{"id":548,"date":"2018-07-31T18:14:00","date_gmt":"2018-07-31T17:14:00","guid":{"rendered":"https:\/\/dauk.org\/2018-7-31-dauk-speaks-to-gponline-about-the-bawa-garba-appeal\/"},"modified":"2018-07-31T18:14:00","modified_gmt":"2018-07-31T17:14:00","slug":"2018-7-31-dauk-speaks-to-gponline-about-the-bawa-garba-appeal","status":"publish","type":"post","link":"https:\/\/dauk.org\/2018-7-31-dauk-speaks-to-gponline-about-the-bawa-garba-appeal\/","title":{"rendered":"DAUK speaks to GP Online about the Bawa-Garba appeal"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Speaking to <em>GPonline <\/em>Dr Samantha Batt-Rawden, chair of new campaigning and lobbying organisation The Doctors\u2019 Association UK, and a registrar in emergency and intensive care medicine, described the atmosphere as \u2018one of disbelief\u2019.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2018For those of us observing it\u2019s still hard to believe that we have got to the stage where an otherwise dedicated and hard working doctor has been criminally prosecuted and taken to court by the GMC for what were essentially honest mistakes [made when] working under pressure,\u2019 she said.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Dr Bawa-Garba is appealing a decision made in January by two High Court judges that she should be erased from the medical register rather than receive the year&#8217;s suspension that had previously been imposed by the Medical Practitioners Tribunal Service (MPTS).<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">&#8216;Systemic failings&#8217;<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Their ruling followed a successful appeal by the GMC, which argued that suspension was \u2018not sufficient\u2019 to protect the public or maintain public confidence in the medical profession.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">On Wednesday, the opening day of the appeal, Dr Bawa-Garba\u2019s counsel James Laddie QC said there was particular <a href=\"http:\/\/www.gponline.com\/bawa-garba-lawyers-set-arguments-appeal-lightning-rod-court-case\/article\/1488854\">concern in the medical profession over the court\u2019s decision to disregard \u2018systemic failings\u2019<\/a> which contributed to the environment in which Dr Bawa-Garba came to make the mistakes leading to the death of six-year-old Jack Adcock in 2011.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Dr Batt-Rawden, who sat in court during the appeal\u2019s opening yesterday, said: \u2018Particularly concerning to all of us has been the GMC\u2019s line of argument. To an observer, it seems the crux of their argument is that system failures were not relevant in Hadiza\u2019s case, and should not have been taken into account by the MPTS when determining her level of culpability and her sanction.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2018This has huge ramifications for the medical profession and for patient safety. We are all working in an immensely pressured system, with widespread staffing issues and rota gaps. Hadiza\u2019s story of doing the jobs of several doctors at once, across multiple wards and multiple floors, with a failing IT system, in the absence of senior colleagues or indeed a consultant is sadly increasingly common.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2018Before this case I don\u2019t think any doctors thought that mistakes made whilst simply trying their best under such pressured circumstances would ever lead to a criminal conviction, or erasure from the register. Now, all of us are feeling vulnerable.\u2019<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In written argument before the court, Ivan Hare QC for the GMC said the appeal should be dismissed because the High Court was correct to decide that the MPTS failed to apply the relevant rule of the GMC (Fitness to Practise) Rules Order of Council 2004 and undermined the rationale for making criminal convictions conclusive evidence of the offence committed in disciplinary cases.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In response to Dr Bawa-Garba\u2019s case, The Doctors&#8217; Association UK has launched a new campaign \u2018Learn not Blame\u2019.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8216;We must move away from a culture of blame and fear, to one of learning,&#8217; Dr Batt-Rawden said. \u2018We repeatedly fail to learn from scandals such as Mid-Staffs and Gosport and the NHS urgently needs a safe space to enable staff to speak up about patient safety issues.\u2019<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">She added that there are \u2018no winners\u2019 in a culture which seeks to blame one individual for medical error whilst failing to address wider system failures.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2018Our ongoing campaign seeks to empower doctors to be part of a transformational change process working towards a shift from a culture of blame, to one of learning.&#8217;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">She concluded: \u2018An unsuccessful appeal today would do further damage to a profession whose morale is already at rock bottom, and signals a further move away from the open, transparent NHS that we all want to see.\u2019<\/p>\n","protected":false},"excerpt":{"rendered":"<p>DAUK Chair Dr Samantha Batt-Rawden, who sat in court during the Dr Hadiza Bawa-Garba appeal tells GPonline: \u2018Particularly concerning to all of us has been the GMC\u2019s line of argument. To an observer, it seems the crux of their argument is that system failures were not relevant in Hadiza\u2019s case, and should not have been taken into account by the MPTS when determining her level of culpability and her sanction.\u2019<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[92],"tags":[80,266,38,54,116,222,55,223,252,83,214,267,49,268,262,263,264,132,269,257,42],"class_list":["post-548","post","type-post","status-publish","format-standard","hentry","category-learn-not-blame","tag-bawa-garba","tag-chair","tag-dauk","tag-dr-samantha-batt-rawden","tag-gmc","tag-gmc-review","tag-gp-online","tag-gross-negligence-manslaughter","tag-hadiza","tag-hadiza-bawa-garba","tag-just-culture","tag-law","tag-learn-not-blame","tag-manslaughter","tag-medical-error","tag-medical-law","tag-negligence","tag-nhs","tag-no-blame-culture","tag-patient-safety","tag-the-doctors-association-uk"],"_links":{"self":[{"href":"https:\/\/dauk.org\/wp-json\/wp\/v2\/posts\/548","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dauk.org\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dauk.org\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dauk.org\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dauk.org\/wp-json\/wp\/v2\/comments?post=548"}],"version-history":[{"count":0,"href":"https:\/\/dauk.org\/wp-json\/wp\/v2\/posts\/548\/revisions"}],"wp:attachment":[{"href":"https:\/\/dauk.org\/wp-json\/wp\/v2\/media?parent=548"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dauk.org\/wp-json\/wp\/v2\/categories?post=548"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dauk.org\/wp-json\/wp\/v2\/tags?post=548"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}