Photographer. Just Culture Project. Values. Vision. Optimist. Introvert. Healing not harm. Like a dog with a bone. Zigs if told to zag. 3 life-affirming boys.
My focus for 2020 is 'The Just Culture Project'.
Seeking a shared understanding of what #JustCulture is, what it isn't & why it matters (especially in healthcare).
Plan to start with photo-essays exploring the impact of avoidable harm experienced by patients, families & staff.
What I’ve learnt from the last month of seeing 100s of children with cough/sore/throat and fever etc?
As a society we need to do better at normalising minor illness & high temperature. The current comms & messaging isn’t working. When it is ok & when parents should worry #teamGP
Parents are expected to triage their own children (eg calpol, call GP, 111?) often with v.few tools to help them make those decisions. What is important is that when told “it’s just a virus” etc there is adequate safety-netting, so parents understand what ”worse”looks like.
I’m on call tonight. We’re seeing quite a number of prev. healthy people crushingly sick with #sepsis with a Streptococcal pneumonia on a background of ‘flu-like illness or ‘flu itself. PLEASE know the symptoms and if you have one with infection symptoms go STRAIGHT to A&E!!!
On this, the 12th anniversary of Sam’s death from #sepsis, please share to raise awareness of the symptoms… and what serious deterioration looks like….
If a parent/carer heed Sue’s words.
Nearly always, when sepsis is missed, parents know something’s wrong but can’t describe it.
If you’re ONLY worried about the fever, cough or sore throat unlikely something seriously wrong
Your child not recovering normally is the red flag.
Sam had flu, contracted an invasive Strep A infection and died of #Sepsis
We knew he was unusually unwell, we saw that he wasn't perking up after calpol like he normally would but we'd never heard of #sepsis & didn't know how fast & deadly it was.
theguardian.com/healthcare-n…
In which case @BBCNews should be linking to information on sepsis!
Call it by its name. Get people informed of the signs and symptoms. It’s not just parents of children at this school who will have children who develop invasive strep this winter.
I think I’m more worried now about whether my children would get prompt diagnosis and treatment if they had sepsis, than at almost any time since Sam died. And also worried that parents who hear about the terrible a&e won’t seek urgent help when needed.
Make no mistake - we are also incredibly angry. We stand with @RSPBEngland in calling out the unprecedented attack on nature launched by UK Government over the last few days. We’ll be challenging this together and asking for our supporters to stand with us.
Make no mistake - we are also incredibly angry. We stand with @RSPBEngland in calling out the unprecedented attack on nature launched by UK Government over the last few days. We’ll be challenging this together and asking for our supporters to stand with us.
Meet the healthcare regulator the Care Quality Commission. If this is what the healthcare regulator is allowed to do to its own inspector raising patient safety issues what hope is there for NHS Trusts to be regulated?
CQC response ' to review processes'
What a shambles
You cannot get educated by this self-propagating system in which people study to pass exams, and teach others to pass exams, but nobody knows anything.
You learn something by doing it yourself, by asking questions, by thinking, and by experimenting.
This is Robbie Powell who died aged 10 in 1990 as a consequence of gross medical negligence. The doctors lied about the circumstances of his death, falsified medical records & publicly called his parents liars!
For 32yrs his death has been covered up!
open.ac.uk/researchcentre…