When I first heard about Lucy Letby's case, I had no reason to doubt the allegations against her. I began following the case because, as a neonatologist with a further interest in risk management and patient safety, I felt I needed to understand how it could possibly happen that

😢😢 @FionaWinserRamm I hope you don’t mind me sharing this with you. I’ve dealt with my fair share of journalists over the past 18 months and honestly, only a handful have shown both compassion and professionalism. The strategy I now have with journalists is that when I

I’m sure any time now a statement will come out to say that someone believed they were acting in good faith - assuming this is what @FionaWinserRamm would have wanted or that it’s what would be best for her. 🙄🙄🙄 But paternalism is not kindness - it’s entitlement. It’s the

Further to the news form today about Baroness Amos being “shocked at the scale of unacceptable NHS maternity care”, what would a wise leader do to fix this mess moving forward? In my view they would: 1. Stop cutting people slack - if you see a problem - don’t walk past.

Very interesting. I’m curious to see how MOSS will work in real life. Will the governance around it actually make doing things properly easier than gaming the system? Because the reality is that any system can be gamed - but the question is whether the effort it takes to game it

I am not sure what evidential basis Lucy Letby’s childhood friend relies upon beyond personal connection, but speaking as an instructed medical expert in this case who has examined the available DATIX reports, internal consultant correspondence, as well as the babies’ medical

And here we go again - an argument about “normality” that hinges on an either ignorant or deliberate mix up of “normal” with “safe.” Because yes - childbirth without medical assistance is perfectly normal. It’s also - rather inconveniently well evidence based both historically

I’m struggling to understand this. Is the article essentially arguing in favour of having juries, while using an example where the jury reached the wrong verdict because the judge misdirected them? So we end up with a wrong outcome either way, but now the judge can deflect

The “midwives vs medics” rhetoric is harmful to women and babies. We need collaboration to replace competition and mutual respect to replace territorialism. Patient safety and family integrated care go hand in hand - they are not opposites. Of course holistic, compassionate

I believe eliminating juries is ultimately the right decision as I have commented previously - BUT only after establishing real accountability for judges. On that note, it may be rather ironically entertaining to imagine judges being held accountable by a jury composed of

We don’t need a jury - potentially comprised of uneducated, unintelligent, or biased individuals - to protect us from intelligent but corrupt and/or incompetent judges. What we need are real consequences for judges who act improperly. We also need high-quality investigative

Countess of Chester - the home of the R v Letby MoJ - making headlines yet again. This article suggests they accused a porter of sexually assaulting deceased patients after he flagged up serious issues with internal procedures and PPE. If they have evidence that this porter

So excited to see the results of the COVID inquiry. Such a bargain at only £200 million. My favourite part is the bit where it reached conclusions that any intelligent, well-briefed group could have produced in a month. I think there is a possibility that the people who run this

@ValidateYaModel Whilst I would encourage everyone to stand up for what they believe in, my personal and professional opinion is that I fall firmly on the side of abolishing the jury system. I say this having explored the issue extensively and reflected on it for a long time, including

Wow, this is huge news. I respectfully disagree with the view that it’s negative. The theatrical courtroom performances in front of the jury during the Letby case contributed to a miscarriage of justice, further fueled by hysteria whipped up by sensationalist, low-quality

Mickey Mouse science + widespread institutional idiocracy + magical thinking = MoJ. Good dissection of the root cause of MoJs. The evidence shows that the witch trials never died - they just got a corporate rebrand. Sleek packaging, upgraded paperwork, and now with the

Entitled individuals flourish in environments with no real accountability, and they often misrepresent this as a “no-blame” culture. In reality, genuine no-blame cultures rely on people who can acknowledge their errors, take responsibility, and learn from them. What we currently

What a curious post. Was this statement written by a toddler puffed up on UPF-filled sugar laced cereal and somehow escaping their breakfast club duties? Maybe keep the satire - badly written as it is (though I suppose there is a certain comedic charm in having zero sense of

Dr Bohin has resigned. Fascinating, really. What she calls “unrelenting vilification and harassment” could indeed be just that - or it might simply be the slow, steady march of those wronged by negligent care seeking accountability catching up. Naturally, only a competent

Hmmmmm. “Not apportioning blame.” Let’s hope that this kind of use of soothing language doesn’t point to an inquiry which will quietly glide past the uncomfortable question of whether anyone will actually be held to account. It seems that many important people use the words