DoctorOpinion

Still happening...can attest to that. twitter.com/nhswhistleblow…

@parthaskar @scserendipity1 @valhumphreys51 @Doctorstra1n1ng 60% are deluded 😼

@valhumphreys51 @Doctorstra1n1ng its an issue with NHS-and relevant health bodies More interested in reputation protection- than patient safety per se.

When staff don't feel safe to speak up, patients feel it too. The recently published 2025 NHS Staff Survey has just given us some of the most concerning data on this in five years. Only 60.29% of NHS staff feel safe to speak up about concerns in their organisation, and just 47.59% are confident their organisation would act on it. Both figures are at five-year lows. For doctors, this matters in a way that goes beyond individual wellbeing. Speaking up is professional and legal duty, woven into revalidation, duty of candour, and everyday clinical decision-making. The proportion of staff saying their organisation takes action to ensure reported errors don't happen again has decreased this year. When speaking up feels unsafe, concerns go unchecked. Errors go unreported. The learning that protects patients doesn't happen. So why don't staff feel safe to speak up? The reasons are multifactorial, but one of them is shame. The experience of shame means that when something goes wrong clinically, the risk is that a doctor doesn't experience it as a learning moment but as an indictment of who they are. For doctors in training there is an additional layer: the fear that speaking openly might have consequences for progression. The sense that no one has got their back. This is a predictable response to environments not designed for psychological safety. What actually helps is not asking doctors to be braver. It is building the environments where bravery isn't required in the first place, where leaders and supervisors actively create the conditions for psychological safety, where concerns are met with curiosity rather than consequence, and where the culture communicates reliably: raising this will not be held against you. Our Psychological Safety, Civility and Active Bystander Training helps doctors to develops these skills. Sustainable change at the individual level requires the right conditions at the team and organisational level to sustain it. Learn more about the impact shame has on psychological safety in our podcast episode, "Unpacking Shame in Medicine". Listen on Spotify and iTunes Watch on YouTube now eu1.hubs.ly/H0tbhC90

This new £2 bus fare for the Highlands should be confined to Highland residents. Our elderly neighbour, who finds online booking difficult, unable to go to her appointment at Raigmore Hospital today, turned away at the bus door because it was fully booked, mostly by £2 tourists.

Good morning and welcome to tuna Tuesday Be the person who starts the smile, not just the one who returns it, sometimes the smallest kindness can change someone’s whole day.

NHS TOLD HIM TO SPEAK UP THEN PUNISHED HIM FOR SPEAKING Dr Shyam Kumar @ukorthopod is a consultant orthopaedic surgeon. Between 2015 and 2019 he volunteered part of his time to the Care Quality Commission @CareQualityComm as a special adviser on hospital inspections. He used that role to do exactly what it was designed for. He raised concerns about shoddy inspections. He flagged serious patient harm. He reported a surgeon at his own trust whose operations were, to put it gently, killing people. The Royal College of Surgeons later reviewed that surgeon and found 26 out of 46 procedures were a matter of concern. Kumar saw this coming years earlier. The CQC's response was to get rid of him. Not the dangerous surgeon. The man reporting the dangerous surgeon. The Manchester Employment Tribunal ruled in August 2022 that his dismissal was directly caused by his whistleblowing disclosures. Not a close call. Not a grey area. The tribunal said his protected disclosures had a "material influence" on the decision to remove him. He was awarded £23,000 for injury to feelings. The CQC said it had "learnt from the case." They said the same thing after the Mid Staffordshire inquiry a decade earlier, when they were found to have done exactly the same thing to different whistleblowers. This is the body that decides whether your hospital is safe. Kumar described it as: the CQC spent its energy "gunning me down rather than focusing on improvement to patient safety." He was called a troublemaker. His concerns were buried. The trust meanwhile wanted the harm kept quiet for reputational reasons. Everyone involved in silencing him kept their jobs. Nobody faced any professional consequences. The CQC exists to hold health services to account. When one of its own inspectors held it to account, it sacked him for it. That is the institution working as designed for the people inside it, at the expense of everyone outside it. Dr Kumar was vindicated. The patients who could have been protected earlier were not so lucky. Source: @BBCNews, @guardian, @personneltoday, Employment Tribunal judgment

@joannaccherry @bbcdebatenight Would you prefer ShoRo, or Loony Lorna, for example ? 🙄

It’s not @bbcdebatenight fault but this manel does not reflect well on Scottish politics although it is perhaps an reflection of how low a priority #WomensRights are for Scottish career politicians

@AVoiceofReaso15 @VincentVanGrump @DHSCgovuk @wesstreeting @BBCNews You happy to see a pretendy doc?

@VincentVanGrump @wussydoc @DHSCgovuk @wesstreeting @BBCNews The vast majority of Resident Docs are already paid way more than the roles you mention. The BMA onky ever state basic salary of year 1 Drs. They conveniently leave out that pay often 50% higher due to banding payments for intensity or instead coal hours.

Resident doctors have already had a 28.9% pay rise. We're offering 4.9% more on average for this year. “I want to talk to the whole committee. Because these are the people who rejected the deal on the table.” 🎥 @WesStreeting on @BBCNews

So there’s no GP present?

@Eman5695 “Your bed” 😹😹😹

Would you let a cat sleep on your bed every night?

Today’s forecast: ☀️ sunshine ☁️ cloud 🌧️ rain 💨 wind …repeat every 7 minutes Stepped outside: one paw in sun, one in rain, ears in wind, dignity gone. Outdoor duties cancelled. Back to a horizontal life pause.

@Terristarfish @SimonCalder Yes, me too. Got the stuff done fairly quickly in the way in. It was the way home was the problem…

@SimonCalder We flew back from Tenerife recently and 35 passengers were delayed /left behind due to new computers and technical issues! People blaming Brexit 😅.. I've flown regularly every year no problem,.they've cut back staff and introduced computers. It was chaos..

easyJet left 122 Manchester-bound passengers behind at Milan due to EU entry-exit system passport control delays. It's said the 34 people on board had pretended to be on London flights. One stranded family spent £1,600 on new flights; easyJet refund: £20. independent.co.uk/travel/news-an…

@Diane_runner @SimonCalder Same in Tenerife 2 weeks ago…

@SimonCalder I used the new EES system in Alicante, but it couldn’t pick up my fingerprints. I then had to join the manuel check queue which took another hour. I’m worried that I’m going to have this issue every time. Have you heard of others having this issue? It doesn’t work on my devices

@DHSCgovuk @wesstreeting @BBCNews I think you would find you could stop strikes over night simply by raising Resident Dr pay so they are at the very least, paid the same base rates as a Physician Assistant or Trainee ACP. I don't think that's much to ask for. Do you?

@AlysonMeadowcr1 Nerve- wracking, though 🙀🏌️‍♂️😻

It's been a blast tonight! Rory is the best⛳️⛳️⛳️

Night night sweet dreamies You're not everyone's cup of tea, and that's okay. Stop diluting yourself to be more palatable. The people meant for you don't want you watered down.

@rut85826 I got turned down as not suitable. 😿 Likewise. Had to buy my new hip. Couldn’t even make it onto an NHS waiting list.

I hate that I’m having to go private to get my eyes done and also annoyed the nhs thinks its acceptable I lose my vision. Appointment tomorrow for a consultation, fingers crossed they can do it quickly🤞

@SarahjevsEvans 😻😻😻

Howard’s Sunday

@loz_dude @shrewsmorris @CallMeMoNow @NHS Good luck with that 🙄

@wussydoc @shrewsmorris @CallMeMoNow @NHS It is fraud, pure and simple, and anyone who suffers it needs to make a FORMAL complaint and contact local media, until they know they can't get away with it. Heads should roll.

This morning…….a letter to the Daily Telegraph…….(obviously senders name not included here) regarding a letter from the @NHS. 🙄🙄 SIR – Having waited months for an appointment with a spinal consultant regarding my constant, severe back pain and associated leg weakness, I finally received a letter headed: “You have an appointment”. What joy. The next line stated: “An appointment has been booked for you as below.” However, a subsequent paragraph read: “Important: Please be advised that you do not need to attend this appointment. This is not an actual appointment, but for administration purposes only.”Patients deserve better than this contemptible bureaucracy.

#ClaudiaWinklemanShow I actually quite like it! Give it a chance folks…..

@CallMeMoNow @shrewsmorris @NHS I called them out. They got rid of me.