Whistleblowing in the US – helping to change the organisational culture? No comparison with state owned organisations.. Exit interviews better and less destructive..

Whistleblowing in the UK health services is akin to a jihadist setting off his own detonation. Initially it could change organisational culture, and if there is sufficient compensation it might be worth it (for some). Surely the answer lies in confidential, depersonalised and amalgamated “exit interviews”: much less destructive. Retiring doctors and nurses could all contribute – together as a year class. I think the result might surprise politicians for the classes of 2014, and 2015..

An interesting article in the Economist 5th December 2015 reports: The age of the whistleblower – Life is getting better for those who expose wrongdoing, but companies continue to fight back—often against their own interests but makes no reference to public companies such as Health Trusts or Education departments. Recent evidence from Sussex and Mid Staffs is not encouraging for Whistleblowers, and most are much worse off afterwards. Usually they have to leave their jobs. In Hospitals and in General Practice whistleblowers have to move area…

Whistleblowing.pdf (from the Economist) contains the graphic below. It would be interesting if there could be similar from the public sector. The Economist could do us all a great favour by ranking and publishing yearly..

Corporate crime - Whistleblowing Ranking

The same edition of the Economist exposes the difficulties Swiss employees in the food industry are having. Whistleblowing in Switzerland – Rough terrain – Two court cases illustrate the struggles of employees who allege wrongdoing

There has been a sea change in Wales as the BMA is openly advocating the honest language of overt rationing, and exit interviews for all staff. The exit interviews, if conducted by a third party (Patients association, Community Health Councils) could be a really useful way of avoiding the need for whistleblowing and career self-destruction…


NHS whistleblowing ‘problems persist’ – Patients First has yet to demand open exit interviews

Whistleblowers are promised more protection and new jobs – trying to change a culture of fear. Trusts to commission “Exit Interviews”?

Mr Cameron has to instruct CEOs, Board members and Chairman to give exit interviews



This entry was posted in A Personal View, Consultants, Dentists, Dentists, General Practitioners, Junior Doctors, Midwives, NHS managers, Nurses, Rationing, 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.

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