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NHS leader cleared of bullying and endangering patient safety


NHS England’s interim deputy chief executive Dame Barbara Hakin has been cleared of acting in a “bullying” and unprofessional manner by the medical regulator.

Dame Barbara – who is also the organisation’s chief operating officer – was accused of disregarding patient safety in a drive to ensure trusts met performance targets during her time as chief executive of the East Midlands Strategic Health Authority in 2009.

However, following a year-long investigation, General Medical Council case examiners ruled the case should be closed as there was no realistic prospect of finding Dame Barbara’s fitness to practise as a doctor was impaired in relation to any of the claims.

The allegations were made by Private Eye journalists Andrew Bousfield and Phil Hammond and relate mainly to Dame Barbara’s treatment of former United Lincolnshire Hospitals Trust chief executive Gary Walker.

In a document explaining the reasoning behind the decision, seen by Nursing Times, the case examiners state: “It is clear there were frank exchanges of views about the trust’s performance [between Dame Barbara and Mr Walker].

“We found insufficient evidence that this amounted to bullying or unprofessional behaviour.”

The case examiners also found “no evidence that Dr Hakin’s conduct put patients at risk” and noted she had taken steps to assure herself that patient safety was a priority at the trust through an external review.

During an appearnace before the Commons health select committee earlier this year, Mr Walker told MPs that Dame Barbara had told him if he did not resign from the trust his “career would be tatters” and suggested he construct a story to tell his chair that he had decided to leave voluntarily.

In her evidence to the GMC, Dame Barbara acknowledged saying it would be “detrimental” to Mr Walker’s career if he continued in a job beyond his capabilities but said this was intended to be “supportive” advice.

She said it was Mr Walker’s decision to construct a story to tell his chair and she had merely indicated she would not “go out of her way to contradict him”.

The case examiners concluded these allegations would come down to a case of Mr Walker’s word against Dame Barbara’s.

They said: “We are doubtful that this allegation crosses the threshold of bullying or that impairment would be found, particularly in the absence of evidence to demonstrate that patient safety was at risk…

“Advice, even if bluntly given, that continued failure to meet targets in these circumstances would put a chief executive’s career in jeopardy could hardly have been unexpected.”

The GMC investigation found “some support” for the core allegation, that Dame Barbara told Mr Walker the four hour accident and emergency and 18 week waiting time targets must be met despite his concerns that to do so could compromise patient safety.

However, they noted she had denied Mr Walker raised any concerns about patient safety and, crucially, there was no evidence that patient safety was at risk.


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Readers' comments (3)

  • ...Look out - you may get splashed with the with the White Wash brush and paint.....

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  • Unfortunately, bullying like this is endemic in the NHS. Trusts are bullied to meet tragets, Trust managers bully clinicians to meet those targets and they go on to bully junior staff. I have raised concerns about patient safety being put at risk in order to meet targets but have been told it is "a legitimate management decision".

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  • so clearly 'legitimate management decisions' come before patient safety - that says it all! Management seems to have gone to some people's head!

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