incentives for saving by being allowed to buy rationed out services in the following year.

2 thoughts on “Trust disintegration, and a disintegration of Trust

  1. Pingback: Devolution of health to Wales was a mistake? | NHS reality. An NHS soapbox. Speakers' corner for the NHS.

  2. Pingback: West Wales needs a new Hospital – not improvements to Glangwili Hospital in Carmarthen. Failing to act in a utilitarian way may well lead to unrest.. | NHS reality. An NHS soapbox. Speakers' corner for the NHS.

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