“When in doubt, don't.”
I believe in always striving for justice and that it is the duty of every principled human being to raise their voice to fight same. Indeed, this is why I am here, because of the terrible injustice of the MTAS debacle and it's effect on a whole generation of young doctors. I had to raise my voice loud during 2007 and if anyone who visits here remembers, I did and still do so on the Remedy UK forum since that forum was started, as well as here when I learned about 'blogging' then started this blog to voice my opinion. I fight the MTAS injustice by pointing to what I believe is the real reason for the sorry episode of 2007 which, sadly, still causes trouble to this day. I have never changed my mind despite the opposition I faced. So, I am never afraid to voice my opinion so long that it is well informed and is voiced to correct an injustice.
That said, please imagine, if we were invited to sit on the jury of the trial of the CMO for England and if we know that the punishment may be 'rolling some heads", what would our decision at the end of this trial be like? Innocent or guilty?
'off with his head?!'
To do this, we must look at the evidence and and if we can prove, beyond reasonable doubt, that he is 'guilty' then be it! Off with his head! But since there has been no real trial up till now, apart from that HSC session during which, he insisted on denying sole accountability for the current mess, I feel that he has the right to be 'innocent till proven guilty!'
So, please consider yourselves members of this jury and let's look at the evidence now that Tooke's final report has been published.
The line of events:
- Britain is short of doctors, open doors policy begins.
- Aim for self-sufficiency. Increased intake with 4 new medical schools to produce doctors for this purpose.
- CMO rights his report 'unfinished business' aiming to modernise the SHO grade. In it, he suggests a more structured approach to their training thus ending the 'lost tribe' stigma that was being attached to this group of doctors and provide ways for them to go up the training ladder
- Medical profession unanimously welcomes the recommendations of 'unfinished business.'
- The MMC board is set up to decide on how to implement unfinished business and the curriculum for such structured training. Prof Crockard joins at an early stage.
- Professor Heard is assigned the design of the first two years of post graduate training.
- While steps 2 and 3 were taking place, the government releases the NHS plan 2000, in which, it announces the reform of the whole of the NHS including the roles of all front line staff including doctors in all levels of service.
- A vaccum exists here as no one knows (Or I don't know) what happened that influenced then ordered the MMC board to restructure the whole of medical post graduate training instead of the lost tribe only!
- The MMC board proceeds with the task reporting only as high as the deputy CMO. Some consultation with different professional groups takes place but their opinion does not carry much weight.
- The government recognises the 'bulge' due to the still running 'open door' policy but expects the IMGs not to apply to training since they are already working for the NHS mainly in trust grades.
- Based on 10, government decides on MTAS despite warning from the MMC board that the system is being rushed without being validated.
- Government insists and the robot monster MTAS rolls.
- Seeing IMGs changing behavior, government imposes restrictions, IMGs take legal action but lose then appeal
- Robot messes up due to being overwhelmed by number of applicants
- Hopes and careers of thousands of British graduates mercilessly crushed by the dum robot MTAS
- Remedy UK is born and the March in March takes place
- Crockard and heard resign
- Calls for the CMO to resign but he does not
- Remedy goes to court but loses because of technicalities
- Head of BMA, James Johnson, resigns after standing against Remedy UK in court and after defending the CMO in his letter to 'the times', the letter co signed by Dame Carole Black was in defence of the CMO because, as Mr Johnson said, the CMO, a civil servant can't defend himself.
- More calls for the CMO to resign but he appears on TV to deny 'sole' responsibility for the mess, however does not give any indication on who is also responsible.
- Tooke begins review, his interim report finds serious faults with the whole of MMC and recommends a 180 degree reverse (IMO)
- CMO attends the HSC meeting and again denies sole responsibility
- Tooke's final review is out condemning the government and recommending the the responsibility for post graduate training must be removed from the 'government's hands.
From the above sequence, was the CMOs involvement enough for all of us to ask for his head? Bearing in mind that he is a civil servant?
What are we accusing him of exactly?
Please remind me if I have forgotten an important piece in the above sequence of events. Also, please let me know your opinion ... guilty or not guilty and why? Then we can pass judgment so long as it is,
Beyond reasonable doubt!
“Justice cannot be for one side alone, but must be for both.”