Rammya Mathew: Lucy Letby and the limits of a no blame culture

The dreadful reality of the Lucy Letby case is still sinking in. That a neonatal nurse was murdering babies under her care and attempting to harm more is hard to comprehend. But so is the fact that healthcare professionals raising concerns that Letby may have been behind these deaths were silenced and, worse still, were accused of bullying and threatened with referral to the General Medical Council. As the headlines hit the newspapers, colleagues talked about how the case was both shocking and unsurprising in different ways. Murders in healthcare are thankfully very rare, but the questionable way in which concerns are managed is something most NHS staff have witnessed in abundance.The NHS has many excellent managers who go out of their way to ensure that services are well run and that staff are treated fairly, to whom good patient care matters as much as it does to practising clinicians….
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