Lessons from the Frontline: is Healthcare delivery at it’s tipping point Jan03

Lessons from the Frontline: is Healthcare delivery at it’s tipping point...

Dr Hadiza Bawa-Garba: This doctor could be any one of us; what happened to her could very well happen to us…. A child with an innocuous presentation to the emergency room, a trainee immigrant doctor just back from a long break, an absent senior consultant due to a miscalculation, the hospital IT systems having a coincidental break down- recipe for the perfect storm. It left many victims in its wake- the immediate ones being the six-year-old patient and his grieving parents. As the responsibility was being attributed, the system found its visible scapegoat-the immediate treating team of the young doctor and nurses. It took a protracted legal exercise and support of various physician organisations to eventually have the young doctor, incidentally herself a mother, reinstated to her job. You can read the full text to get the story as it unfolded from the perspective of the parents and the treating doctor. We would do well to emulate such balanced reporting. Also to get a sense of empathy from the medical community for the embattled doctor, do read Rachel Clarke’s opinion piece in the British Medical Journal. Perhaps for some sort of justice, Dr.Hadiza Bawa won the right to practice again as reported in August 2018 Though this happened in one of the NHS trust hospitals, this could as easily have happened in any other system. For us it is an opportunity to introspect on some of the telling points; how we assign some of our least experienced doctors at the front line to handle some of our undesirable work, is the system equipped to deliver the very quality it so strongly espouses, how do we draw that line between a wrong call and wilful negligence, do we or can we even factor in the intangibles in...