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[Nicola Brownjohn]

‘Surface acting’
Self-righteously pious
Kindness definitely needs rescuing.
Thinking about the reviews into poor care and patient safety investigations, duty of candour etc etc. There is too much emotion around by leaders about incidents. This, on surface, seems to be an act of kindness in that, shock, horror, this must never happen again. However, the leaders do not take the risks needed for intelligent kindness when the review is telling them, e.g that the poor care was due to lack of value of staff, lack of value of elderly which has led to care homes being dumping grounds for the too difficult category of elderly care.
The difference in taking an approach of listening to all, no blame, no defensiveness but throwing out the rule book for commissioning long term care, I feel that is intelligent kindness.

[Nicola Brownjohn]

I am not convinced that neglect within services is more common now. It is, perhaps, recognised more but was always there, just has been moved along the carpet. E.g. Learning disability hospitals legacy of hidden harm, much not so hidden but accepted. Move to community for a better service led to ……..

[Nicola Brownjohn]

Just started the book and already getting my brain spinning into action. ‘We are where we are’
I am reading with the lens of someone who escaped the NHS institution and I wonder how I would have viewed the book had I read it a year ago.

[Author]

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