Letters Mid Staffs inquiry

Put doctors and nurses back at the heart of decision making

BMJ 2013; 346 doi: https://doi.org/10.1136/bmj.f1364 (Published 05 March 2013) Cite this as: BMJ 2013;346:f1364
  1. J S Bamrah, consultant psychiatrist1
  1. 1North Manchester General Hospital, Manchester M8 5RB, UK
  1. jsbamrah@aol.com

Events at Mid Staffs show that the time has come to re-evaluate how hospitals function, and to ensure that doctors and nurses are at the heart of decision making.1 This change of culture will require better education and training, instilling professional pride, establishing a code of conduct for senior managers that enshrines the Declaration of Geneva (which states “The health of my patient will be my first consideration”), and ensuring complete transparency in hospital and community statistics. The NHS may not be a bottomless pit, but we cannot let financial cuts dictate the level of care that we give hospital inpatients, many of whom are so sick that they are entirely dependent on the staff for simple basic needs. Unless we re-establish care and compassion as our guiding principles the public will never regain its faith in the NHS.


Cite this as: BMJ 2013;346:f1364


  • Competing interests: The views expressed are my own and not of any external organisation I work with.


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