richard vA
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Content Article CommentInterviewee adds 4 important issues not able to be covered in video: 1/4. The epistemic exclusion of patients, a form of ‘patientism’, is also a mechanism by which all oppressed groups including poor and less educated and those with protected characteristics are excluded. They have multiplied exclusion and trauma on top of that discussed and exemplified by it on top of the other ways the discrimination and oppression occurs . One must also not to forget the dreadful treatment, often another form of brutal exclusion, of health service whistleblowers who dare speak out on issues their employers will not countenance. 2/4. While leaving the formal sector patient safety field I am continuing, for now, actively supporting the excellent work of charities. For example Sarcoma UK who were very helpful to the family, very patient centred and who were the body who published the blog of my brother in laws learning according to the family . Also Marie Curie for example their research voices group in which I am currently involved . I also must highlight the recent report based on patients and families reports then also incorporating patient /family experts by expereince throughout the research process - a brilliant example of patient involvement https://www.mariecurie.org.uk/policy/better-end-life-report 3/4. the stress and trauma of exclusion is profound-often repeating harm of poor care and exclusion in that very process and all experienced as an act of betrayal by health services.As well as services gaslighting and being made anxious by the challenge of traumatized and challenging patients and familes, Judith Herman has also among others discussed the anxiety and denial of systems challenged to their very core ‘Trauma and Recovery The Aftermath of Violence--From Domestic Abuse to Political Terror By Judith Lewis Herman · 2015 4/4. Some other relevant references mentioned or alluded to in interview Tokenism in patient safety Jo Ocloo https://qualitysafety.bmj.com/content/25/8/626 Patients who experience harm provide stories, but who will really engage with their insights and opinions? https://www.pslhub.org/learn/patient-engagement/patient-stories/patients-who-experience-harm-provide-stories-but-who-will-really-engage-with-their-insights-and-opinions-r9817/ Beyond experiential knowledge: a classification of patient knowledge (4 June 2024) https://www.pslhub.org/learn/patient-engagement/how-to-engage-for-patient-safety/beyond-experiential-knowledge-a-classification-of-patient-knowledge-4-june-2024-r11912/
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Content Article CommentWorrying. Not surprising. I will comment on it in a future blog. The lack of a patient safety national coordinating network empowering informing supporting PSP s given they are questioning massive well resourced trained institutions and professions is a dangerous power imbalance which maintains the core epistemic exclusion of patients in this key field. Blog to follow.
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Content Article CommentAshame few comments here. One eminent family campaigner has raised very similar general issues in another area of what was previously HSIB s work..this should he separately published here. I can just post twitter thread: https://threadreaderapp.com/thread/1773806438017626455.html
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Content Article CommentWho where is prioritising even just identifying the nature of exclusion of patient narratives, their impact and trying to address it systemically? I am working on this concept in reference to 4 cases and welcome any analytic, policy, academic or even philosophic insights! Please contact me via PSL
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Content Article CommentA powerful story. So sorry to hear how things could and should have been better. Being denied the chance to be the daughter as you had to play the nurse role in those last few days must have been so hard. Echoing my experience around my mother's last few days in hospital when her pain control was avoidably destabilised and the struggle for many avoidable reasons to re establish it and be ahead of the pain. Great to hear how you are sharing the learning. Have you heard any departments elsewhere taking concrete steps to learn and act and change based on your experience? If so how did you do it? I am on that journey too.
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Content Article CommentWhat unenviable roles! I couldn't bear being used in this way. A canary in the mine of NHS, not protected and ignored it most key ways. Only empowered patients and their advocates have any chance at all. With routes to top governance places. All else is buck passing. Ask David Gilbert about real patient empowerment . https://www.inhealthassociates.co.uk/wp-content/uploads/2020/05/Patient-Leadership-Triangle-Ebook.pdf People with no other interest at all apart from patient safety need to be there . Even ' innovative ' 'model '' independent ' safety organisations exclude patient family in key processes . Despite numerous attempts at feedback there has been deafness and dumbness .no response. No one on Board with interest or interest
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Content Article Commentthe recent report of a feedback consultation created this summery report, which to me raises major concerns-see attached Patient and Family Show and Tell - Questions and Answers.pdf20231019 Public Show and Tell for the Patient and Family discovery - slides.pdf
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Content Article CommentHaving done a data Subject access request ( received in part so far)I discover the huge difficulties HSIB had in being challenged, questioned. Causing stress to those implementing a model being rolled out, time demands, patients just their to tell stories from memory not share insights..that is for the powerful experts..reflecting what has been written elsewhere when will services welcome and engage with feedback and ideas and not just treat them as people to be shut down or ignored ( numerous examples here) or managed away. ?
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Content Article CommentThis is the one page paper I wrote to Ilora Finlay, Baroness Finlay of Llandaff, an expert in palliative care, summarising key issues that HSIB failed to address in their paper HSIB: Variations in the delivery of palliative care services to adults (13 July 2023) and that my family feel were of key relevance if the report was to truly address family concerns about what happened to Dermot and all learning that could result. Sadly no one at HSIB or HSSIB or externally seems interested in even properly examining if HSIB did have any failings in their investigation process. Submission to Baroness Ilora Finlay.pdf
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Content Article CommentDying to give an update. But that relies on overworked charities
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Content Article CommentPatient exclusion at a fundamental level from NHS is a growing concern, even from exemplar services with models with much Patient rhetoric but no evidence
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Content Article CommentAt this time of truth telling in the covid inquiry ( or not at the time! ) I feel i have to add something, some of which i know is not unique to me on the former Advisory Panel:namely: HSSIB and its governance structure and design and personnel have at the highest level been chosen to enable tight control by DHSC, NHS establishment and core central medical establishment. My concerns in practice about the lack of proper patient involvement, unbiased analysis and the questionable scientific and evidence base are all the inevitable outcome. Not to say HSSIB will not share some valuable insights. But it is profoundly, organisationally, epistemically , ideologically restricted, restrained and limited. And as austerity and staffing crises, and tight brutal NHS management culture plans to continue through to the next government ( no reassurance from Labour) one really wonders if it can be anything more than a token enterprise, a badge of pride to some but a huge wasted opportunity and even more dangerous ( literally) fake remedy to a continuing and in many respects growing health care crisis. Am I being too cynical or negative? I fear not at all. End.
