Whistleblowing in the NHS – The need to regulate non-clinical hospital managers

Mr Charlie Chan (Surgeon) writes in letters to the BMJ: Whistleblowing in the NHS – The need to regulate non-clinical hospital managers (BMJ 2015;350:h2769) NHSreality agrees.

Non-clinical hospital managers are the only group of NHS professionals without a regulatory body. Although clinical hospital managers are professionally accountable to their regulatory bodies (such as the General Medical Council, the Nursing and Midwifery Council), non-clinical managers are not.

Regulation 5 of the Care Quality Commission sets out “Fit and proper persons” standards for hospital directors,1 but no such standards exist for the vast cohort of senior and middle managers, who are not board members. So what sanctions might exist for hospital managers who repeatedly ignore issues about patient safety?2

Concerns about patient welfare are usually first raised with departmental managers, who are often non-clinical. If non-clinical managers were bound by a professional accountable body to act always in the best interests of patients, they would be more likely to listen and act. Doctors and nurses would be able to refer relevant hospital managers to an accountable body if the reformed NHS whistleblowing system ignored patient safety.

This regulatory change for hospital managers is long overdue and would give increased confidence to all who care for patients.

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This entry was posted in A Personal View, Good News, NHS managers, Stories in the Media 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.

5 thoughts on “Whistleblowing in the NHS – The need to regulate non-clinical hospital managers

  1. David

    There is a sinister culture of secrecy when it comes to ‘whistle blowing’ which staff and volunteers at their peril.

    Reply
  2. sharon wilson

    What happened to gp s duty kidnap grandma b?link dr geddes gmc doh nyp cyc york trust adass fraud,lies deceit and genocide. Corrupt gmc i was in the press york 1994 cushings not steriod related .DAVID CAMERON S FREEMASONRY TORTURERS.NO INDEPENDENT SAFEGUARDING, MOBBERS.ALL GOOD JUDGES,LAWYERS WOULD BE WELCOME TO BRING COURTS TO A HALT TO REMIND DAVID CAMERON TO OBEY THE LAW!.CAROLE WOODS EX SOCIAL WORKER UNLAWFULLY SECTIONED IS ENDEMIC,SHAZAD HUSSEIN UNLAWFULLY JAILED,DENIAL OF DUE PROCESS.GROSS VIOLATION OF HUMAN RIGHTS TO THE MOST VUNERABLE IN SOCIETY.REGULATORS SHOULD BE PROSECUTED. ONE LAW FOR PLEBGATE. AND ONE FOR THE PM AND CRONIES. THE DOH IS CULPABLE . Sharon wilson

    Reply

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