Wednesday 18 March 2009

Who Pays The Price When the Watchdog is Put Down?

It's a sad day for the people of Stafford who've lost friends and relatives who had the misfortune to be patients at the town's hospital over the past few years. The Healthcare Commission estimates that 400 more people died there between 2005 and 2008 than would normally be expected - as this BBC news story explains.

I wonder what Alan Milburn thought when he heard the news? Milburn it was who promoted the abolition of local Community Health Councils, which had the right to visit and inspect local hospitals, and report on their findings. Since they disappeared in 2003, responsibility for local monitoring passed to Patients Forums (which took a year or two to set up and begin working even reasonably effectively) and then, more recently, to Local Involvement Networks (LINks).

During all this re-disorganisation, local NHS managers have effectively had free rein to pursue their policies without interference from pesky people from the community. What has happened at Stafford shows how disastrous such freedom can be. I can't help feeling that a few visits to Stafford Hospital by CHC members (if they still existed) would have spotted such alarming signs as patients who were dehydrated drinking from flower vases...

At least the Healthcare Commission got onto them - in the end. But the Commission is a national body, and can't keep their eye on the ball in every locality.

Feeling thirsty, Alan? Better pour yourself a Pepsi...


2 comments:

70steen said...

A sad revelation indeed .. I caught this story this morning !

Crofty said...

I can't believe that there were no whistle blowers - I suppose it just goes to show that an organisational culture, no matter how bad, can actually become the acceptable norm.