Intended for healthcare professionals

Editor's Choice

End the culture of fear in healthcare

BMJ 2018; 363 doi: (Published 25 October 2018) Cite this as: BMJ 2018;363:k4467

Re: End the culture of fear in healthcare

This is a typical irrelevant and damaging response to a medical disaster. We don’t need to dismantle medical structures of hierarchy that have worked well, arguably far better than today’s down-levelling politics for decades. Look at the end result of the political response to Shipman: No GP is now properly equipped to deal with emergencies. Fewer than 10% carry effective pain relief. (Lecture notes in Good Practice 2018) We need doctors that do their job well and ethically and colleagues and administrators who review the outcomes of the unit regularly. Not the patient unfriendly and damaging democratisation of knocking doctors off pedestals.

We have had Appraisal for over a decade. Isn’t that supposed to detect and prevent such awful behaviour?


Competing interests: No competing interests

29 October 2018
Dr C J Heath
GP and Author
W Sussex