{"id":1265301,"date":"2023-08-21T16:00:38","date_gmt":"2023-08-21T15:00:38","guid":{"rendered":"https:\/\/www.businesstelegraph.co.uk\/nhss-culture-of-denial-allowed-lucy-letby-to-keep-killing-babies-letters\/"},"modified":"2023-08-21T16:00:38","modified_gmt":"2023-08-21T15:00:38","slug":"nhss-culture-of-denial-allowed-lucy-letby-to-keep-killing-babies-letters","status":"publish","type":"post","link":"https:\/\/www.businesstelegraph.co.uk\/nhss-culture-of-denial-allowed-lucy-letby-to-keep-killing-babies-letters\/","title":{"rendered":"NHS\u2019s culture of denial allowed Lucy Letby to keep killing babies | Letters"},"content":{"rendered":"<p> <script async src=\"\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- newscabal uk text -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:inline-block;width:728px;height:90px\"\r\n     data-ad-client=\"ca-pub-8162386273903324\"\r\n     data-ad-slot=\"3688094655\"><\/ins>\r\n<script>\r\n(adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script><br \/>\n<\/p>\n<div>\n<p class=\"dcr-rysp4a\">Re your editorial on the Lucy Letby case (<a href=\"https:\/\/www.theguardian.com\/commentisfree\/2023\/aug\/18\/the-guardian-view-on-lucy-letbys-conviction-the-nhs-must-learn-from-this-horror\" data-link-name=\"in body link\">18 August<\/a>), I have been a paediatrician since 1985, a consultant since 1996 in the UK, and since 2017 in Ireland. Like my colleagues, I am grieved and outraged at reading that NHS managers were unable to prevent Letby from perpetrating irreversible harm.<\/p>\n<p class=\"dcr-rysp4a\">A neonatal database flagging a spike in deaths would not have helped \u2013 neonatologists, who submit the reports to these databases, were aware of the spike as it happened. They had identified the suspected perpetrator, but they were obstructed by their managers.<\/p>\n<p class=\"dcr-rysp4a\">The consultants should have felt able to report suspicions directly to the police. An independent ombudsman might have given them more confidence, but a change in the management culture of the <a href=\"https:\/\/www.theguardian.com\/society\/nhs\" data-link-name=\"in body link\" data-component=\"auto-linked-tag\">NHS<\/a> is needed. No good will come from scapegoating individual managers via a public inquiry \u2013 this way of working has been imposed by Whitehall.<\/p>\n<p class=\"dcr-rysp4a\">Consultants have always been the \u201cawkward squad\u201d, constantly complaining about staffing levels and demanding more resources. General management came in under Margaret Thatcher, reining in consultants and adjusting the hierarchy so that in an NHS trust, consultants reported to a medical director. The NHS became increasingly authoritarian after that; during the Blair years the government dictated performance indicators and ringfenced funding for programmes that were more important than doctors\u2019 priorities. CEOs were forced to comply with targets and budgets. In authoritarian organisations, obedience and loyalty are more important than expertise. This has to change.<\/p>\n<p class=\"dcr-rysp4a\">In the health service, we work for our patients first, our employers second and (unfortunately) ourselves last. If we forget that, we neglect our prime duty.<br \/><strong>Dr Maybelle Wallis<\/strong><br \/><em class=\"dcr-rysp4a\">Consultant paediatrician, <\/em><em class=\"dcr-rysp4a\">Wexford, Ireland<\/em><\/p>\n<p class=\"dcr-rysp4a\"><span data-dcr-style=\"bullet\"\/> I am a senior clinical nurse with more than 40 years\u2019 experience. Shortly after joining a community team, I felt I had no choice but to raise concerns about a colleague\u2019s incompetence. In my opinion, shared by others and previously raised, he was a risk to patient safety. Several meetings took place within the department, but nothing was done, and he was subsequently promoted. I involved an NHS \u201c<a href=\"https:\/\/nationalguardian.org.uk\/speaking-up\/what-is-speaking-up\/\" data-link-name=\"in body link\">speak up guardian<\/a>\u201d, who offered empathy but did nothing.<\/p>\n<p class=\"dcr-rysp4a\">Shortly afterwards, I began to be bullied, and a malicious complaint was raised by a colleague against me. I was exonerated, but the whole episode was extremely disturbing and I resigned.<\/p>\n<p class=\"dcr-rysp4a\">The culture in the NHS is about survival: keep your head down and get through each shift as best you can. Weak non-clinical managers and a lack of experienced nurses offering direct supervision feed this.<br \/><strong>Name and address supplied<\/strong><\/p>\n<p class=\"dcr-rysp4a\"><span data-dcr-style=\"bullet\"\/> Almost a decade ago, I was appointed to support the late MP <a href=\"https:\/\/www.theguardian.com\/politics\/2023\/jul\/23\/ann-clwyd-obituary\" data-link-name=\"in body link\">Ann Clwyd<\/a> in conducting her <a href=\"https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/255615\/NHS_complaints_accessible.pdf\" data-link-name=\"in body link\">review of the NHS hospitals complaints system<\/a>, in the wake of the <a href=\"https:\/\/www.theguardian.com\/society\/2013\/feb\/06\/mid-staffs-hospital-scandal-guide\" data-link-name=\"in body link\">Mid Staffordshire calamity<\/a>.<\/p>\n<p class=\"dcr-rysp4a\">The report identified a \u201ctoxic cocktail\u201d, in which there was a defensiveness on the part of hospitals to hear and address legitimate concerns, a fear of complaining among patients and a lack of trust in the system. Patients witnessed pressure on clinical and other staff to be silent about untoward events. Since then, few of the recommendations of the review have been carried out to improve confidence that complaining is worthwhile and can achieve change.<\/p>\n<p class=\"dcr-rysp4a\">When the combined pleadings of relatively powerful clinicians, such as those at the Countess of Chester, can be put aside by both NHS trust boards and managers, then what hope is there for patients or their carers who need to complain or raise an alert? The resolution of the issues surfaced by the Letby scandal cannot be left to those who allowed it to happen. It must involve a strong and independent patient voice.<br \/><strong>Sharon Grant<\/strong> <br \/><em class=\"dcr-rysp4a\">Chair, Public Voice <\/em><\/p>\n<p class=\"dcr-rysp4a\"><span data-dcr-style=\"bullet\"\/> The events that enabled the killing of babies to continue at the Countess of Chester hospital sadly happen too often. And the reaction by those in charge to squirm mightily rather than right the wrongs are not limited to the NHS \u2013 see the scandals of the <a href=\"https:\/\/www.theguardian.com\/commentisfree\/2023\/jul\/18\/post-office-scandal-cover-up-justice\" data-link-name=\"in body link\">Post Office<\/a>, the <a href=\"https:\/\/www.theguardian.com\/uk-news\/2023\/mar\/21\/metropolitan-police-institutionally-racist-misogynistic-homophobic-louise-casey-report\" data-link-name=\"in body link\">Metropolitan police<\/a> and others.<\/p>\n<p class=\"dcr-rysp4a\">The instinct to deny failings is predominant, easily overcoming the need to carry out the job. I believe that the motives for the extreme defensiveness adopted by hospital administrators was born of the \u201creform\u201d under which hospitals transformed into virtual companies \u2013 NHS foundation trusts \u2013 with each, instead of cooperating, now competing for funding.<br \/><strong>Eddie Dougall<\/strong><br \/><em class=\"dcr-rysp4a\">Bury St Edmunds, Suffolk<\/em><\/p>\n<footer class=\"dcr-rysp4a\">\n<p class=\"dcr-rysp4a\"><strong><em class=\"dcr-rysp4a\"><span data-dcr-style=\"bullet\"\/> Have an opinion on anything you\u2019ve read in the Guardian today? Please <\/em><\/strong><a href=\"https:\/\/www.theguardian.com\/uk-news\/2023\/aug\/21\/mailto:guardian.letters@theguardian.com\" data-link-name=\"in body link \" https:=\"\"><strong><em class=\"dcr-rysp4a\">email<\/em><\/strong><\/a><strong><em class=\"dcr-rysp4a\"> us your letter and it will be considered for publication in our <\/em><\/strong><a href=\"https:\/\/www.theguardian.com\/tone\/letters\" data-link-name=\"in body link\"><strong><em class=\"dcr-rysp4a\">letters<\/em><\/strong><\/a><strong><em class=\"dcr-rysp4a\"> section.<\/em><\/strong><\/p>\n<\/footer>\n<\/div>\n<p><script async src=\"\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block; text-align:center;\"\r\n     data-ad-layout=\"in-article\"\r\n     data-ad-format=\"fluid\"\r\n     data-ad-client=\"ca-pub-8162386273903324\"\r\n     data-ad-slot=\"7859258044\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script><br \/>\n<br \/><a href=\"https:\/\/www.theguardian.com\/uk-news\/2023\/aug\/21\/nhss-culture-of-denial-allowed-lucy-letby-to-keep-killing-babies\">READ SOURCE<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Re your editorial on the Lucy Letby case (18 August), I have been a paediatrician since 1985, a consultant since 1996 in the UK, and since 2017 in Ireland. Like my colleagues, I am grieved and outraged at reading that NHS managers were unable to prevent Letby from perpetrating irreversible harm. A neonatal database flagging [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_oct_exclude_from_cache":false,"footnotes":""},"categories":[11],"tags":[],"class_list":["post-1265301","post","type-post","status-publish","format-standard","hentry","category-health"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>NHS\u2019s culture of denial allowed Lucy Letby to keep killing babies | Letters - Business Telegraph<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.theguardian.com\/uk-news\/2023\/aug\/21\/nhss-culture-of-denial-allowed-lucy-letby-to-keep-killing-babies\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"NHS\u2019s culture of denial allowed Lucy Letby to keep killing babies | Letters - Business Telegraph\" \/>\n<meta property=\"og:description\" content=\"Re your editorial on the Lucy Letby case (18 August), I have been a paediatrician since 1985, a consultant since 1996 in the UK, and since 2017 in Ireland. Like my colleagues, I am grieved and outraged at reading that NHS managers were unable to prevent Letby from perpetrating irreversible harm. A neonatal database flagging [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.theguardian.com\/uk-news\/2023\/aug\/21\/nhss-culture-of-denial-allowed-lucy-letby-to-keep-killing-babies\" \/>\n<meta property=\"og:site_name\" content=\"Business Telegraph\" \/>\n<meta property=\"article:published_time\" content=\"2023-08-21T15:00:38+00:00\" \/>\n<meta name=\"author\" content=\"businesstelegraph\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"businesstelegraph\" \/>\n\t<meta name=\"twitter:label2\" content=\"Estimated reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.theguardian.com\/uk-news\/2023\/aug\/21\/nhss-culture-of-denial-allowed-lucy-letby-to-keep-killing-babies#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.businesstelegraph.co.uk\/nhss-culture-of-denial-allowed-lucy-letby-to-keep-killing-babies-letters\/\"},\"author\":{\"name\":\"businesstelegraph\",\"@id\":\"https:\/\/www.businesstelegraph.co.uk\/#\/schema\/person\/0a3a6a0f58402f1f2af94e02d0987b78\"},\"headline\":\"NHS\u2019s culture of denial allowed Lucy Letby to keep killing babies | Letters\",\"datePublished\":\"2023-08-21T15:00:38+00:00\",\"dateModified\":\"2023-08-21T15:00:38+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.businesstelegraph.co.uk\/nhss-culture-of-denial-allowed-lucy-letby-to-keep-killing-babies-letters\/\"},\"wordCount\":760,\"publisher\":{\"@id\":\"https:\/\/www.businesstelegraph.co.uk\/#organization\"},\"articleSection\":[\"Health\"],\"inLanguage\":\"en-GB\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.businesstelegraph.co.uk\/nhss-culture-of-denial-allowed-lucy-letby-to-keep-killing-babies-letters\/\",\"url\":\"https:\/\/www.theguardian.com\/uk-news\/2023\/aug\/21\/nhss-culture-of-denial-allowed-lucy-letby-to-keep-killing-babies\",\"name\":\"NHS\u2019s culture of denial allowed Lucy Letby to keep killing babies | Letters - 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