Once is an event, twice is a maybe, and three suggests a pattern.
One
When consultants at a hospital in Britain came to the dawning suspicion that Lucy Letby, a nurse, was murdering newborn babies, they told the management. And as they describe it, the management made them feel like creeps. Management even went so far as to require them to apologise to the nurse for saying about her things that were plainly not true.
Except of course they were true.
We know that because the nurse was convicted of murder. Some people say that there has been a miscarriage of justice. They say it wasn’t Letby who did these things. They say no one did and that it was natural causes exacerbated by poor hospital standards.
But let’s leave that aside.
The point to draw from this is that the management at the hospital just didn’t want to know and they didn’t want to investigate. They just didn’t want to upset whatever the system was that was in place. The system had been trundling along and they simply wanted it to continue trundling along, even if babies died. Apparently.
Two
Employees stole 1,500 artefacts from the British Museum. It turns out that it’s been going on for many years. It might have gone on longer had not somebody unconnected with the museum told the British Museum his suspicions. He saw an artefact or more than one item listed in eBay and put two and two together.
In response, the British Museum ignored the complaint and continued to ignore it for years. In fact, they even accused the whistleblower of something underhand. I don’t know what it was that he was supposed to have done, but whatever it was, he was innocent of it.
Eventually the truth came out, and now the police are investigating.
Three
Rebecca Wight, a nurse with sixteen years experience raised what she called concerns of life and death with the management at the Christie Hospital in Manchester. In an external memo, the Trust wrote that “We are grateful that RW raised her concerns which we took very seriously and used to improve the service. When RW raised concerns with her consultants, changes were made to the service and additional supervision was provided…”.
Internally the CEO Roger Spencer wrote “We are disappointed The Christie is once again the subject of untrue allegations made by Ms Wight.”
What Conclusions To Draw From This
I have said for years that there is a ‘sweep it under the carpet’ culture in Britain. What’s important is that it looks like the right things have been done. Less important is that the right things have actually been done.
That carries into not wanting to do anything about anything lest it upset the current state of affairs. I haven’t made this up. The TV series Yes Minister made a running joke of it.
The problem is that the aim and purpose of these institutions is to help. So it’s painful when the management circles the wagons and denies that there are any problems. In the hospital cases I would guess the managers are not themselves doctors. And in the case of the museum, managers who are not curators.
The function of a manager is to run an effective ship, and if anything happens on their watch, then their skills as managers are called into question. That risks their salaries and perhaps their jobs. What is needed is somehow to decouple what the managers are responsible for from any bad actors on the staff.
Of course, the range of bad actors is broad. Let’s stay with people trying to do the best job they can but with a side order of self importance or rank or forceful personality.
In operating theatres at a leading hospital in New York or Washington DC. (on’t hold me to the details) surgeons overrode nurses who raised the alarm. For example, a nurse would say that the surgeon had left a swab in the patient. The surgeon wouldn’t listen and the patient would suffer in consequence.
To correct this the hospital made a rule. When anyone in the operating theatre sounds the alarm, they must stop and they must investigate. There is no fault and no blame. Everyone is responsible and has a voice and works together to solve the problem.
That rule would change situations from ‘them and us’ to one united and involved unit with one purpose.