Healthcare after Paterson 2 December 2017
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This presentation focuses on the changes needed in healthcare after the conviction of Paterson. It reviews our report on Paterson along with newspaper headlines and our guardian press release. It concludes with recommendations and future actions for hospitals in light of this.
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Healthcare after Paterson 2 December 2017
- 1. IMPROVEMENT THROUGH INVESTIGATION Lone wolves and superheroes – learning the lessons from Paterson and others Ed Marsden Managing director
- 2. IMPROVEMENT THROUGH INVESTIGATION Overview • About Verita • Paterson - our report, our review • Newspaper headlines and Verita’s press release • Future actions
- 3. IMPROVEMENT THROUGH INVESTIGATION 3 About Verita Verita provides these services: • Investigations and reviews • Training • Diagnostics • Consultancy Verita works within these sectors: • Health • Charities • Business to government • Education
- 5. IMPROVEMENT THROUGH INVESTIGATION 5 The Paterson case – our report • In April 2013 Spire commissioned an independent review into how the hospitals responded to concerns about Paterson • The executive summary was published in 2014 • Executive summary available at www.verita.net (see library section)
- 6. IMPROVEMENT THROUGH INVESTIGATION 6 • Consultant breast surgeon employed by Heart of England NHS Foundation Trust (HEFT) • A significant sized private practice – carried out in Spire hospitals • Practising privileges at Spire Parkway since 1998 and Spire Little Aston since 1993 About Paterson
- 7. IMPROVEMENT THROUGH INVESTIGATION 7 • Conducted a wide range of clinical work – including treatment of breast cancer & colonoscopies • Concerns first come to light in 2007 – HEFT, GPs, patient complaints • Reluctant to take direction - “a difficult consultant” • Avoided MDT requirements/incomplete cancer data • Paterson was suspended in August 2011011 Our review – key findings about Paterson
- 8. IMPROVEMENT THROUGH INVESTIGATION 8 • Missed opportunities • Communication between HEFT & Spire • Spire management structure – flat, devolved • Consultants as customers • Medical advisory committees • Practising privileges • Appraisals • Clinical outcomes • Clinical adverse events • Complaints or concerns Our review – key findings about Spire
- 9. IMPROVEMENT THROUGH INVESTIGATION 9 • The Times described him as a "liar who betrayed patients who adored him" • The Daily Mail demanded to know why the NHS failed to stop him • The Daily Telegraph accused him of "cruelty beyond understanding" and said the health service must reduce the likelihood of it happening again Newspaper headlines from trial in 2017
- 11. IMPROVEMENT THROUGH INVESTIGATION 11 • Four investigations reveal common traits in the abuse or malpractice by clinicians: ➢ Professionals being given a “glorified” status ➢ Individuals create space to operate as a “lone wolf” ➢ Staff and systems failing to detect & act on “weak signals” ➢ Lack of clarity for patients, parents and staff on the practical protection safeguarding and other policies should provide Verita’s interview with the Guardian - superheroes and lone wolves
- 12. IMPROVEMENT THROUGH INVESTIGATION 12 • Explored Paterson report findings • Examined common themes from 4 investigations Summary
- 13. IMPROVEMENT THROUGH INVESTIGATION 13 • It is likely that there will be a government- commissioned investigation following Paterson’s conviction – focus will be on systems & processes • Insurers are becoming more diligent in qualifying claims What does the future hold?
- 14. IMPROVEMENT THROUGH INVESTIGATION 14 The findings & recommendations in our investigation are relevant to all independent healthcare providers • Review the 15 recommendations made in our report. Available at www.verita.net How does healthcare measure up? • Develop an audit trail and narrative – evidence of your intention • Publicise your improvements – reputational and commercial benefits in doing so Action
- 15. IMPROVEMENT THROUGH INVESTIGATION 15 For more information please contact: Ed Marsden, managing director Email: edmarsden@verita.net Tel: 020 7494 5670 Follow us on twitter: @VeritaUK ; @ed_verita Find us on LinkedIn: VeritaUK