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'I was told not to speak out about the problems in A&E'

Dr Adrian Harrop

Dr Adrian Harrop - single use only

Dr Adrian Harrop - single use only

Source: Observer/Gary Calton

We have been facing a really stressful time as a team. We have been finding it very hard to deliver safe, effective and timely care to our patients. If the A&E department is not able to do that then it is unfit for purpose - and I know for a fact that Scarborough Hospital is not a unique, exceptional case.

It did get to a stage where I couldn’t guarantee that my patients within my department were safe. And that wasn’t a single, isolated incident, it was happening on a number of occasions within the last few weeks. It is the worst I’ve seen it in the last few weeks. I’ve never before been pushed up to that point.

I am prepared to deal with stressful working environment. What I do have a problem with is where I feel I am being unsupported at an executive board level and at an NHS England level, when I am raising my concerns about patient safety issues.

Every day I would raise these concerns with the consultants and to the senior nurse on the shop floor, saying ‘look, we need to get a plan together for what we are going to do when we reach capacity zero’, because we are going to get there eventually. And you raise your concern with the bed manager, whose responsibility it is to maintain flow through the hospital, I’d be saying “look what’s the plan, what are we doing?”, and they would be saying “well, there’s nothing I can do”. It just became so frustrating.

Then I came into work on 2 January and just found the department in a complete mess. The place was absolutely ram-packed, there were patients who had been waiting an inordinate amount of time to be seen, people queueing up in the corridor for 12 hours to get into an A&E cubicle. Patients sitting in the majors area of A&E waiting an extraordinary amount of time for a bed - 18, 19 hours. And I just thought, I have two choices here: either escalate this further as a doctor with a duty of candour and make sure that people know about my concern and that someone’s going to do something about it; or shut up and just crack on with the job. I decided that the only option I had, so that I could then sleep in bed at night-time, was to talk to the news.

I never wanted to gain fame and notoriety for speaking up. But then the consultant of the department came and had a word with me and said ‘Adrian, I understand you’ve been speaking to the media today. Off the record, I will say well done, I absolutely 100% support everything you’ve said and you are right. However, on the record, the trust policy is that you are not allowed to speak to the media’.

And because of the way I work at the department, as a medium to long-term locum, they added: ‘The one thing you must bear in mind Adrian, is that you are not officially a trust employee, because you are a locum. Therefore the trust is not able to take you down a disciplinary route, because you’re not an employee. However bear in mind that as a locum, and as someone who isn’t officially employed by the trust, you need to be cautious that this doesn’t put us both into a very difficult position”.

But, because I knew that everything I had done was the right thing to do, I sort of took that on the chin. In any case, I was told: ‘Do not speak to the media again’.

Dr Adrian Harrop is a GP trainee currently working in the A&E department at Scarborough Hospital

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Readers' comments (11)

  • Greatest respect for speaking out. Just as well that you are a GP trainee.

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  • Well done Adrian. It’s a pity your more senior colleagues aren’t as brave as you.

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  • The greater pity, of course, is that the hospital management won't support you. They should be there, (sadly) cheering for you, telling the world that this is the real situation, of the difficulties that it brings you, and that while they may not have any ability to change matters in terms of the resources available to them, you and they are definitely on the same side and pulling in the same direction of trying to help the patients with all the resources they between you yo have available.
    So where are they? And what are they doing?

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  • "It did get to a stage where I couldn’t guarantee that my patients within my department were safe"

    Safe from what? A heart attack, a fractured femur et al are inherently UNSAFE situations?
    And what is YOUR definition of safe? Can you write on a piece of A4 paper a definiton which will applyto every case in a busy AE department/

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  • This comment has been moderated

  • Thank you Monty, your comment has further fulled my desire to leave GP training.

    Dr Patel
    GPST1

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  • Monty. Please keep quiet.The point of the comment is far above your head like an aeroplane.

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  • Monty....
    Dr Harrop was trying to do his best and alert people to the dangers of an overloaded system. You might not agree with his course of action.... but just look at the GMC striking off a doctor for systemic failings.... saying nothing and STFU as you recommend is not helping the situation in the NHS and it certainly won't help protect our colleagues in the future. We need to get this conversation about the NHS into the Public arena as it is operating at dangerously overstretched levels with increasing frequency, and I dont see why as a profession we should carry the can for political decisions and a resource that can't cope with the demands.
    If you can't make constructive comments I would suggest that you should STFU and not Dr Harrop. Defining a safe working limit is difficult to define, like defining sexual harassment, but we all know it when we see it.

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  • Doctor McDoctor Face

    Thought Jeremy loved whistleblowers

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  • Was there not an option to inform the media anonymously?

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  • @ Monty. Absolutely appalled by your comment.

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