Doctors In Unite (Medical Practitioners’ Union)
Annual Conference 2018
Doctors In Unite Annual Conference took place recently and we were pleased to have speakers including:
- Professor Neena Modi (President of Royal College of Paediatrics & Child health)
- Dr Gurjinder Singh Sandhu, A&E doctor and speaker for Centre for Health & the Public Interest
- Karen Lee MP (Lincoln)
We discussed the current extreme pressures in the NHS and ongoing government underfunding of public services and austerity driven politics. Doctors in Unite will continue to speak out and defend our NHS.
The MPU exists to provide professional, clinical and employment support for qualified doctors and medical students.
Its range of professional services, as well as the massive financial, legal and industrial backup of its parent trade union Unite, are unique and provides the representation and influence in the workplace that YOU need.
MPU's aim is to provide representation for Doctors at all levels - local, regional and national - to ensure that the voice of the profession is heard.
Statement from Doctors in Unite over the Dr Bawa-Garba case
The recent High Court decision on the case of Dr Bawa-Garba has caused us great concern. We deeply regret the tragic death of Jack Adcock in 2011, and any distress that may be caused by our comments. We have the utmost respect for Jack’s family and our sympathies are with them. We believe however, that the issues raised are of grave importance to the future of the medical profession in the UK and must be addressed. The actions of our regulator, the GMC, has set back the gains made in patient safety by 10 years.
Jack’s death was the result of multiple failings. There were many issues that compromised his care, care which fell well short of the standards that any patient should expect. Multiple shortcomings were identified by the University Hospitals of Leicester internal report in to the events of that day, which made 23 recommendations and led to 79 actions by the trust. The situation in which Dr Bawa-Garba was put was hugely challenging; returning from maternity leave, without proper induction, while covering for several absent colleagues, without proper senior supervision. The care she provided that day was inadequate, but she was under severe pressure in a hospital with inadequate staffing and faulty equipment. Following the event, she took responsibility for her actions, reflected upon them and engaged with the subsequent investigation and supervision.
We believe that her original conviction of gross negligence manslaughter was wrong, a guilty verdict requires a jury to find a defendant’s actions to be ‘truly exceptionally bad’. This statement is difficult to reconcile with her actions as they occurred in context, however contextual and mitigating evidence was not heard in court.
The Medical Practitioners Tribunal Service took appropriate account of these circumstances when it concluded that Dr Bawa-Garba should be suspended from the medical register, and that a further hearing should determine whether she is able to return in the future once her period of suspension was complete. This carefully reasoned, and clearly articulated decision was deemed unsatisfactory by the GMC. The GMC chose to pursue an appeal to the High Court, which was successful and Dr Bawa-Garba has now been removed from the register.
We contend this decision was the wrong one, that the sanction benefits no one, and ends the career of an otherwise competent doctor who presents no further risk to the public - apparently to satisfy a demand for blame and punishment.
The criminalisation of medical error is a dangerous precedent and we believe will be directly harmful to improving patient safety. An individual who is reckless, or wilfully negligent should be pursued with the full force of law, but errors of judgement, particularly where there are mitigating circumstances should not generally be pursued through the courts. Honest and open discussion of errors is essential to building a culture of safety. A system where people are afraid to admit mistakes due to potential personal consequences is the antithesis of what we need. If personal reflection can be used as evidence of criminal responsibility, how will we engage the professional in critical reflective practice?
The message that the courts and the GMC have sent to doctors is that if a patient you are responsible for, suffers harm, then you may be held criminally responsible, and the context may not be considered. This is a very frightening message for all of us working at the front line of the NHS, we are struggling to perform to the best of our ability in a system under enormous pressure, with insufficient staffing and resources. We will inevitably make errors, and unfortunately some of those errors will cause harm. As in the airline industry the best way to minimise harm is to not to blame individuals but to learn from errors, identifying the issues that allowed them to occur. Blaming individuals for systemic failures is counterproductive. We have made great progress in recent years in the NHS on safety culture, but we still have long way to go and these rulings are corrosive to the culture of learning and support that we must encourage.
These rulings are also deeply damaging to the doctor’s trust in the institutions which regulate them. The GMC must have the confidence of the profession. We urge the GMC, the Secretary of State for Health and Social Care and Health Education England to urgently review the decisions made around the use of personal reflection and the processes around investigation, and suspension or removal from the register.
The fundamental principles that need challenging are the use of criminal law to prosecute doctors who make genuine mistakes and the GMC ignoring the context in which doctors are working that have created the conditions for those mistakes. The GMC must take issues such as lack of staff, fatigue and under resourced services into account when determining whether to appeal the outcome of MPTS tribunals. We need to get a change in the law and the GMC.
These are difficult times in the NHS and the energy and commitment of doctors is enormous but not inexhaustible. We must have faith that the institutions which govern us are reasonable and just. We urge all bodies who represent the profession to consider how they will respond to this challenge.
Dr David Wrigley
Chair, Doctors in Unite
GP, Carnforth, Lancashire
MPU Conference, Saturday 17 October 2015, London
MPU statement on aftermath of Grenfell
In the aftermath of the Grenfell disaster Doctors in Unite wishes to send our thoughts to those affected and bereaved. It is quite clear to us that our front line public services played a key part in dealing with this disaster. We have significant concerns over cuts to public services such as police, fire and ambulance services which leads to staff stretched to the limit and safety being compromised. The ongoing outsourcing of services to private providers leads to a lack of accountability and proper regulation and monitoring. A failure to preserve healthy, safe environments where people live can have catastrophic consequences.
There appears to have been a major failure by this government and Conservative led local authority in mounting an effective response to this disaster and it was left to volunteers and charities to pick up the pieces. There will be a need for mental health services to input into the aftercare for those affected and we have major concerns about this given the savage cuts we have seen to NHS mental health services in the past 7 years.
Major lessons need to be learnt, the government needs to act quickly and by ending austerity invest properly in our public and emergency services.
BMA ARM Conference 2017
Members of Doctors in Unite (the Medical Practitioners' Union) work within the structures of the BMA under an agreement with the BMA dating back to 1950.
Our members had a successful time at the BMA Annual Representative Meeting in Bournemouth in June.
Doctors in Unite Deputy Chair Coral Jones successfully moved a motion calling for decriminalisation of abortion. MPU President David Wrigley persuaded the meeting to oppose charges for general practice appointments and for missed appointments. Our DiU Vice President Steve Watkins obtained a policy decision supporting social care free at the time of use, financed out of general taxation and provided as part of the health service.
Longstanding UNITE member Fay Wilson made a powerful speech in favour of a better gender balance on the BMA Council and persuaded the ARM to impose electoral constraints to achieve this.
40 conference delegates were photographed in a declaration of solidarity with UNITE members in dispute at Bart's