COMES GOOD – AT LAST.
Buy Today’s Edition
And Read About a Senior Management Structure
Trying to Cover-Up Their Culpability
For the Death of Elizabeth Rourke.
Well – the gamble paid off.
The Jersey Evening Post has delivered the goods.
And a despicable and wretched picture of incompetence, governance failure, deceit, manipulation and brazen lies is revealed.
A person lost their life – needlessly.
It just doesn’t get any worse.
And in the implacable illumination of the facts – we can now see clearly that a number of senior management professionals – apparently completely uncontrite at having failed to protect the patient from danger – engaged – and still engage – in what was an unambiguous attempt to hide their culpability.
Just how more ethically bankrupt does it get – than having been largely responsible for the cascade of errors which culminated in a patient’s death – and then attempt to get a locum convicted for what was, in reality, your corporate manslaughter – and to then smear a respected Jersey Consultant as a ‘reserve’ scapegoat?
And then – as is plainly revealed in today’s Jersey Evening Post – even at this late stage – still attempt to avoid responsibility – and mislead the public who pay your wages – by telling unambiguous lies to the journalists of such breathtaking brazenness as to be scarcely credible?
It just doesn’t get any worse than this.
I expect – and I’m certain an awful lot of other people will expect – to learn on Monday morning of the immediate resignation of, at least, the following four individuals:
There will be a good deal more to be written and said about this tragic subject – and what it says about Jersey’s public administration.
So I won’t go into great detail at present – let us hope the JEP can maintain this standard – at least as far as this story is concerned.
But just to spell out – a little more bluntly than the JEP – what it is we are confronted with.
H & SS employed a locum.
That employment structure and process was – and is – the responsibility of management.
Thus – all such issues as competency to practice – are the responsibility of management.
Management of a hospital is also responsible – in overall terms – for clinical governance issues; that is, the systems, processes and structures by which the clinical performance of the organisation and those who work within it are monitored and kept to a high standard.
At the very heart of all the above duties is the consideration of patient safety.
Therefore – the full and unambiguous expectation and duty upon the shoulders of the senior management team and its structures and procedures is – in the event of any notice or warnings being given to them – to take immediate steps to protect patients from those risks which have been reported.
I’ll just repeat that – “immediate steps”.
At least two unambiguous warnings were given to management – which expressed concerns about Dr. Moyano’s surgical competencies.
Not only did management fail to take immediate steps to remove the potential risk to patients – they failed to convey these warnings to other clinicians who may have found themselves working with Dr. Moyano.
For example – these official warnings were not conveyed to Dr. John Day.
Had the senior management team had in place an effective and competently run clinical governance structure and system of safeguards – none of the above errors would have occurred.
Elizabeth Rourke would still be alive.
Upon the tragic death of the patient – the gross incompetences and failings of the management systems would have been immediately apparent to that self-same group of senior managers.
Therefore – to deflect culpability and responsibility from themselves – they immediately set about the task of manufacturing a fake blame-trail.
The first, obvious, example of this process being the utterly extraordinary decision to place in charge of the ‘internal enquiry’ a man who had been a key actor in the incident himself. To have done this was such an extraordinary and unprecedented act as to have only one rational, explanation – namely, to ensure the enquiries of both the organisation and the police were directed down a certain path.
The above-actions have resulted in Dr. Moyano having had to stand trial for manslaughter.
And the vicious and ethically bankrupt smear-campaign engineered by management against Mr. Day.
As I said – there will be a good deal more said and written about this subject – and more detail to emerge.
For today – read the JEP – and fully absorb the gravity of what is described – and the shameless lies which were used in a futile attempt to mislead the journalists.