DAUK welcomes the publication of the Joint Committee on Draft Health Service Safety Investigations Bill (HSSIB) report and are pleased that the report agrees with our written submission that the provision for the HSSIB to accredit NHS trusts to do their own ‘safe space’ investigations is an enormous conflict of interest.
DAUK Chair Dr Samantha Batt-Rawden, who sat in court during the Dr Hadiza Bawa-Garba appeal tells GPonline: ‘Particularly concerning to all of us has been the GMC’s line of argument. To an observer, it seems the crux of their argument is that system failures were not relevant in Hadiza’s case, and should not have been taken into account by the MPTS when determining her level of culpability and her sanction.’
Learn Not Blame is DAUK’s exciting new campaign, which will be launched over the coming months. We aim to empower individual doctors to be part of a transformational change process working towards a revolution in the culture of the NHS. The campaign has been born out of a growing awareness amongst clinicians of how a toxic mix of defensiveness and concern for reputation management above all else can lead to blame-seeking culture. This is bad for doctors and worse still for patient safety.
Today The Doctors’ Association UK has written to Dame Clare Marx to express our concern regarding the make up of the working group for the GMC review into gross negligence manslaughter. The GMC has previously has stated that this will be an independent review, commissioned by the GMC. They go on state “The working group comprises a wide range of perspectives, experience and expertise, with membership drawn from across the medical profession, including doctors in training, the legal system, employers and patients.”
The Doctors’ Association UK was disappointed to see a lack of junior doctors currently in training on the review panel into gross negligence manslaughter, which was launched in response to the conviction of Dr Bawa-Garba, a junior doctor and a trainee.
We have therefore petitioned Dame Clare to consider expanding her working group to include more junior doctors in currently training, to represent the viewpoint of those working in similar conditions to Dr Bawa-Garba.
We look forward to engaging in the review in due course.
As the first stage of the DAUK's new campaign, Learn Not Blame, DAUK has responded to a rapid policy review into the use of gross negligence manslaughter in England and Wales. The DAUK is of the firm belief that the current application of GNM is a barrier to achieving a culture of openness and learning in the NHS. In our opinion, it is imperative that lessons are learnt from the case of Dr Hadiza Bawa-Garba, and that no doctor or healthcare professional should ever be scapegoated for system failures within an NHS at breaking point.
Our recommendations are:
1. A higher bar for the CPS to consider pursuing a prosecution for GNM.
2. The law on gross negligence manslaughter (GNM) be urgently reformed, with a legal test of GNM related to healthcare to include actions being “wilful or reckless”, and system failures taken into account as mitigation.
3. The creation of an independent investigative body, or significant strengthening of the Healthcare Safety Investigation Branch, whose first priority will be to explore the systemic failures that ultimately surround medical error.
4. Written reflections undertaken by doctors for the purposes of education or training be subject to legal privilege.
5. An amendment to Section 35A (1A) of the Medical Act 1983 that currently allows the General Medical Council (GMC) to compel doctors and organisations to disclose written reflections for Fitness to Practise hearings.
6. The repeal of Section 40A of the Medical Act that allows the GMC to appeal MPTS verdicts, which should be final.
7. Assurance from the Department of Health that Parliament will not grant the GMC the power of automatic erasure for the offence of GNM.
Our full submission can be found here:
The Doctors’ Association have launched their new campaign: Learn, Not Blame. In the wake of the case of Dr Hadiza Bawa-Garba the DAUK feel the medical profession has a unique opportunity to radically reform the way medical error is approached in the UK. Currently the culture in the NHS is one of fear and blame, and the DAUK feel strongly that this must be reformed to one of openness and learning. DAUK will be submitting it’s own evidence to the Williams review on gross negligence manslaughter in the first instance. However, Learn, Not Blame has a wider remit in highlighting the impact of systemic failures endemic in the NHS on patient safety and in campaigning for move from a blame culture to a just culture. As part of the campaign DAUK will be speaking out on staffing ratios, physician fatigue and poor rota design, IT failures amongst other safey issues.
You can read about the DAUK’s submission to the Williams review below:
Currently, the culture in the NHS is one of fear and blame, and not one of openness and learning. Doctors are afraid to admit to their errors and near misses, with the fear that unilateral and disproportionate action may be taken by the GMC, and now that they may be subject to criminal proceedings for simply making an honest mistake. Whistleblowers are actively discouraged from speaking up. Investigations within the NHS are notoriously opaque and lengthy for relatives, and the culture of pinning the blame on one healthcare professional leads to the loss of crucial opportunities to learn from the systemic failures that always surround medical error.
In Learn, Not Blame DAUK call for radical reform of the way medical error is approached in the UK. The DAUK feels strongly that there should be widespread use of an independent investigative body, similar to the Air Accidents Investigation Branch, or markedly increased use of the HSIB, with findings being disseminated nationwide, so the NHS can learn from mistakes and near misses as a whole.
It is crucial that an environment of psychological safety exists in the NHS, and that doctors feel able to speak up, reflect and learn from their mistakes. The medical profession have found themselves in the unprecedented situation where doctors now feel too wary to reflect on paper after a reflective document of Dr Hadiza Bawa-Garba’s was fed into her criminal trial and used against her in court. Doctors urgently need a safe space to debrief and reflect.
Doctors that wilfully harm should be punished to the full extent of the law. Thankfully this is incredibly rare. The DAUK feel that the use of gross negligence manslaughter in cases where a doctor has simply been trying their best to save a life under immense pressure is grossly inappropriate and disproportionate. In a system stretched to breaking point, doctors are increasingly finding themselves doing the jobs of several doctors at once, and many are concerned that working under this pressure, mistakes are inevitable. Yet currently, working in a failing system appears to be no mitigation when an error is made.
Following Dr Hadiza Bawa-Garba’s conviction the GMC’s tribunal panel, the MPTS explored the multiple systemic failures that surrounded her case, and did not recommend she be erased from the medical register, citing numerous mitigating factors. The GMC subsequently appealed this decision and took Dr Bawa-Garba to court to have her struck off. This action, and the apparent unwillingness of the GMC to acknowledge and address the system failures of the case, prompted widespread anger within the medical profession. The GMC have recently responded to a Department of Health consultation on regulation and are now seeking the power of “automatic erasure”, wishing to bypass their own tribunal altogether. We feel strongly that a professional tribunal is best placed to unpick complex medical decisions and to judge professional competence in the context of widespread system failures.
The DAUK will be submitting our own evidence to the Williams review with the following proposals:
-the creation of an independent investigative body, or increased use of the HSIB, whose first priority will be to explore the systemic failures that ultimately surround medical error.
-legal privilege for written reflections.
-the repeal of the recent amendment to Section 35 1A of the the Medical Act 1983 that currently allows the GMC to compel doctors and organisations to disclose written reflections for Fitness to Practise hearings.
-the repeal of Section 40A of the Medical Act that allows the GMC to appeal MPTS verdicts.
-assurance from the Department of Health that Parliament will not grant the GMC the power of automatic erasure.
-a higher bar for the CPS to consider pursuing a prosecution for gross negligence manslaughter.
-that the law on gross negligence manslaughter be urgently reformed, the legal test of GNM to include actions being “wilful or reckless”, and that system failures be taken into account as mitigation in both criminal proceedings and Fitness to Practise Hearings.
The DAUK will be lobbying the BMA and the Royal Colleges to achieve this, as well as working alongside the MPS. The DAUK will also be launching their public campaign, My Honest Mistake in coming weeks.