“Misgender” a transgender person and lose your healthcare? New rules in UK make it possible

[_Ruby]

PS - I knew that’s the route which you would go

FIRST

You’re distrusting all media reports of what the NHS said- for what purpose?

To go on and attempt to claim that w/o the actual NHS blab - that one can not say it did?

Endtimes, speaking as an NHS Service Manager, who delivers care across several different hospital departments, Trusts and private providers, and chairs our monthly Operations and Governance meetings, you are so very far off the mark with your understanding of how the NHS operates.

My entire job centres around our policies and protocols - writing, reviewing them, updating them and putting them into practice.

The Health Secretary is not ‘the NHS’, the NHS is simply just not structured in the way you seem to believe it is. As a non UK citizen, thats not unusual since understanding a system outside of your personal experience is difficult, but i mean this in the kindest way - you are talking nonsense and you do not actually understand what you are arguing.

The NHS is a patchwork of thousands of different providers - small, large, dental, medical, optical, hospital based, private, community based etc etc. There is not one single policy we have that is identical to another’s. We all write our own guidelines and run our establishments according to those guidelines.

A call from the health secretary to strengthen protections against staff abuse isn’t a dictated policy we got emailed and told to enforce straight away by order of ‘the NHS’. None of what he said even mentioned misgendering, none of the 14 hospitals I am partnered in have anything regarding ‘misgendering’ in their abuse policies. None of those abuse or safeguarding policies have been dictated to them, they have been written by the providers themselves.

 

[EndTimes]

I knew from the get-go that - just like a lawyer? whose argument grew weaker

• that that’s the route you would go…

Suppose I post it… and it confirms what I say - How shall you react?

 

[_Ruby]

Oh I indeed know that, the question is offered in a purely rhetorical fashion by this point. Your answers illustrates nicely though how many commentators on the thread have little concrete knowledge of how the NHS functions and do indeed imagine a monolithic system. The reality is of course policies vary somewhat from provider to provider and for other reasons.
[/quote]

I wish I had more of the mental energy needed to tackle all of the ridiculous misconceptions I see on this board. Sadly I am lacking in that energy at the moment - I just cut short my maternity leave to go back to work last week and gear up for coronavirus hitting. We have a mountain to climb - please, please encourage everyone you know to self isolate.

 

[_Ruby]

It is so tough. My dad is in his 80s and started with a cough today. That same cough has been plaguing my mum for over a week (she works in a chemist so has been interacting with many unwell people) and she had to send off a mucus sample today and start antibiotics for it. Hoping very hard it is nothing serious, but my dad has a long history of heart trouble and was hoping his new pacemaker in April would solve the breathlessness he has been having. That op is now likely to be cancelled to free up beds and ventilators.

Everyone is so vulnerable to losing a loved one to this virus. Hoping very hard that your dad keeps safe

 

[EndTimes]

Not my problem… Return to the OP

1. UK Medical Industry to Ban Non-Critical Healthcare for Those Who Make Homophobic, Sexist or Racist Remarks​

2. This new rule in the UK is just the tip of the iceberg.​

 

[EndTimes]

Currently - the rule connects with some who get physically and/or verbally abusive …

The new rule supposed to come into affect - raises the questions
concerns those somehow Deemed to simply be: … . homophobic, sexist, racist…

Who determines that? MindReaders? HeartReaders? Those who determine, “Hate” ?

 

[_Ruby]

Not my problem… Return to the OP

1. UK Medical Industry to Ban Non-Critical Healthcare for Those Who Make Homophobic, Sexist or Racist Remarks​

2. This new rule in the UK is just the tip of the iceberg.​

That is your problem. You’re arguing in favour of a news article that has constructed its entire premise on a pie-in-the-sky argument.

The whole article you are quoting is based on a false negative. Nothing in ANYTHING that has been quoted or written says ANYTHING about misgendering.

It’s about as accurate as the restaurant industry wanting to strengthen policies that protect its patrons from racial abuse and that being reduced to a headline that says ‘given less mashed potato than then the white family on the table next to you? New rules make it possible to fire your server for racism!.

For goodness sake, let’s employ some common sense here.

 

[_Ruby]

Who determines that? MindReaders? HeartReaders? Those who determine, “Hate” ?

ME!!!

All NHS complaints have a real life human being weighing up the situation, just like in every single industry around the globe.

There is a HUGELY detailed complaints and discharge policy. I can’t just rubber stamp a complaint from a staff member that says ‘patient looked at me funny, must be racist’.

You have no idea how much paperwork and scrutiny is given to the complaints investigation process. Or the hassle that discharging patients comes with. It would be a million times easier for me to say ‘suck it up, buttercup’ to a staff member than to go through the whole official complaints process.

If you want to know how an NHS complaint process works , ASK ME. I have them ALL THE TIME. I run services seeing upwards of 20 thousand patients a year. They complain, my staff complain, we have clinical incidents, we have office incidents, we have safeguarding incidents. I have 13 incidents/complaints currently in my inbox undergoing review, by me, RIGHT NOW.

Take this opportunity to educate yourself rather than clinging to the bizzare notion that you know more and are more correct regarding a service you have no experience of. I am categorically telling you that you are not.

 

[_Ruby]

I’m sure it won’t even be asked, but for those interested:

Every single incident or complaint needs to be formally raised - most hospital trusts use Datix, but that does vary. Where we work in conjunction with other providers, we need to do our own incident/complaint record and mirror this on Datix too.

For the incident/complaint, I have to acknowledge receipt to patient within 7 days and advise them that the conclusion should be completed within 30 days. Any delays in this timescale requires another formal notice from me to explain why the delay in investigation is taking place and amended response timescale.

All patients and staff involved in the incident need to be interviewed, with formal statements given and recorded

Conclusions from the other investigation need to written up and passed on to our operational directors for review and to our internal governance bodies

A lessons learned exercise needs to be done - an analysis of what steps could have been taken to avoid the incident and steps to avoid it taking places again

The patient needs to be formally written to with the outcome of the complaint/incident

All details again need to be mirrored on the hospital Datix system. All safeguarding concerns need to also be given to the local authority for follow up

If the complaint is regarding a patient abusing a staff member and is in breech of the abuse policy (ie patient given a warning to begin with and assessed to see if any underlying conditions may be chairing behaviour), we need to trigger the discharge policy. The hospital trust, patient and the patients GP need to be written to and informed. Details of the appeals process must also be given.

All complaints/incidents are recorded and given for monthly review. We analyse the complaints, check response timescales and group by theme of complaint/incident. Where departments fault to respond on time or do not give enough detail, our governance team will get involved to assist.

Safeguarding complaints and serious incidents need to be reported to official local authorities and either Public Health England or the Department of Health. If these complaints/incidents take place within private providers, we need to also report these to any local CCGS we work with.

 

[_Ruby]

Every month each service/department needs to hold a governance meeting with a clinical and management lead present. Everything must be minuted, with complaints and incidents discussed and those minutes submitted to the governance committee.

If we have reoccurring incidents or problems, we look to solutions like additional training or amending our policy/protocol recommendations

A huge, huge, HUGE part of our incidents and complaints policy is monitored by the CQC. We have to show all incidents and complaints are identified, recorded and followed up effectively. Failure to do so during inspection time is enough to receive an inadequate rating.

A governance report including complaints and incidents is then submitted to the board of directors for review. It also needs to be given to our medical directors

It’s A LOT. It takes a lot of time, which is why most staff under report because they can’t be bothered with the paperwork. It’s a serious process with a lot of detail, we don’t go writing ‘misgendering’ on all our discharge paperwork and then call it a day

That is why so many of our staff members don’t record incidents and brush things off. We’re trying to push the message home to them that they do matter and abuse is serious, it shouldn’t be brushed under the carpet. However long and complex, we need to report and deal with abuse better.

 

[EndTimes]

That is your problem. You’re arguing in favour of a news article that has constructed its entire premise on a pie-in-the-sky argument.

Wrong… No I haven’t… I read it from the NHS ltself…

And you know what? They’re alleged to be coming out soon (April) with a revision…