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michael stone

michael stone

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Comments (2764)

  • Comment on: Whistleblower calls for support to stop nurses quitting profession

    michael stone's comment 31-Oct-2014 2:12 pm

    Just out of interest, do people think that Helene is right about her conclusion here ?: 'She said in the first 12 months she had been contacted more than 100 times by workers. This was in comparison to the three phone calls that were made to the trust’s whistleblowing helpline in the year previously. Ms Donnelly said this proved staff wanted to be able to raise concerns in person rather than through an anonymous phonecall. My own 'instinct', is that staff would often prefer to raise concerns against 'management imposed problems' anonymously (with good reason, based on some of the 'horror stories' you can find in the media), and I suspect that people might have been going face-to-face to Helene, because they TRUSTED HER as being on their side ?

  • Comment on: Whistleblower calls for support to stop nurses quitting profession

    michael stone's comment 31-Oct-2014 11:34 am

    'She said in the first 12 months she had been contacted more than 100 times by workers. This was in comparison to the three phone calls that were made to the trust’s whistleblowing helpline in the year previously.' Something very similar happened (a huge surge in reported concerns to the CQC) after Winterbourne View. Which makes you question the reliability of the 'data' about the prevalence of this type of problem. Unless I've lost track, Sir Robert Francis is currently working on this issue - it will be interesting, to see what he produces.

  • Comment on: MPs issue warning about the 'downsides' of screening for disease

    michael stone's comment 30-Oct-2014 11:26 am

    This was being discussed rather well on Radio 4. It seems the latest generation of scanners can detect very small 'abnormalities', and as one doctor commented, the problem is that a few months later some of these tiny abnormal bits of tissue will have become nasty (say in patient no 1) while others will has disapperaed entirely (say in patient 2). There is currently no way of working out, which will turn out to be harmless, and which damaging: but, if you detect one, there is a sort of 'presumption that something should then be done' (and doing something which wouldn't have been necessary, is usually not ideal). The public debate on this one, is not likely to be fantastic, either, as it involves 'coping with probabilities', which isn't normally a human strong-point !

  • Comment on: Two-thirds of care home staff would back use of CCTV, suggests survey

    michael stone's comment 29-Oct-2014 9:58 am

    'HC-One, which runs more than 220 care homes, said its survey was the first stage of work to explore the viability of installing camera systems. The provider said it was “acutely aware” families were already using covert cameras to monitor care – with or without their loved ones’ consent. However, it said it was only looking at “opt in” systems, where residents and relatives would need to agree to cameras being present. The research highlighted a number of issues including fears about who would have access to the footage, how secure it would be and who would pay for cameras, with one possible option involving families themselves paying for a “premium add-on service”.' The CQC inspection consultation devoted a fair bit to this issue of cameras in care homes, but you need to be careful about whether these are covert or overt. Clearly some of the relatives who have used covert filming to expose bad practice, would be suspicious if the care home management in some way 'controlled' filming. And naturally, many residents who are being well-cared for, would see their being filmed as an invasion of privacy. Knowing that your behaviour is being filmed, whoever is 'controlling the camera' (assuming it isn't you) would presumably reassure staff whose behaviour was proper, and deter staff whose behaviour was bad. It is quite complex - but covert filming has been effective in generating prosecutions in the past, so you need to look at all of it at once.

  • Comment on: Exclusive: Merger mooted for district and practice nursing teams

    michael stone's comment 28-Oct-2014 2:20 pm

    You can already see, within the above, the way that what might loosely be called 'care based on what makes best sense when viewed from the patient's perspective' rapidly runs up against 'services from separate/different provider organisations'. This is a significant problem, and it becomes more problematic, the more complex the care requirements and overall situation of an individual patient. But I've no idea how it can be solved - it isn't new, and it goes back to the year dot, it appears.

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