We can’t read the 146-page States of Jersey Complaints Board report. Will we hear yet again from the COM “ lessons will be learnt” ?
You would have thought that after the tragic death of a member of staff of the Jersey General Hospital, nurse Elizabeth Rourke in 2006, and a subsequent damning Verita report in 2010 with urgent recommendations for the hospital’s culture to change, Jersey born Dr Amar Alwitry concerns of safety would have been much appreciated by the hospital management, instead he was up against a gang of “the Jersey way”.
It makes me think whether those urgent recommendations of the Verita report have been followed or has there been more tax payer’s money wasted by some incompetent or spineless politicians for employing expensive interim senior hospital managers who should have implemented those recommendations.Quotes from Verita’s 2010 report which says it all:
2. Matters to do with the health and social services department
Culture of the hospital
2.1 A number of interviewees told us about the culture of the hospital. Many spoke of having satisfying jobs but they also commented about the fear of speaking out and a tendency for others to mistake reasonable questioning for disloyalty.
2.7 Some interviewees spoke about a perception that when something went wrong, senior managers had a tendency to blame individuals rather than looking at the systems in which the mistakes occurred.
2.12 The hospital has a whistle-blower‟s policy, for which it is to be applauded, but it is clear that whistle-blowing is only ever necessary when a culture of cover-up prevails and where it does, whistle-blowers are likely to doubt if such a policy will protect them. An organisation open and receptive to constructive criticism should find that it does not need to use its whistle-blower‟s policy.
Management of the hospital
2.13 Interviewees have provided many descriptions of the lack of common purpose between senior managers and senior clinical staff. Many people said there seemed to be little sense of a genuine shared view about the future of the hospital. This may partly be explained by the dual roles of senior management.
2.15 First-class healthcare organisations must have a sense of shared purpose. Politicians, managers and senior clinical staff should ensure that such a shared sense of direction exists and is communicated to all those concerned with, and working in, the hospital.
2.18 Our impression is that the hospital has little routinely collected data by which it can monitor services and plan developments. This puts it at a disadvantage in identifying the need for change and monitoring the success of any remedial actions.Re The „Jersey way‟
3.8 A number of interviewees have referred to the „Jersey way‟ when explaining why things are as they are. We asked people what they meant by this term and received a variety of answers.
3.9 One consistent element which accords with our observations is the preference for informal understanding and agreement over formal, documented policies and procedures. It was suggested that this informality made it easier for people to avoid responsibility when something went wrong. A more benign explanation would be that people were trusted to behave sensibly, without the need to have every „i‟ dotted and „t‟ crossed. The „Jersey way‟ is certainly an alternative to the UK culture of micromanagement. Nonetheless, it has its disadvantages and dangers:
3.16 We believe that a public debate about what the people of Jersey want from their hospital and what they can get for the money they are willing and able to spend is a necessary step in deciding the hospital‟s future. Independent investigation into the care, treatment and management of Elizabeth Rourke
Addendum to the report January 2010 http://www.statesassembly.gov.je/AssemblyReports/2010/149-10183-122010.pdf
The report is damning by the States of Jersey Complaints Board,now what action will Health Minister Andrew Green take to replace a failed management?
History tells us?http://news.bbc.co.uk/1/mobile/world/europe/jersey/8491448.stmhttp://www.bbc.co.uk/news/world-europe-jersey-10747738