Spectator - Christmas Crossword -...
Crosswords1 min ago
Child Heart Surgery At Leeds General Hospital To Stop Because Of Poor Outcomes.
Doesn't this show that the medical profession not only has more knowledge but more clout than the judges who decided that child operations should continue?
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There seems to be a trend in England where turning to the courts goes against any perceived wisdom of correct outcomes whether its cases like these or when dealing with Abu Qatada.
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There seems to be a trend in England where turning to the courts goes against any perceived wisdom of correct outcomes whether its cases like these or when dealing with Abu Qatada.
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pdq1.......I am not sure that the Paediatric Cardiac Surgeons had any say in the matter, infact i think that they are opposed to halting operations at LGI.
The mean concern is from "non medical" sources who have to answer why the incidence of deaths are higher than the national average and why more complaints of various nature are emanating from this particular department in LGI.
Quite correct too....in my opinion.
The mean concern is from "non medical" sources who have to answer why the incidence of deaths are higher than the national average and why more complaints of various nature are emanating from this particular department in LGI.
Quite correct too....in my opinion.
Er no
Judges interpret what the Law says
There seems to be a bizarre idea that judges are somehow there to use their own wisdom and hand down decisions entirely on their own assessments and without reference to the Law!
The judges job is to interpret the law not to pander to 'perceived wisdom'
If that were the case we'd just shut up Parliament and start a fascist dictatorship
Judges interpret what the Law says
There seems to be a bizarre idea that judges are somehow there to use their own wisdom and hand down decisions entirely on their own assessments and without reference to the Law!
The judges job is to interpret the law not to pander to 'perceived wisdom'
If that were the case we'd just shut up Parliament and start a fascist dictatorship
"If that were the case we'd just shut up Parliament and start a fascist dictatorship "
what like the one thats trying to rule us now the eussr !?
Court says they cant stop operations etc etc
So hospital decided to have a "safety review" which means ops cant go ahead until review finished, review will last months meanwhile staff will be got rid of etc etc then when review finsihed not enough staff to justify unit so unit stays shut...win win for spitful petty little bureaucrats that run hospital
what like the one thats trying to rule us now the eussr !?
Court says they cant stop operations etc etc
So hospital decided to have a "safety review" which means ops cant go ahead until review finished, review will last months meanwhile staff will be got rid of etc etc then when review finsihed not enough staff to justify unit so unit stays shut...win win for spitful petty little bureaucrats that run hospital
We live in a society that heavily criticises when action is not taken eg care homes, social services etc etc.
In this case action has been taken and.....they are being heavily criticised.
Damned if they do, damned if they don't.
If the death rate is higher than the national average that deserves investigation in my opinion.
In this case action has been taken and.....they are being heavily criticised.
Damned if they do, damned if they don't.
If the death rate is higher than the national average that deserves investigation in my opinion.
\\\If we investigated every hospital with a death rate above the national average we would be investigating half the country in the country every year wouldn't you say?\\\
Er...no.
The average death rate is not linear...it is not a straight single line......the average is calculated between two levels.
Er...no.
The average death rate is not linear...it is not a straight single line......the average is calculated between two levels.
The recent NHS review of paediatric cardiology concluded that we would be far better off with regional centres of excellence. Nationally,there have been lots of rumblings surrounding the mortality rate at Leeds, as well as the Brompton, in London.
This review sparked campaigns at Leeds and a squabble amongst the London Childrens units - but those campaigns focused more on sentiment than the evidence, and local MPs and politicians got involved, as they do.
Based upon those rumblings, based upon the findings of the review, the clinical decision was always that Leeds should close - the judges decision to reverse that finding seems wrong.
We see lots of campaigns to "save our local hospitals", especially in areas like London, but they are often governed by the heart rather than by the head....
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This review sparked campaigns at Leeds and a squabble amongst the London Childrens units - but those campaigns focused more on sentiment than the evidence, and local MPs and politicians got involved, as they do.
Based upon those rumblings, based upon the findings of the review, the clinical decision was always that Leeds should close - the judges decision to reverse that finding seems wrong.
We see lots of campaigns to "save our local hospitals", especially in areas like London, but they are often governed by the heart rather than by the head....
http://
If we investigated every hospital with a death rate above the national average we would be investigating half the country in the country every year wouldn't you say? jake
um no I wouldnt actually
average doesnt mean that half are above and half below
that is median
If you have a data set { 1,2,3,4, 1000)
the average is around 200 and oo look ! Four are below and one above
The statistic that partitions a set into two equal halves is Median
yours pedantically and more accurately....... PP
um no I wouldnt actually
average doesnt mean that half are above and half below
that is median
If you have a data set { 1,2,3,4, 1000)
the average is around 200 and oo look ! Four are below and one above
The statistic that partitions a set into two equal halves is Median
yours pedantically and more accurately....... PP
// Doesn't this show that the medical profession not only has more knowledge but more clout than the judges who decided that child operations should continue? //
Yes. As jake says the judges are there to interpret the law. They know absolutely nothing about how to run hospitals or how to keep children safe.
Yes. As jake says the judges are there to interpret the law. They know absolutely nothing about how to run hospitals or how to keep children safe.
Quite Ludwig thats why the courts should never be brought into it in the first place. Lazygun has hit the nail on the head. We cannot afford to run top specialist hospitals in every town and city and even if we did wouldn't have enough top consultants in this field to operate them.
You could blame the parents for not wishing to travel further afield to get better treatment at these Centres of Excellence. Surely the parent would wish the best for their children and better clinical outcomes but many seem the extra travel is not worth the effort. They should think again.
You could blame the parents for not wishing to travel further afield to get better treatment at these Centres of Excellence. Surely the parent would wish the best for their children and better clinical outcomes but many seem the extra travel is not worth the effort. They should think again.
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well in the interests openness and truth
anyone who thinks Sir Bruce has indulged in a stitch up job on the Hospital can always refer him to the GMC for lack of probity
and it does seem odd that a day after a case to try the issues in the High Court with an independent judiciary,
new information SUDDENLY becomes available from a few of his friends on which he (not independent but employed by people who have an interest in closed hospitals and lower costs) on which he HAS to act
very odd indeed.
and there is no doubt that his actions have eroded confidence in what doctors at the ministry say.
well in the interests openness and truth
anyone who thinks Sir Bruce has indulged in a stitch up job on the Hospital can always refer him to the GMC for lack of probity
and it does seem odd that a day after a case to try the issues in the High Court with an independent judiciary,
new information SUDDENLY becomes available from a few of his friends on which he (not independent but employed by people who have an interest in closed hospitals and lower costs) on which he HAS to act
very odd indeed.
and there is no doubt that his actions have eroded confidence in what doctors at the ministry say.
.
and he is also n the Specialist Register for cardiac surgery
I wonder how many of those he does a year -
specifically what HIS results are.
or has he revalidated (periodic MOT test for doctors) in cardiac surgery by reason of pushing papers around a desk for a few years, closing hospitals, and taking calls from his pals ? Surely surely not
so I am saying he is on the specialist register because he doesnt operate very often whereas some of his colleagues are off the medical register because they do (and have bad results)
The whole point of revalidation (periodic MOT test for doctors) is that if they have revalidated you can be sure they are up to speed in their specialty................so what about all those knighted pen pushers at the ministry, do they revalidate in their home speciality [President of the GMC is revalidated in General Internal Medicine - I bet you see him on the ward a lot especially at week ends) or is there revaiidation entry ( = periodic MOT for doctors) 'red hot at pen pushing' ?
such is the future.
and he is also n the Specialist Register for cardiac surgery
I wonder how many of those he does a year -
specifically what HIS results are.
or has he revalidated (periodic MOT test for doctors) in cardiac surgery by reason of pushing papers around a desk for a few years, closing hospitals, and taking calls from his pals ? Surely surely not
so I am saying he is on the specialist register because he doesnt operate very often whereas some of his colleagues are off the medical register because they do (and have bad results)
The whole point of revalidation (periodic MOT test for doctors) is that if they have revalidated you can be sure they are up to speed in their specialty................so what about all those knighted pen pushers at the ministry, do they revalidate in their home speciality [President of the GMC is revalidated in General Internal Medicine - I bet you see him on the ward a lot especially at week ends) or is there revaiidation entry ( = periodic MOT for doctors) 'red hot at pen pushing' ?
such is the future.
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