Hospital Trip Advisor
I am beginning to think that Dr Peter Carter - the chief executive of Royal College of Nursing (RCN) - is losing the plot.
The leader of the country's largest nursing union was in the papers at the weekend - making some rather extraordinary claims about poor standards of care in the NHS - and here's what Dr Carter had to say:
“Will there be another Mid Staffs? Yes, sadly there will be. There are 1.2 million people employed in the NHS and there is a hospital in every town. It would be foolish to say everything in the garden is roses.
Mid Staffs cannot be an isolated incident. The fact is, the service is under huge strain. Trusts are not thinking intelligently about how they deliver care and are simply cutting the numbers of frontline staff. Our members have a personal and professional responsibility to raise concerns.
The vast majority of patients still get good care, but that is no consolation to those who don’t. Mid Staffs has got this massive profile now, but there have been many others like it . . . Bristol Royal Infirmary, Basildon, Alder Hey. The report into Maidstone and Tunbridge Wells [where hundreds of patients died after an outbreak of the superbug C-difficile] is painful to read. On the wards there were beds that were eight inches apart ... what the hell were the managers doing, but also what was going on with the nursing culture? There was a culture of bullying and intimidation.
If the board had spent time walking the wards, talking to patients and staff, just doing their jobs, they may have saved hundreds of lives.
You wouldn’t expect staff at Kwik-Fit to get by with a bit of TLC and a bit of common sense. These are old people ... their bones are like porcelain, their skin is like tissue paper. They need highly skilled specialist care. The idea that four or five unskilled staff can take care of 30 elderly patients is nonsense.”
Now these comments come in advance of the report on Mid Staffordshire NHS Trust - where poor standards of care said to have caused up to 1,200 unnecessary deaths between 2005 and 2008.
So the first point to be made is that the scandal of Mid Staffs happened at a time of plenty for the NHS - which means that, broadly speaking, resources and money were not any part of the problem.
The second point I would make is that the NHS is one of the most highly unionised industries in the UK - and the RCN is one of the largest, most influential trade unions - with lots of RCN members in senior management and leadership positions.
In which case I fail to see how it can sensibly be argued that Trust's board members were somehow responsible for saving hundreds of lives - when there were all these staff around who were paid, some of them very generously as well, to look after patients.
I happen to think it would be a good for NHS board members to interact more with patients and their families - but surely this would be much more practical if the regulatory bodies in the UK made more unannounced inspection visits - and actually asked patients and families for their views on the standard of care received.
My mother died five years ago after and before she passed away my mum was a frequent visitor to her local hospital where - I think it's fair to say - that some of the care she received was very poor.
But no one asked my mum what she thought of her care - nor any of her family - which strikes me as very odd in this day and age - because feedback from patients and families is the obvious way to highlight underlying problems.
To paraphrase Dr Carter's own analogy - I think I receive much better customer care from Kwik-Fit than my dear old mum did at times - from her local NHS hospital.
A former health secretary in the last Labour government - Alan Milburn - came up with an interesting idea recently with his suggestion that the NHS needs an equivalent of Trip Advisor - so that patients and their families can provide useful feedback after a hospital visit.
People power meets patient power - now that really ought to be part of the answer.
