Case study of Gary Walker a former NHS CEO and whistleblower. Contains extracts of documents that describe the the pursuit of targets that led to a cover up costing over £500k involving the most senior people in the NHS. Shared at a presentation for BSI on 2 July 2014
The document lists consumer complaints filed against Senior Health Insurance Company of Pennsylvania over a 5 year period. It includes details of each complaint such as the date, complaint number, product type, reason for complaint, resolution and date closed. The majority of complaints were related to long term care insurance and issues with claims, cancellations, rates and coverage.
Aflac offers individual insurance policies to supplement employers' major medical plans and protect employees' income. The policies provide cash benefits that employees can use for expenses like rent, groceries, and daily living costs not covered by medical plans. This helps employees hold on to what they've worked hard for. Now more than ever, employees want and need benefits that help them protect what matters most. Aflac individual policies include hospital confinement indemnity, dental, vision, accident, cancer/specified-disease, critical illness, and life insurance options.
Caseless Mediclaim is the best insurance policy as it has number of benefits. This policy offers insured person all the charges of the hospitalization and treatment. The most important point is we recharge the entire claim if you ever exhaust your health cover.
This document provides information on the features and benefits of a health insurance plan from ASLI Life Insurance. Some key highlights include:
- It offers comprehensive health coverage including hospitalization expenses, day care treatments, domiciliary hospitalization and more.
- Additional benefits include annual health check-ups, ambulance cover, coverage for organ donors, and a daily cash allowance during hospitalization.
- The plan offers flexibility with options for family floater coverage and longer policy terms. Claims can be filed directly and cashless treatment is available at network hospitals.
Jim discovers a structural flaw in the company that could endanger customers but his boss Ken tries to cover it up to avoid costs. When Jim blows the whistle, Ken transfers him instead of addressing the issue. The document discusses the ethical issues around whistleblowing and having policies to protect whistleblowers from retaliation so that wrongdoing can be reported without fear.
Mass Internet Surveillance: The Snowden CaseHacking Mom
Edward Snowden was born in 1983 in the United States. In 2013, as an NSA contractor, he leaked classified documents revealing mass surveillance programs to the public. This included how intelligence agencies like the NSA and companies like telecom and social media were spying on citizens by accessing phone and internet data. Snowden then fled to Hong Kong and later Russia to escape prosecution, where he remains today while still speaking out against global surveillance.
GlaxoSmithKline paid $20 million to settle a US foreign bribery case for disguising bribes to Chinese officials as legitimate expenses from 2010 to 2013. The bribes were meant to boost sales through increased prescriptions and hospital purchases. They came in the form of gifts, travel, shopping, and cash. This is not the first bribery scandal for GSK, as in 2014 China fined them $490 million for admitting to paying bribes to doctors and hospitals to promote their products illegally. Pharmaceutical companies paid large fines in 2016 for foreign corrupt practices.
The document lists consumer complaints filed against Senior Health Insurance Company of Pennsylvania over a 5 year period. It includes details of each complaint such as the date, complaint number, product type, reason for complaint, resolution and date closed. The majority of complaints were related to long term care insurance and issues with claims, cancellations, rates and coverage.
Aflac offers individual insurance policies to supplement employers' major medical plans and protect employees' income. The policies provide cash benefits that employees can use for expenses like rent, groceries, and daily living costs not covered by medical plans. This helps employees hold on to what they've worked hard for. Now more than ever, employees want and need benefits that help them protect what matters most. Aflac individual policies include hospital confinement indemnity, dental, vision, accident, cancer/specified-disease, critical illness, and life insurance options.
Caseless Mediclaim is the best insurance policy as it has number of benefits. This policy offers insured person all the charges of the hospitalization and treatment. The most important point is we recharge the entire claim if you ever exhaust your health cover.
This document provides information on the features and benefits of a health insurance plan from ASLI Life Insurance. Some key highlights include:
- It offers comprehensive health coverage including hospitalization expenses, day care treatments, domiciliary hospitalization and more.
- Additional benefits include annual health check-ups, ambulance cover, coverage for organ donors, and a daily cash allowance during hospitalization.
- The plan offers flexibility with options for family floater coverage and longer policy terms. Claims can be filed directly and cashless treatment is available at network hospitals.
Jim discovers a structural flaw in the company that could endanger customers but his boss Ken tries to cover it up to avoid costs. When Jim blows the whistle, Ken transfers him instead of addressing the issue. The document discusses the ethical issues around whistleblowing and having policies to protect whistleblowers from retaliation so that wrongdoing can be reported without fear.
Mass Internet Surveillance: The Snowden CaseHacking Mom
Edward Snowden was born in 1983 in the United States. In 2013, as an NSA contractor, he leaked classified documents revealing mass surveillance programs to the public. This included how intelligence agencies like the NSA and companies like telecom and social media were spying on citizens by accessing phone and internet data. Snowden then fled to Hong Kong and later Russia to escape prosecution, where he remains today while still speaking out against global surveillance.
GlaxoSmithKline paid $20 million to settle a US foreign bribery case for disguising bribes to Chinese officials as legitimate expenses from 2010 to 2013. The bribes were meant to boost sales through increased prescriptions and hospital purchases. They came in the form of gifts, travel, shopping, and cash. This is not the first bribery scandal for GSK, as in 2014 China fined them $490 million for admitting to paying bribes to doctors and hospitals to promote their products illegally. Pharmaceutical companies paid large fines in 2016 for foreign corrupt practices.
The document discusses the future of healthcare and General Health System's strategic plan to transform care delivery. It notes that healthcare spending is rising while community health is not improving. General Health System aims to focus on population health and value-based care through initiatives like a telehealth program, price transparency tools, and expanding access to primary and specialty care across multiple campuses and clinics. The system has received numerous quality awards and aims to continue leading the transition to a more affordable and accessible healthcare model.
This document discusses the judging process for HSJ's Clinical Leaders Innovation Summit. It describes how a long list of nominees was developed through public and internal nominations and then evaluated by a panel of judges with healthcare expertise. The judges sought to identify individuals having the greatest impact on healthcare policy, service transformation, and innovation. It provides brief biographies of the top 5 clinical leaders identified through this process, including their positions and influence within the NHS.
Medibank Managing Director speaks at Amercian Chamber of CommerceLaura Harris
Medibank Managing Director, George Savvides presented at the American Chamber of Commerce in Melbourne about Medibank’s approach to primary care and its integrated care pilots.
The document discusses trends in healthcare design over the past 20 years and a vision for healthcare environments over the next 20 years. It notes a shift towards more decentralized healthcare with mass migration, transient populations, and economic pressures straining integrated solutions. The patient and staff experience is described as mechanistic and fragmented rather than focused on care. The power of design, environment, and good working conditions to improve healthcare is cited as having been lost from the NHS vision. The document advocates for disruptive decentralization, regenerative design, and taking an integrated strategic approach.
The document discusses an investigation by the Health Quality and Complaints Commission (HQCC) into the obstetric care of a woman, Mrs. A, by the Townsville Hospital and Health Service (THHS) which resulted in the stillbirth of her baby. The HQCC found issues with communication between facilities in THHS and multiple failures by registered midwives to follow proper policy and procedures. Specifically, concerns were raised about increased fundal height but no action was taken, and ultrasounds were performed informally without recording results. The Office of the Health Ombudsman found the midwives did not commit serious misconduct but referred them to AHPRA for performance failures. THHS was found to have appropriately addressed the issues
This document summarizes an event about working in Europe and beyond. It includes:
- An agenda for the event with presentations on recruiting in Europe and investing in the UK life sciences sector.
- A discussion on how UK Trade & Investment can help businesses invest and grow in the UK, focusing on the life sciences industry.
- Comments from various speakers on topics like sourcing talent, challenges in recruiting, and ensuring international contractor compliance.
This issue of the UK Practice Matters magazine from March 2016 contains the following articles:
1) A feature on Clinical Risk Self Assessments and how they can help practices improve after a poor CQC report.
2) An article examining different clinical roles that can help practices meet increasing patient demand as primary care changes.
3) A piece from the NASGP Chair on the organization's new online Standardised Practice Induction Pack and how it can improve how practices work.
4) Notices on immunization of healthcare staff, nurse revalidation, and Medical Protection workshops and online learning modules.
The document summarizes the Stafford Hospital scandal in the UK, where poor care and high mortality rates were discovered between 2005-2008. An inquiry found hundreds suffered unnecessary harm and neglect. New administrators proposed dissolving the responsible trust and reorganizing services between two new trusts. This includes closing some units at Stafford Hospital like maternity and pediatrics. Critics argue these patients will face greater burdens. The changes aim to improve safety but some question if they fully address the scandal's underlying issues or just financial pressures across the NHS. The proposals will undergo public consultation before final approval.
This is a powerpoint presentation converted to PDF regarding a consumer perspective on our state health system. Just the basic facts and what we need to still address, even after health reform. Brought to you by Jodiesjourney.com
Smart technology must be at the heart of any gp efficiency drive the inform...Patients Know Best
Smart technology and digital innovations must be embraced by the NHS to help ease the strain on overworked GPs. New technologies allow GPs to collect patient data remotely through apps and help keep patients out of hospitals. Innovative services also help patients better manage long-term conditions through online support groups and health coaching. For GPs to meet increasing demands, the whole NHS must make use of these new digital tools and technologies.
Quality and Safety in Healthcare in an Age of AusterityJammi Nagaraj Rao
The document discusses quality and safety in healthcare amid austerity. It notes that while public health spending in the UK has remained steady since 2009, the percentage of GDP spent on health is low. It also discusses how austerity can lead organizations to focus too narrowly on targets, prioritizing cost containment over quality and access to care. However, the document argues that eliminating low-value practices can actually help maintain quality by freeing up resources. Focusing on high-value care through eliminating unnecessary tests and treatments is akin to decluttering to make more effective use of limited space and resources.
The document discusses patient safety leadership walkrounds, which involve senior hospital leaders meeting with frontline staff to discuss safety issues. Walkrounds were developed in 1999 and aim to demonstrate leadership's commitment to safety while gaining unfiltered feedback. Previous walkrounds in Wales identified concerns about incident reporting forms, transfer information and equipment supplies. The health board plans to provide training and define processes to make future walkrounds more effective in identifying and addressing safety issues.
The future for access to general practice, innovate stage, 2pm, 3 september 2015NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
Key Growth Sectors in the Health Care Services M&A MarketRobert James Cimasi
The document discusses a webcast on key growth sectors in the health care M&A market. It provides an agenda that will discuss trends in hospital, physician groups, managed care, and financing. It then introduces several speakers who will provide perspectives on health care services M&A trends.
Marcus Longley - Is the NHS sustainableangewatkins
Cardiff University Healthy Ageing Conference & Public Lecture
The importance of a healthy lifestyle
A Conference and a Public Lecture
Thursday 30th October 2014
http://medicine.cardiff.ac.uk/event/healthy-ageing-conference-public-lecture/
Dr. Graham Love, CEO, Health Research BoardInvestnet
- Research active hospitals had lower risk-adjusted mortality rates even after adjusting for staffing and structural factors, showing the benefits of clinical research.
- Healthcare is a knowledge industry but expectations are rising faster than resources, requiring smarter use of resources and greater self-learning capacity through research.
- The Health Research Board invests over €200 million between 2010-2014, with the largest areas being disease management, treatment evaluation, and health services research.
- Actions are outlined to speed up hospital approvals for studies, encourage more research via clinical research facilities, and involve research in upcoming health system strategies and multi-site feasibility and full studies.
This document summarizes a presentation on managing clinical risk in the UK healthcare system. It discusses trends in medical negligence claims in the UK, including rising costs that outpace inflation. It also reviews strategies used by Medical Defense Organizations to mitigate risks and the impact of the discount rate change on claims costs. Overall it analyzes factors influencing the litigious medical environment in the UK and efforts to improve patient safety and resolve disputes to curb unnecessary litigation.
Getting the Deal Through: Healthcare Enforcement and Litigation 2019Matheson Law Firm
Healthcare partners Tom Hayes, Rebecca Ryan and Michael Finn provide an overview of healthcare regulations in Ireland in the 2019 edition of Getting the Deal Through: Healthcare Enforcement and Litigation.
A presentation on mastering key management concepts across projects, products, programs, and portfolios. Whether you're an aspiring manager or looking to enhance your skills, this session will provide you with the knowledge and tools to succeed in various management roles. Learn about the distinct lifecycles, methodologies, and essential skillsets needed to thrive in today's dynamic business environment.
The document discusses the future of healthcare and General Health System's strategic plan to transform care delivery. It notes that healthcare spending is rising while community health is not improving. General Health System aims to focus on population health and value-based care through initiatives like a telehealth program, price transparency tools, and expanding access to primary and specialty care across multiple campuses and clinics. The system has received numerous quality awards and aims to continue leading the transition to a more affordable and accessible healthcare model.
This document discusses the judging process for HSJ's Clinical Leaders Innovation Summit. It describes how a long list of nominees was developed through public and internal nominations and then evaluated by a panel of judges with healthcare expertise. The judges sought to identify individuals having the greatest impact on healthcare policy, service transformation, and innovation. It provides brief biographies of the top 5 clinical leaders identified through this process, including their positions and influence within the NHS.
Medibank Managing Director speaks at Amercian Chamber of CommerceLaura Harris
Medibank Managing Director, George Savvides presented at the American Chamber of Commerce in Melbourne about Medibank’s approach to primary care and its integrated care pilots.
The document discusses trends in healthcare design over the past 20 years and a vision for healthcare environments over the next 20 years. It notes a shift towards more decentralized healthcare with mass migration, transient populations, and economic pressures straining integrated solutions. The patient and staff experience is described as mechanistic and fragmented rather than focused on care. The power of design, environment, and good working conditions to improve healthcare is cited as having been lost from the NHS vision. The document advocates for disruptive decentralization, regenerative design, and taking an integrated strategic approach.
The document discusses an investigation by the Health Quality and Complaints Commission (HQCC) into the obstetric care of a woman, Mrs. A, by the Townsville Hospital and Health Service (THHS) which resulted in the stillbirth of her baby. The HQCC found issues with communication between facilities in THHS and multiple failures by registered midwives to follow proper policy and procedures. Specifically, concerns were raised about increased fundal height but no action was taken, and ultrasounds were performed informally without recording results. The Office of the Health Ombudsman found the midwives did not commit serious misconduct but referred them to AHPRA for performance failures. THHS was found to have appropriately addressed the issues
This document summarizes an event about working in Europe and beyond. It includes:
- An agenda for the event with presentations on recruiting in Europe and investing in the UK life sciences sector.
- A discussion on how UK Trade & Investment can help businesses invest and grow in the UK, focusing on the life sciences industry.
- Comments from various speakers on topics like sourcing talent, challenges in recruiting, and ensuring international contractor compliance.
This issue of the UK Practice Matters magazine from March 2016 contains the following articles:
1) A feature on Clinical Risk Self Assessments and how they can help practices improve after a poor CQC report.
2) An article examining different clinical roles that can help practices meet increasing patient demand as primary care changes.
3) A piece from the NASGP Chair on the organization's new online Standardised Practice Induction Pack and how it can improve how practices work.
4) Notices on immunization of healthcare staff, nurse revalidation, and Medical Protection workshops and online learning modules.
The document summarizes the Stafford Hospital scandal in the UK, where poor care and high mortality rates were discovered between 2005-2008. An inquiry found hundreds suffered unnecessary harm and neglect. New administrators proposed dissolving the responsible trust and reorganizing services between two new trusts. This includes closing some units at Stafford Hospital like maternity and pediatrics. Critics argue these patients will face greater burdens. The changes aim to improve safety but some question if they fully address the scandal's underlying issues or just financial pressures across the NHS. The proposals will undergo public consultation before final approval.
This is a powerpoint presentation converted to PDF regarding a consumer perspective on our state health system. Just the basic facts and what we need to still address, even after health reform. Brought to you by Jodiesjourney.com
Smart technology must be at the heart of any gp efficiency drive the inform...Patients Know Best
Smart technology and digital innovations must be embraced by the NHS to help ease the strain on overworked GPs. New technologies allow GPs to collect patient data remotely through apps and help keep patients out of hospitals. Innovative services also help patients better manage long-term conditions through online support groups and health coaching. For GPs to meet increasing demands, the whole NHS must make use of these new digital tools and technologies.
Quality and Safety in Healthcare in an Age of AusterityJammi Nagaraj Rao
The document discusses quality and safety in healthcare amid austerity. It notes that while public health spending in the UK has remained steady since 2009, the percentage of GDP spent on health is low. It also discusses how austerity can lead organizations to focus too narrowly on targets, prioritizing cost containment over quality and access to care. However, the document argues that eliminating low-value practices can actually help maintain quality by freeing up resources. Focusing on high-value care through eliminating unnecessary tests and treatments is akin to decluttering to make more effective use of limited space and resources.
The document discusses patient safety leadership walkrounds, which involve senior hospital leaders meeting with frontline staff to discuss safety issues. Walkrounds were developed in 1999 and aim to demonstrate leadership's commitment to safety while gaining unfiltered feedback. Previous walkrounds in Wales identified concerns about incident reporting forms, transfer information and equipment supplies. The health board plans to provide training and define processes to make future walkrounds more effective in identifying and addressing safety issues.
The future for access to general practice, innovate stage, 2pm, 3 september 2015NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
Key Growth Sectors in the Health Care Services M&A MarketRobert James Cimasi
The document discusses a webcast on key growth sectors in the health care M&A market. It provides an agenda that will discuss trends in hospital, physician groups, managed care, and financing. It then introduces several speakers who will provide perspectives on health care services M&A trends.
Marcus Longley - Is the NHS sustainableangewatkins
Cardiff University Healthy Ageing Conference & Public Lecture
The importance of a healthy lifestyle
A Conference and a Public Lecture
Thursday 30th October 2014
http://medicine.cardiff.ac.uk/event/healthy-ageing-conference-public-lecture/
Dr. Graham Love, CEO, Health Research BoardInvestnet
- Research active hospitals had lower risk-adjusted mortality rates even after adjusting for staffing and structural factors, showing the benefits of clinical research.
- Healthcare is a knowledge industry but expectations are rising faster than resources, requiring smarter use of resources and greater self-learning capacity through research.
- The Health Research Board invests over €200 million between 2010-2014, with the largest areas being disease management, treatment evaluation, and health services research.
- Actions are outlined to speed up hospital approvals for studies, encourage more research via clinical research facilities, and involve research in upcoming health system strategies and multi-site feasibility and full studies.
This document summarizes a presentation on managing clinical risk in the UK healthcare system. It discusses trends in medical negligence claims in the UK, including rising costs that outpace inflation. It also reviews strategies used by Medical Defense Organizations to mitigate risks and the impact of the discount rate change on claims costs. Overall it analyzes factors influencing the litigious medical environment in the UK and efforts to improve patient safety and resolve disputes to curb unnecessary litigation.
Getting the Deal Through: Healthcare Enforcement and Litigation 2019Matheson Law Firm
Healthcare partners Tom Hayes, Rebecca Ryan and Michael Finn provide an overview of healthcare regulations in Ireland in the 2019 edition of Getting the Deal Through: Healthcare Enforcement and Litigation.
Similar to Presentation to BSI on behalf of PCAW (20)
A presentation on mastering key management concepts across projects, products, programs, and portfolios. Whether you're an aspiring manager or looking to enhance your skills, this session will provide you with the knowledge and tools to succeed in various management roles. Learn about the distinct lifecycles, methodologies, and essential skillsets needed to thrive in today's dynamic business environment.
Ganpati Kumar Choudhary Indian Ethos PPT.pptx, The Dilemma of Green Energy Corporation
Green Energy Corporation, a leading renewable energy company, faces a dilemma: balancing profitability and sustainability. Pressure to scale rapidly has led to ethical concerns, as the company's commitment to sustainable practices is tested by the need to satisfy shareholders and maintain a competitive edge.
Impact of Effective Performance Appraisal Systems on Employee Motivation and ...Dr. Nazrul Islam
Healthy economic development requires properly managing the banking industry of any
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their employees. Therefore, Performance appraisal appears to be inevitable since it set the
standard for comparing actual performance to established objectives and recommending practical
solutions that help the organization achieve sustainable growth. Therefore, the purpose of this
research is to determine the effect of performance appraisal on employee motivation and retention.
Colby Hobson: Residential Construction Leader Building a Solid Reputation Thr...dsnow9802
Colby Hobson stands out as a dynamic leader in the residential construction industry. With a solid reputation built on his exceptional communication and presentation skills, Colby has proven himself to be an excellent team player, fostering a collaborative and efficient work environment.
Originally presented at XP2024 Bolzano
While agile has entered the post-mainstream age, possibly losing its mojo along the way, the rise of remote working is dealing a more severe blow than its industrialization.
In this talk we'll have a look to the cumulative effect of the constraints of a remote working environment and of the common countermeasures.
Designing and Sustaining Large-Scale Value-Centered Agile Ecosystems (powered...Alexey Krivitsky
Is Agile dead? It depends on what you mean by 'Agile'. If you mean that the organizations are not getting the promised benefits because they were focusing too much on the team-level agile "ways of working" instead of systemic global improvements -- then we are in agreement. It is a misunderstanding of Agility that led us down a dead-end. At Org Topologies, we see bright sparks -- the signs of the 'second wave of Agile' as we call it. The emphasis is shifting towards both in-team and inter-team collaboration. Away from false dichotomies. Both: team autonomy and shared broad product ownership are required to sustain true result-oriented organizational agility. Org Topologies is a package offering a visual language plus thinking tools required to communicate org development direction and can be used to help design and then sustain org change aiming at higher organizational archetypes.
12 steps to transform your organization into the agile org you deservePierre E. NEIS
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A team is a group of individuals, all working together for a common purpose. This Ppt derives a detail information on team building process and ats type with effective example by Tuckmans Model. it also describes about team issues and effective team work. Unclear Roles and Responsibilities of teams as well as individuals.
1. Presentation by Gary Walker for
A
whistleblowing
case study…
Gary Walker
MBA, DipM, GradDipLaw
Former NHS Trust CEO &
Whistleblower
2. Presentation by Gary Walker for
Career summary
• Member Board Of Trustees, Public Concern at Work
• Director, Modern Leader Ltd
• Chief Executive, United Lincolnshire Hospitals NHS Trust
• Turnaround of finances. clinical safety and targets
• Chief Executive Surrey and Sussex Healthcare NHS Trust
• Turnaround of £36m overspend and failure on all targets
• Chief Operating Officer, Quo Health Ltd
• Director of Service Delivery, Brighton and Sussex University
Hospital
• Turnaround of biggest waiting list manipulation - 2000
patients
• Deputy Director of Clinical Services, Norwich University Hospital
NHS Trust
• Head of Performance, Department of Health
• Performance management of 21 NHS Trusts
Gary Walker, MBA, DipM, GradDipLaw
Former NHS Trust CEO & Whistleblower
3. Presentation by Gary Walker for
2000 to 2006
- 8 CEOs
- £27million
accumulated deficit
- Failed most targets
- Healthcare
commission report on
bullying culture
- Waiting list
manipulation
- Clinical safety issues:
Vascular, Maternity,
A&E, and more…
2006 to 2009
Repaid historical debt
Recurrent balance,
Waiting times halved
Targets such as HAIs
amongst lowest in UK
(yet still missing the
“target”)
Governance systems
replaced
Clinical Safety Issues:
e.g. Vascular rota
saving 50 lives pa
Staffing increased by
400+
United Lincolnshire Hospitals NHS Trust (ULHT)
£320m turnover, 8,000 staff, 3 DGH sites, 3rd worst funded under
Payment by Results, 3rd most rural NHS Acute Trust in England
2009-2013
- Several adverse CQC
reports
- £15m Deficit returns
in 2011
- Targets missed
Reviewed by Sir Bruce
Keogh as part of 14
Trust’s with High
Mortality Rates
- Staffing levels too low
- Highest rate of never
events
- Special measures
Arrive
Forcedout
5. Presentation by Gary Walker for
ULHT A&E Attendances 1 February to 5 April 2009
2500
2700
2900
3100
3300
3500
3700
3900
4100
4300
01/
02
/2009
08/ 02
/2009
15/ 02
/
2009
22/
02
/2009
01/ 03
/2009
08/ 03
/2009
15/ 03
/
2009
22/
03
/2009
29/
03
/2009
05/ 04
/2009
Attendances
6. Presentation by Gary Walker for
“…I tried to explain that we are still in escalation and
the situation with A&E and that we had cancelled
electives this week (32 patients) owing to increased
emergency admissions and was told that if we can't
manage A&E we can't run a hospital!...”
From: Director of Operations (ULHT)
Sent: 18 February 2009 18:43
To: David Bowles; Gary Walker
Subject: Update for Chairman IN CONFIDENCE
Telephone call with SHA CEO Hakin
Importance: High
11. Presentation by Gary Walker for
Extract…
“This type of behaviour threatens patient safety and must be
stopped.
“I make this protected disclosure in the hope that you will be
able to address the issues I raise.
“I assume this Department of Health has a policy on
whistleblowing and would therefore like this letter to be
considered in that context and not freely copied to the SHA or
local PCT”.
13. Presentation by Gary Walker for
After 5 month investigation* costing £70,000,
Gary Walker is sacked on what witnesses later
describe as “fabricated” evidence.
* Throughout this period I had no idea of the charges against me
Transcripts are altered by the NHS to remove
all reference to Protected Disclosures**
**Ongoing police investigation into MIPO
24. Presentation by Gary Walker for
Culture of Cover-ups
£28m and 1000 compromise deals
“There is simply no way of knowing how many of
these special severance payments have been made
across the public sector – or whether the
compromise agreements have been used to ‘gag’
employees. To date neither the Treasury nor
individual departments have monitored this
adequately.”
The Public Accounts Committee
25. Presentation by Gary Walker for
Culture of Cover-ups
£28m and 1000 compromise deals
“We heard evidence of shocking examples of using
taxpayers’ money to ‘pay-off’ individuals who have
flagged up concerns about patient or child safety”
The Public Accounts Committee
26. Presentation by Gary Walker for
Ray Law, 60
Avoidable death 2010
Surgeon’s memo: “death of an
otherwise healthy patient”
3rd prostatectomy on the
operating list
27. Presentation by Gary Walker for
…targets were exerting “enormous pressure”…
”…work with you to identify what additional resources we
need to provide a safe service in the future”
garywalkeruk
One of six incidents including WL manipulation reported in 2010
Inspection didn’t review any incident
Inquest 2014 - Expert said Mr Law “would have survived”
Trust investigated. Did not die because of targets.
Surgeon said: "It was not normal for me to perform three
operations in a day. I haven't done it since.”
Narrative verdict
“Lessons learned”
28. Presentation by Gary Walker for
“We still have too many
patients dying in our
hospitals when their
relatives were expecting
them to come home.”
Sir Bruce Keogh
NHS Medical Director
Channel 4 News
11 September 2013
29. NHS Whistleblower
(sample in public domain)
Role Issues raised Employer Outcome
Tracy Boylin Director (HR) Misconduct / Fraud The Christie Sacked
David Drew Doctor Patient safety Walsall Healthcare Sacked
Kim Holt Doctor Patient safety GOSH Kept job*
Raj Mattu Doctor Patient safety Coventry and Warwickshire Sacked
Edwin Jesudason Doctor Patient safety Alderhey Forced to resign
John Watkinson Chief Executive Patient safety Royal Cornwall Sacked
Jennie Fecitt Nurse Patient safety NHS Manchester Sacked
Gary Walker Chief Executive Patient safety United Lincolnshire Hospitals Sacked
Ramon Niekrash Doctor Patient safety South London Healthcare Kept job***
Helene Donnelly Nurse Patient safety Mid Staffordshire Forced to move job
Narinder Kapur Doctor Patient safety Addenbrookes Sacked
Margaret Haywood Nurse Patient safety Brighton and Sussex Struck Off
Loo Blackburn Nurse Patient safety Oxford GP practice Forced to move Job
Shiban Ahmed Doctor Patient safety Alderhey Kept job****
Steve Bolsin Doctor Patient safety Bristol Royal Infirmary Forced to leave UK
Sharmila Chowdhury Manager Misconduct / Fraud Ealing Hospitals Sacked
Mike Chester Doctor Patient safety Royal Liverpool Sacked
Kate Clarke Administrator Patient safety Dudley Hospitals Sacked
David Ore Security Patient safety Dudley Hospitals Sacked/Redund
* Suspended 4yrs, reinstated, service transferred ** Ongoing – Jeremy Hunt intervened *** Left with £170,000 costs **** Left with £20,000 costs,
suspended twice since, and still suspended on false allegations of mental illness.
30. 24. Refuse to
disclose
documents.
No one cares
about DPA and
FOI
23. Accuse a
whistleblower
of not raising
concerns early
enough
22. Delay as
much as possible
to push up the
legal costs for
the
whistleblower
21. Ignore PAC
and other
inquiries
20. Pretend that
the Public
Interest
Disclosure Act
offers adequate
protection
19. If external
investigation, the
trust can still
organise and pay
for it, recruit
the panel
18. Arrange an
“in house”
investigation.
17. Throw public
money at an
employment
tribunal appeals
(unlimited
budget)
16. Throw public
money at an
employment
tribunal
(unlimited
budget)
15. Make
vexatious
complaints to
a professional
regulatory body
14. Publicly
humiliate the
whistleblower
13. Rely on the
cowardice and
apathy of the
Department of
Health
12. Make friends
with the coroner
to avoid scrutiny
11. Appoint
consultants to
rubbish the
whistleblower’s
claims.
10. Threaten to
sue the
whistleblower
9. Apply to the
Treasury for
public money to
pay off and
gag the
whistleblower
8.Misuse the
code of conduct
for managers
7. Claim it’s an
employment
conflict
6. Allege mental
health issues
(very popular)
5. Threaten
whistleblowers
and the
media with libel
suits
4. Threaten
reprisals
against
colleagues who
support a
whistleblower
3. Repeatedly
ignore, deny or
pretend to
address the
concerns
2. Allege actual
or
invented
misdemeanours
1. Inflict subtle
sanctions beyond
legal protection
31. Presentation by Gary Walker for
Conclusion and what next?
• For the NHS
• Change the “culture of fear”*
• For all organisations
• Adopt the PCAW Commission Code of Practice (Private sector leading the way)
• EVERYONE has a moral and ethical duty to raise concerns about wrongdoing and
safety
• Raise them anonymously if you fear consequences
• Raise them with regulators
• Learn from the employers that welcome concerns being raised
• Whistleblowing is the final option – choose it understanding the consequences
• For Regulators
• Performance manage those you regulate using the Code of Practice
• For the Government
• Strengthen the law
• Enforce the Code of Practice through Tribunals
* DH commissioned in 2007 three American organisations – the Institute of Healthcare Improvement (IHI), the Joint Commission
International (JCI) and Rand Corporation – which were only published in 2010. See also: Health Select Committee report on Patient
Safety, 3 July 2009, and BMJ 2012;345:e8239, Lintern S. NHS chief executives Highlight “climate of fear.” Health Serv J 2012; Published
online 22 November and many more…