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

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,

Star Trek TNG: Series 4 Episode 21 The Drumhead

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.

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,

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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