Doctors will be ‘supported to speak out’ under new medical guidelines
A new guide has been published, intended to ensure doctors feel “supported to speak out”.
The document, from the General Medical Council (GMC), comes one day after the sentencing of nurse Lucy Letby.
The 33-year-old was handed 14 whole-life orders for murdering seven babies and attempting to murder six others while working in a hospital’s neonatal unit.
The GMC has set out the standards of patient care and professional behaviour expected of all medical professionals.
While the guide’s predecessor, published in 2013, placed a duty on all doctors to raise concerns about patient safety, the updated version emphasises that doctors in leadership and management positions should create a culture in which staff feel safe to speak out about concerns.
Dr Naru Narayanan, president of the Hospital Consultants and Specialists Association (HCSA), said whistle-blowers are “treated by bad employers like the problem” and can “find themselves on the receiving end of threats and bullying to remain silent”.
In the Lucy Letby case, it has emerged that doctors raised worries which were rejected by hospital bosses.
A retired doctor who also worked at the Countess of Chester Hospital, Dr John Gibbs, questioned why managers took 11 months to involve police when suspicions were raised.
Dr Ravi Jayaram – a consultant paediatrician at the hospital who gave evidence in Letby’s court case – said there are “things that need to come out about why it took several months from concerns being raised to the top brass before any action was taken to protect babies“.
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Letby: Why were warnings ignored?
The new guide has been welcomed by Professor Chris Whitty, England’s chief medical officer, who said it “emphasises how supportive workplaces are essential for patient care as well as clinical staff”.
Among the changes is guidance on sexual harassment, which has been included by the regulator for the first time as part of a “zero tolerance” approach.
It says that doctors “must not act in a sexual way towards colleagues with the effect or purpose of causing offence, embarrassment, humiliation or distress”.
In addition to physical contact, it includes verbal or written comments and displaying or sharing images.
Professor Dame Carrie MacEwen, chairwoman of the GMC, said staff who experience harassment or bullying “must feel supported to speak out”.
She added: “Sexual harassment, bullying and discrimination are entirely unacceptable.
“Where workplace cultures of this kind of behaviour go unchecked, they are detrimental to wellbeing, performance and patient safety.”
Read more:
The victims of Lucy Letby – and full statements from their parents
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Letby: Hospital doctor speaks out
Tim Mitchell, president of the Royal College of Surgeons of England, said: “We need to be creating a work environment where every person feels welcome, safe and protected.
“The GMC’s new standards send a strong message to the profession that these behaviours will not be tolerated.”
However, the Medical Defence Union (MDU) said doctors are “concerned about digesting and implementing new standards”.
The fresh guidance will be implemented from January 2024 after a five-month familiarisation period for staff.
A 15-year-old boy has died after “getting into difficulty” in a lake in southeast London, police say.
Officers and paramedics were called shortly after 3pm on Friday to Beckenham Place Park in Lewisham.
The Metropolitan Police said a boy “was recovered from the lake” at around 10.42pm the same day.
“He was taken to hospital where he was sadly pronounced dead. His death is being treated as unexpected but not believed to be suspicious,” according to the force.
The boy’s family has been told and are being supported by specialist officers.
The force originally said the child was 16 years old, but has since confirmed his age as 15.
In the earlier statement, officers said emergency services carried out a search and the park was evacuated.
Emergency teams were called to Beckenham Place Park on Friday afternoon
Beckenham Place Park, which borders the London borough of Bromley, covers around 240 acres, according to the park’s website.
The lake is described as 285 metres long, reaching depths of up to 3.5 metres.
It is designed as a swimming lake for open-water swimming and paddle boarding.
A London Ambulance Service spokesperson said on Friday: “We were called at 3.02pm this afternoon to reports of a person in the water.
“We sent resources to the scene, including an ambulance crew, an incident response officer and members of our hazardous area response team.”
Emergency teams have not explained how the boy entered the water, or whether he was accompanied by others.
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