Tag Archives: inspection

You don’t increase the weight of a pig by weighing it

 Too much scrutiny is bad for general practice BMJ2016; 353 doi: http://dx.doi.org/10.1136/bmj.i2151(Published 19 April 2016) Cite this as: BMJ 2016;353:i2151 The UK is almost alone in Europe with its micromanagement of primary care Mary McCarthy, GP, Shrewsbury, mary.mccarthy@nhs.net In Ireland there’s a … Continue reading

Posted in Bureaucracy, Management, NHS, Politics | Tagged , , , , | Leave a comment

GP leaders unite in calling for inspections of surgeries to be suspended

GP leaders unite in calling for inspections of surgeries to be suspended BMJ 2015; 350 doi: http://dx.doi.org/10.1136/bmj.h3438(Published 23 June 2015) Cite this as: 2015;350:h3438  Zosia Kmietowicz The BMA and the Royal College of General Practitioners have both called for the current inspection … Continue reading

Posted in Bureaucracy, Medicine, NHS | Tagged , , | Leave a comment

Clinical futile cycles

From a background in Australian intensive care medicine, Buist and Middleton have written critically of the rise and expense of the quality industry: “In 2007, I [MB] published a theoretical construct of adverse events called “clinical futile cycles” to challenge the … Continue reading

Posted in Bureaucracy, Medicine, NHS, Practical problems | Tagged , , , , , , | Leave a comment

Care Quality Commission: Destroy the evidence and sue

Read how the expensive inspectors employed to assure the quality of health care behave when their deadly inadequacy and corruption is exposed: New CQC chief threatened to sue after we exposed failings The new head of the Care Quality Commission … Continue reading

Posted in Bureaucracy, Cartel, Law, Management, Medicine, NHS, Politics | Tagged , , , , | Leave a comment

Handwashing – variation not compliance

With ISO accreditation, procedures are perfectly as described 100% of the time.  There are records to prove it.  The records are audited and inspected.  Even when things don’t go to plan there are more records of the anomalies. Here is a … Continue reading

Posted in Laboratory medicine, Medicine, Practical problems | Tagged , , , , , | 1 Comment

14 new management equations based on Deming, John Seddon and Dan Pink

Systemsthinkingforgirls advises the mathematically inclined: 14 new management equations based on Deming, John Seddon and Dan Pink Purpose + autonomy + mastery =motivation Reports + managers = reports + managers Priority + priority + priority x themes/departments = sub-optimization Opinions + … Continue reading

Posted in Bureaucracy, Laboratory medicine, Management, Medicine, NHS | Tagged , , , , , , , , , , , , , | Leave a comment

Safety theatre

Safety theatre.  I wouldn’t happen with an ISO management system.  (Health and safety is outside their remit and not included.)

Posted in Bureaucracy, Practical problems | Tagged , , | Leave a comment

Regulatory inspection fails. Warning fails also.

Inspection is being sold as “confidence”.  The latest breast implant scandal, involving those made by the French firm Poly Implants Protheses (PIP), reveals that neither regulation nor warnings from medical experts stopped the use of substandard materials in time.  To be … Continue reading

Posted in Cartel, Medicine, NHS, Practical problems | Tagged , , , , , , , | Leave a comment

Harm is inevitable

When the inspectors come, one of their stock phrases is that the inspection is “just a sampling exercise” and cannot assure that absolutely everything is correct.  I never thought otherwise, though probably some do.  The disclaimer is important to their … Continue reading

Posted in Laboratory medicine, Medicine, NHS | Tagged , , , , , | Leave a comment

Boy unable to wear blazer due to broken arm kicked out of class during Ofsted inspection ‘for not wearing correct uniform’

Inspections promote paranoia and over-reaction unless they are conducted with some pragmatism.  This is arguably impossible for inspections checking compliance with immutable rules.  It is the fault of the ISO system, although potentially it may be moderated by a sensible inspector.  A … Continue reading

Posted in Bureaucracy, Education, Practical problems | Tagged | Leave a comment