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David Oliver: Deflecting blame for the NHS crisis

BMJ 2017; 356 doi: https://doi.org/10.1136/bmj.j1026 (Published 28 February 2017) Cite this as: BMJ 2017;356:j1026

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Re: David Oliver: Deflecting blame for the NHS crisis

“As before,[6] Hunt proclaimed his “passionate commitment” to patient safety”

[6] ?Boseley S, Campbell D. Jeremy Hunt on the NHS: “This decade needs to see the quality revolution.” Guardian 15 Feb 2016. https://www.theguardian.com/politics/2016/feb/15/jeremy-hunt-on-the-nhs-....

The NHS seems to have no credible safety policy yet reports suggest that medical error including deaths due to drugs properly prescribed and properly used. [Starbridge B JAMA, July 26, 2000—Vol 284, No. 4
http://www.ncbi.nlm.nih.gov/pubmed/?term=JAMA+2000+284%2C+4+483]
750 avoidable deaths a month in NHS hospitals, study finds
https://www.theguardian.com/society/2015/jul/14/avoidable-deaths-nhs-hos...

The FDA admits that “medical error” is the third largest cause of death in the US.

To quote the head of risk management of an international airline: “If we had the safety culture of a hospital, we would crash two planes a day.”( Gigerenzer, Gerd. Risk Savvy: How To Make Good Decisions (p. 51) Kindle Edition.

At last the media is noticing these failures including failures in advice and therapy as in:
http://observer.com/2017/02/health-recommendations-wrong-saturated-fat-s...
and
http://www.newyorker.com/magazine/2015/05/11/overkill-atul-gawande
and
http://www.nytimes.com/2016/09/13/well/eat/how-the-sugar-industry-shifte... And http://www.dailymail.co.uk/health/article-3785753/How-sugar-industry-pai...

But what happens? Nothing; no safety policy; no admission of failure of policies and therapies. Surely the blame lies fairly and squarely with the administration of both the DoH and NHS.

These problems are not due to the hard working medical staff in practices and hospitals.

Competing interests: No competing interests

28 February 2017
Michael J. Hope Cawdery
Retired Veterinary Researcher
None
42 Upper Ramone Park Portadown BT63 5TD