Posts Tagged ‘Basildon’

Whatever happened to straight talking?

By Stephen Campion, chief executive of HCSA - 10th December 2009 9:08 am

In the past few weeks, the word ‘accountability’ seems to have raised its head above the parapet yet again.

Questions of NHS regulation and performance hit the headlines with the unexpected resignation of Baroness Young as chair of the Care Quality Commission. The public (and I count myself in that number) remain confused about how Basildon found itself between being both a good and bad hospital at the same time. How much confidence do we have in the quality of regulation and the ability of ministers to accept accountability?

That is not just a question for the NHS. It affects all government departments; and their response when things go horribly wrong provides a good insight into damage limitation and the marvels of political spin. Sometimes it is difficult to know where the buck starts, let alone stops!

Take this example. I was in the car on Tuesday evening listening with ever increasing incredulity to a classic performance of “how not to answer the question” on Radio 4’s PM programme. The subject? Not the NHS this time, but an interview with David Lammy, Minister in charge of our universities responding to a damning report on the Student Loan Company. If you have a moment it is worth listening to.

You might think that the answer to Eddie Mair’s simple question: “Is the person who was in charge of the Student Loan Company at the time of this fiasco still in charge of the Company?” would be a simple yes or no. Far from it. The reply was this: “The Chair has said that he is looking to strengthen and re-organise the senior management of the team and it is right that I allow them to do that with the due process that you would expect to take place.”

Eddie Mair tried again to elicit a simple answer: “But the person who was in place when it all went wrong remains in charge?” Answer: “There will be changes to strengthen and re-organise the senior management of the team but I am also making clear that it is not for me, as a minister, to determine the outcome of that. I look to the Board to do that and it’s right that they follow due process in doing that and in employment law.”

Not for the first time, I lost the will to live listening to such obfuscation. The words yes or no seem to escape those charged with running our public services. But the minister has done his colleagues a huge favour. His interview provides the perfect template for any government minister, permanent secretary or quango chief to use when things go wrong. They would do well to keep this reply on file. But I can’t help feeling that for proper accountability to work the better answer is a simple yes or no!

Basildon is more pressing than climate change

By Mike Broad - 27th November 2009 4:24 pm

A long time ago, I studied a bit of meteorology. My abiding memories are not about occluded fronts and cumulonimbus clouds, but a general wonder at the complexity of the discipline. 

Every prevailing weather system is the product of an incredible range of influences from solar cycles and jet streams to ocean currents and the shape of land masses.

There aren’t many things more complicated than a human body, but the weather is probably one of them.

So, to suggest we now understand the weather - for all our sophistication in modelling - is frankly ridiculous. The climate is changing. Human activity probably does have something to do with it. It’s probably worth lowering our carbon emissions, even if in the fullness of time it proves to be less significant than most currently believe. As far as I’m concerned, for the non-expert, that’s about as definitive as you can be.

So, why on earth are doctors’ representatives banging on about it? Doctors from “around the world” have launched the International Health and Climate Council to pressure governments into action over climate change. And The Lancet has backed it up with some articles on the health consequences.

Of course, we should all do our bit to reduce our carbon footprint (and I like to think I do more than most). But, is President Obama’s thinking at the upcoming Copenhagen Summit on Climate Change really going to be influenced by a bunch of doctors and their trade mags offering up sound bites on issues that are far removed from their areas of expertise?

I somehow doubt it. And yet this week they’ve taken the opportunity to pump more hot air into the atmosphere about the health consequences. 

It’s funny, but I didn’t hear many of them talking about the real health stories this week at Basildon and Thurrock NHS Trust and Colchester Hospital - not in public anyway. 

We’ve got a real crisis on our hands and there’s no nice PR opportunity in it. Standards faltered at Basildon and Colchester, as they did at Mid Staffs, despite a supposedly tight regulatory system. The consequences were severe.

A report by Dr Foster Intelligence rated a dozen hospitals as “significantly underperforming”, despite nine of them being rated good or excellent by official regulator the Care Quality Commission.

Seven hospitals were also found to have considerably higher mortality rates for the past five years.

It raises difficult questions: how do we really tell if a unit is good? Do our current targets subvert clinical priorities? How do we provide a more quality-focused regulatory system that supports learning and development?

These are the issues doctors’ leaders should be debating, not Brazilian rainforests or polar bears. While there are people better qualified for this, few are in a better position to help improve standards in our hospitals.