Nurse Struck Off - page 4

Story in the news today I remember this when the documentary was shown first.... Read More

  1. by   stormforce
    This nurse knew she was breeching patient confidentiality when she made the documentary, it's all very well asking consent after the filming had been made but there were still documentary makers that would have seen and heard stuff from the ward that would have been confidential without patient consent. It would have been possible for some of the people hearing and watching that uncut footage could have identified and known the people being filmed.

    The NMC record of the hearing said that they were not satisfied she had explored all internal options available before taking this route. Also there were other ways of doing this without breeching confidentiality, going to the newspapers for example.

    I'm sorry if you make exceptions for on aspect of breeching the code of conduct then it makes a mockery of having these professional standards in place and would set a precedence for others to do the same.

    Did she breech patient confidentialtiy - Yes
    Is this breeching in the code of profesional conduct - Yes
    Did she know she was doing that - Yes
    Should she be struck off, after reading the transcript of the hearing and in particular this bit

    "In the view of the panel this was a major breach of the code of conduct. A patient should be able to trust a nurse with his/her physical condition and psychological wellbeing without that confidential information being disclosed to others. Only in the most exceptional circumstances should the cardinal principle of patient confidentiality be breached. Those circumstances did not pertain here. Although the conditions on the ward were dreadful, it was not necessary to breach confidentiality to seek to improve them by the method chosen. In any event, this method was unlikely to benefit the patients that were on the Ward at the time of filming and under her care."

    Althoughit is harsh, not entirely unfair

    Yes there are areas in the UK that the standard of care is not good, there are nurses who struggle every day with trying to provide a good standard of care in environments that are not conducive to good care, I am one of them !!!! but there are other ways of bringing attention to your struggles than further abusing patients by breeching their privacy and confidentiality. There have been high profile criticisms of NHS trusts recently in the British press, these have all had reviews of their services and the execs are having to evidence that these improvements take place. None of these nurses have resorted to filming their sick, elderly and vulnerable patients during times when thier confidentialtiy and privicy should be a priority.
    Last edit by stormforce on Apr 23, '09
  2. by   canoehead
    I applaud her determination, though I think greater care could have been taken to respect confidentiality. Blurring faces is a start, but getting consent to film would have been possible, just difficult. Just because it's difficult doesn't give anyone an excuse to not bother.
  3. by   XB9S
    I just thought I would update the board on this case.

    The NMC and the Royal College of Nursing (RCN) are pleased to announce a settlement in the case of nurse Margaret Haywood.
    This was an extremely difficult and complex case in which the NMC panel had to balance Ms Haywood’s duty to protect patient confidentiality with her duty to raise concerns about poor standards of care.
    The NMC and RCN put forward terms of settlement for the Court’s consideration and the Court approved those terms which led to the replacement of the striking off order with a 12 month caution.
    Kathy George, Chief Executive and Registrar, NMC said:
    "Raising concerns about poor standards of care is a difficult and brave step for any nurse or midwife to take and is vitally important in driving improvements in patient care. One of the lessons of Margaret Haywood’s case is that nurses and midwives need clearer information about how to appropriately raise and escalate concerns in a way that is safe for patients and in a way that will not bring them into conflict with their code of conduct.
    "We are currently developing guidance with patients’ groups, the Royal College of Nursing, the Royal College of Midwives, UNISON, Unite/CPHVA and organisations such as Public Concern at Work on how nurses and midwifes should appropriately raise and escalate concerns. This will be published in the summer of 2010.
    “We are also taking steps to remind employers and managers of the need to establish clearer reporting procedures and to ensure that these are widely promoted amongst staff, so that nurses and midwives can feel confident that employers will listen to and respond appropriately to their concerns.”

    With this development it means that she will be able to continue working as a nurse but with a caution against her name for the charges.
  4. by   Cecilea
    I,m really glad she is back and hope she gets a job soon. What we need is Managers with integrity who will act when problems are reported we dont need yet more guidelines. When the powers that be dont take on board serious issues like those she had been raising then staff get into muddles like this.
    She is my hero.
  5. by   cenote
    Quote from Silverdragon102
    In one way seems a shame especially if she had made reports on conditions but at the same time patients have to be protected
    Are you saying that what she did was for personal gain and not to expose the poor treatment of patients? Gee, the way I see it is she did EVERYTHING to protect the patients!
  6. by   Zana2
    I'm glad!