Councillors pause £129.9m pooled budget with the Wirral CCG for further scrutiny

Councillors pause £129.9m pooled budget with the Wirral CCG for further scrutiny

Councillors pause £129.9m pooled budget with the Wirral CCG for further scrutiny

                                                

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The Wirral CCG is now stuck on the paddle wheel of Wirral Council politics (a rather apt metaphor)

Adult Care and Health Overview and Scrutiny Committee (Wirral Council) 28th November 2018 Councillors vote for further scrutiny on pooled budgets
Adult Care and Health Overview and Scrutiny Committee (Wirral Council) 28th November 2018 Councillors vote for further scrutiny on pooled budgets

However hard they tried, however much help they had from Wirral Council’s Director of Adult Social Services Graham Hodkinson and Cabinet Member Cllr Chris Jones Wirral CCG found themselves unable to move forward in the paddle wheel of Wirral Council politics.
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Why are people trying to silence doctors on the subject of patient safety?

Why are people trying to silence doctors on the subject of patient safety?

Why are people trying to silence doctors on the subject of patient safety?

                                    

Dr Mantgani talking to the Adult Care and Health Overview and Scrutiny Committee (Wirral Council) 12th November 2018 about the Urgent Care Review consultation
Dr Mantgani (centre, foreground) talking to the Adult Care and Health Overview and Scrutiny Committee (Wirral Council) 12th November 2018 about the Walk In Centres and Minor Injuries Units closure consultation

I’ll start this blog post today unusually with a quote from a Star Trek: The Next Generation episode, uttered by Patrick Stewart playing Captain Jean-Luc Picard,

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Star Trek TNG: Series 4 Episode 21 The Drumhead

“With the first link, the chain is forged, the first speech censured, the first thought forbidden, the first freedom denied, chains us all irrevocably. Those words were uttered by Judge Aaron Satie, as wisdom and warning.”
 

Those are words which will resonate with many whistleblowers and indeed last week I wrote not just one but two pieces about an ongoing Employment Tribunal about a doctor who blew the whistle on patient safety and was told she was not allowed to speak.

On Tuesday, councillors on Wirral Council’s Adult Care and Health Overview and Scrutiny Committee are reviewing a decision by the Joint Strategic Commissioning Board (a joint committee of Wirral Council and Wirral Clinical Commissioning Group) to pool budgets of Wirral Council and the Wirral Clinical Commissioning Group.

It would be fair to say that following the Wirral Clinical Commissioning Group’s decision to ignore the recommendation of the majority of councillors on the Adult Care and Health Overview and Scrutiny Committee to end the Walk-In Centre Closure consultation that relationships between Wirral Council and the Wirral Clinical Commissioning Group are somewhat strained.

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Adult Care and Health Overview and Scrutiny Committee (Wirral Council) 12th November 2018 Pt 16 of 19

Going back to what I started this piece about on the subject of raising concerns about patient safety. At a recent well attended public meeting Dr Mantgani during the meeting who was also raising concerns about patient safety was also told to keep quiet. Dr Mantgani was the Wirral CCG’s former Chief Clinical Officer but left in 2014 receiving £56,000 in lieu of six months notice. A Capability and Governance Review carried out by John Bewick OBE and published in August 2014 following concerns raised with NHS England recommended external intervention in how the Wirral CCG was run including in the delivery of accident and emergency and urgent care.

Responding to the points raised in this article, Dr Mantgani wrote,

“The payment I received was in lieu of notice which I was entitled. The Bewick review exonerated me of any wrong doing and recognised that I made every effort to address issues but was unable to succeed due to breakdown in personal relationship with the [former] hospital CEO and differences in how to address the problems with the then Chair of CCG Dr Phil Jennings.

The fundamental issue was that I was reluctant to divert all resources to keep a failing hospital propped up at the cost of community services which is what Dr Jennings wanted to do.

Four years on, the issues are the same.”

 

NHS England recently in August 2018 used its formal legal powers of “directions” to Wirral Clinical Commissioning Group. Directions can only be issued if NHS England is satisfied that (a) a clinical commissioning group is failing or has failed to discharge any of its functions, or (b) there is a significant risk that a clinical commissioning group will fail to do so.

Controversial proposed changes in the NHS made for mainly financial reasons have been opposed by protest groups such as Defend Our NHS.

The problems faced by Wirral Clinical Commissioning Group over governance have been well documented over the years by the local media, but now with national intervention and a deterioration in its relationship with local councillors after their recommendation was rebuffed, political matters will reach a stage where the individuals involved will have to consider whether creative leadership is required to find a way through or whether the best option is to leave it to other individuals.

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Election Result (Wirral Council, 2018 By-election): Upton: Labour hold (Jean Robinson)

Election Result (Wirral Council, 2018 By-election): Upton: Labour hold (Jean Robinson)

Election Result (Wirral Council, 2018 By-election): Upton: Labour hold (Jean Robinson)

                           

Ballot Box
Ballot Box by NAS, CC-BY 3.0

Below are the results of the by-election in Upton ward in November 2018 of the election of a councillor to Wirral Council following the resignation of Matthew Patrick in October 2018. As the winner of the election was elected in a by-election, Jean Robinson serves the remainder of Matthew Patrick’s term of office and was elected as a councillor for a term of office that ends in May 2020.
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Employment Tribunal heard what happened when whistleblowing concerns were raised by doctors about patient safety at Alder Hey Children’s Hospital

Employment Tribunal heard what happened when whistleblowing concerns were raised by doctors about patient safety at Alder Hey Children’s Hospital

Employment Tribunal heard what happened when whistleblowing concerns were raised by doctors about patient safety at Alder Hey Children’s Hospital

                                  

Liverpool Civil & Family Court, Vernon Street, Liverpool, L2 2BX (the venue for Employment Tribunal case 2420922/2017)
Liverpool Civil & Family Court, Vernon Street, Liverpool, L2 2BX (the venue for Employment Tribunal case 2420922/2017)

This continues from Employment Tribunal hears whistleblowing concerns about patient safety at Alder Hey Children’s Hospital.


It was put to Dr Ryan that she had confused the chronology and she was asked if it was possible that the meeting at which Dr McDaid and another doctor had sought to persuade her about the changes at which they’d provided a presentation was after the email, a few days after on the 25th January or the 27th January? Dr Ryan answered that she didn’t remember meeting them as a separate group if indeed such a meeting took place.
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Employment Tribunal hears whistleblowing concerns about patient safety at Alder Hey Children’s Hospital

Employment Tribunal hears whistleblowing concerns about patient safety at Alder Hey Children’s Hospital

Employment Tribunal hears whistleblowing concerns about patient safety at Alder Hey Children’s Hospital

                                  

Liverpool Civil & Family Court, Vernon Street, Liverpool, L2 2BX (the venue for Employment Tribunal case 2420922/2017)
Liverpool Civil & Family Court, Vernon Street, Liverpool, L2 2BX (the venue for Employment Tribunal case 2420922/2017)

In the report below on an Employment Tribunal hearing, Dr S McDaid is the Claimant, Alder Hey Children’s NHS Foundation Trust is the Respondent. Employment Judge Ryan plus Tribunal Members Barker and Khan were hearing the case. The case involves both allegations about disability discrimination and also about what happened to Dr McDaid after whistleblowing.

Below is a short report on the start of day 7 (20th November 2018) of a 14 day case which started shortly after 10.00 am.


Employment Judge Ryan asked if there was anything parties wanted to mention, and said that he planned to take a break at around 11.00 am to 11.30 am unless someone gave him a signal it was needed sooner.

He briefly talked about a series of events that had previously happened when doors had opened during a fire drill, which also involved an engineer on the air conditioning and how it was no fault on the person’s part that such an extraordinary sequence of events had happened.

One legal professional quipped that it wouldn’t have been believed in the Coroner’s Court.
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