Pradeep, I thoroughly agree with your first statement. One wonders if there has been an ACEI cover up here? ACEIgate?
Furthermore I believe the story of this case will run for a not inconsiderable time and that the ultimate conclusion will be quite unexpected at present.
I agree. Having read about this case in great detail, and with my medico-legal head on, my conclusion is that the delivery of the ACEI is what lies at the crux of all of this.
"and failed to spot from blood tests that Jack was in shock, or review chest X-rays that indicated he had the chest infection." - is this correct? My understanding is that he was commenced on adequate fluids and the CXR was reviewed and antibiotics prescribed. I have re-read details of this case in great depth and I am still at a loss to identify where there was clinical negligence and certainly nothing to warrant a conviction of manslaughter. If I am being thick can somebody elucidate for me? BTW I am thrilled that this lovely doctor has won her appeal against the GMC ruling. She must now appeal against the manslaughter verdict and clear her name completely in what has been a terrible miscarriage of justice!!
Guys - you talk about possible solutions as much as you like. What we are witnessing are the final death throes of a health service. Accept there is no more that can be done. This sad situation could have been alleviated with proper management (and far less bureaucracy) and funding years ago but wasn't. What we are left with is palliative care for a terminal "patient".
Time to find a new career methinks!! You slog your guts out whilst being harangued from all sides, and with "Big Brother" hovering to destroy you. A truly Orwellian nightmare if ever there was!!
"Scapegoat" comes to mind on reviewing this case.
However it is proof to all of us that we must protect ourselves at all times. If a doctor fails to turn up then demand a replacement - tell the Consultant to get back in there!! We are not robots and errors will happen when we are stretched to breaking point. Never try to do more than you feel absolutely comfortable with.