Statistical significance and infection prevention
Does outbreak management require big infection numbers large enough to achieve statistical significance to prove interventions worked?
Opposite of prevention in my view
“release us from the trap of letting ignorance trump knowledge”
Very useful part on risks of mould in the hospital setting
“Water ingress may go under-reported and, as such, may be an underestimated source of fungal healthcare-associated infections”
pubmed.ncbi.nlm.nih.gov/33636256/
It’s time the NHS and GMC put in place some decent systems of investigation and listen to patient voices in the process. There are certainly viscous people who see vindictive revenge as normal process.
Externalise all NHS scrutiny and governance.
For the sake of clarity, as lots of people are asking me :
I am not an ICD in NHSGGC
I have not resigned
I am continuing to work as a Consultant Clinical Microbiologist post Scottish Hospitals Inquiry hearings
All my evidence is in the public domain
I stand by it.
That first dip was the worst feeling of anger - the lack of action, the sloppiness to follow up on the immediate learning from the first wave, the hubris , the inane refusal to accept the route of transmission as inhaled.
It wasn’t just the politicians though.
Incredible substance here from @chrischirp.bsky.social. The 2nd wave of COVID-19 in the UK was a) devastating and b) avoidable. Take time to play the clip of Prof Kevin Fong who breaks down when describing the scale of death and its impact on ICU staff.
christinapagel.substack.com/p/the-uk-cov...
The problem with NHS decision making is the question is not “does it work?” but “is it cost effective”
We have got used to knowing what best practice can achieve, but not achieving it because of the playing off of what a £ can do here versus there
Individual benefit weighed against public
HAISCRIBE is based on evidence and experience of how things go wrong from an infection risk point of view throughout every stage of construction.
This is old knowledge.
Why would it not be adhered to ?
Disappointing doesn’t cover it
At what point will the building of hospitals pay heed to the already well established standards and methods of safe construction?
There is determination NOT to learn. A headlong rush to deteriorating standards is not a progressive society
Well done the whistleblower!
“These observations show that AMR is not a crucial driving factor in the prevalence of a lineage in specific patient populations or disease manifestations”
Neonates and E. coli invasive disease. Complexities of pathogen dominance -
It’s not all about antibiotic use, virulence factors illuminate.
Brian Devlin my friend is gone and I am heart broken
I miss his warmth, wisdom, friendship and solid support as I navigated the hideous realities of NHS whistleblowing
He was light and love
Irreplaceable model of ethical living in a messed up world
www.inverness-courier.co.uk/news/nhs-and...
Prevention means stopping the worst happening by paying attention to the prevention measures assiduously www.theguardian.com/australia-ne...
“The duty of candour is one of the fundamental standards below which care should never fall. It did with Laura" - This comment in a letter from the coroner to CQC has sparked a raft of new actions by regulators years after the family first raised concerns.
The place to read all the evidence submitted to the Scottish Hospitals Inquiry about the QEUH and RHC hospital building and #infectionControl is link ed below
(Documents, transcripts and videos of all witness = Public)
The conclusions are awaited and sometime off
There is much food for thought
Very torn up for the families
The most devastating experience of the SHI was witnessing their visceral pain
What politicians don’t seem to grasp is that blanket verbal assurance is not confidence building, nor respectful
Transparent work with evidence is
We need to get there -starting now
Quite the neon fungus on pine stump.
Bright green fronds of moss growing into a circular tree stump
Clump of snowdrops
Moss’s Covered roots of a beech tree
It’s the details that cheer when the big stuff is too much.
We are now facing the largest measles outbreak since the disease was eliminated from the United States over a quarter-century ago.
The science is clear: vaccines are the best way to protect against measles. The NIH Director admits it. Why won’t RFK, Jr.?
Some people touch your life and inspire you and give you hope in a dark place. Jeanne Freeman was one such person. Devastated by her sudden death. She worked for the good of others and we are the poorer for her passing. Deep condolences to those who loved her. www.scotsman.com/news/politic...
A lot of chat about keeping public confidence and the importance of reassurance.
Facts bring real assurance
Fiction brings false assurance
We need to discuss that more
That’s precisely the expertise that needs to be fed into any serious and authentic attempt to move out of the idiotic rut we are in. Perhaps Neil Gray and the Public Services Ombudsman should contact them
Thanks - much needed when all our professional bodies abandon us.
This letter has been on my mind for a long time. So many people reaching out and so many stories from different health boards. Something has to change. It’s not just about the QEUH and infections. That’s been just one symptom of a deeper malaise.
Having whistleblown myself I understand and offer my private support to anyone affected - please anyone affected dm me
It’s not a great look for a healthcare organisation who provides mental healthcare for a third of the Scottish population to have alleged sources slagged off with comments on their mental health to journalists. How may others were told the same ? Utterly despicable. Ps I am likely one target of this
Yeah - the story is important and the problem is very few journalists have followed through over the years with the commitment of Hannah. It’s an untold story in many corners of the press till very recently - very late in the day.
Tell me this isn’t normal treatment of a journalist in the UK? If it is we are so much further down the USA pathway than a rational being can be comfortable with www.dailymail.co.uk/news/article...
People commit suicide when suffering from the after effects of being vilified as a whistleblower/concern raiser.
All the professional bodies and the INWO have an ethical obligation that if they demand speaking up - that they ENSURE safety.
Currently it’s a fail on that ethical obligation.
Emma Harper MSP mentioned in her speech in parliament today that staff with concerns in the NHS should speak up and be listened to.
No doubt intends well, but demonstrates a shallow understanding of the current state of play.
Don’t ask people to speak up until you can PROVE it’s safe to do so.
