In the wake of infected blood and Lucy Letby scandals... I'll bar negligent NHS managers from senior jobs, Wes Streeting pledges
Health Secretary Wes Streeting has been moved to act by a string of NHS scandals, including the cover-up over infected blood and the deaths of babies at the Countess of Chester Hospital, which employed nurse Lucy Letby.
Under the plans, board-level directors who have committed serious misconduct will no longer be able to work in senior NHS management positions.
To limit the scope for cover-ups, whistleblowers will also be encouraged to come forward.
Any leader who silences whistleblowers or behaves unacceptably will be banned from returning to a Health Service position.
There is currently no regulatory framework for managers equivalent to that for doctors and nurses.
More than 30,000 people in the UK were infected with HIV and hepatitis C after they were given contaminated blood and blood products between the 1970s and early 1990s.
More than 3,000 people have died as a result – but a damning report published last year concluded that doctors, the Government and NHS tried to cover up what happened by 'hiding the truth'.
Letby was convicted of murdering seven babies and attempting to kill seven more, but a growing number of public figures, led by former health secretary Jeremy Hunt and ex-Supreme Court judge Lord Sumption, have expressed concern about the absence of direct evidence or plausible motive linking her to the deaths – at a hospital known to have struggled to keep very premature babies alive.
Three former senior managers at the hospital were arrested on suspicion of gross negligence manslaughter earlier this year.
Mr Streeting said: 'I'm determined to create a culture of honesty and openness where whistleblowers are protected, and that demands tough enforcement.
'If you silence whistleblowers, you will never work in the NHS again. We've got to create the conditions where staff are free to come forward and sound the alarm when things go wrong.
'Protecting the reputation of the NHS should never be put before protecting patient safety.
'Most NHS leaders are doing a fantastic job, but we need to stop the revolving door that allows managers sacked for misconduct or incompetence to be quietly moved to another well-paid role in another part of the NHS.'
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2 hours ago
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She is still waiting to find out whether her bladder will be removed. Nicole has made it her mission to raise awareness, posting regularly on TikTok about her appointments and her day-to-day life. Her ultimate hope is to one day join Jo in delivering talks across the country about the drug and its dangers. Life-changing injuries within a year Away from Birchwood, the struggles of people like Callum and Nicole are also being felt in the NHS. Alison Downey is a consultant urologist at Pinderfields Hospital in West Yorkshire, where "ketamine bladder" has become an increasingly common phrase to describe the severe damage the drug can do. "We've seen an explosion in numbers over the past, particularly two to three years," she says. "Maybe about four or five years ago we would have one or two cases a month, we're now seeing eight or nine a month." Ms Downey says while urologists are continuing to learn about the drug's impact, there is one certainty: ketamine causes complex challenges for medics. "There's no other drug that does this amount of damage this quickly to your kidneys and your bladder," she says. "We obviously see patients who have drug addiction problems from heroin and cocaine in A&E or on the wards, but ketamine has this very specific, quick damage to the kidneys and bladder specifically that we just don't see in any other drug use." With balloons and a jug, Miss Downey explains the impact the drug can have on someone's bladder, reducing its capacity. "We know that the average (bladder) capacity of a person that's been using ketamine for a long amount of time is about 100ml, which is about the size of this balloon," she says. "If you compare that to a normal adult bladder, which holds about 500ml, so five of these balloons, you can see that the capacity is severely reduced. That can result in needing to go to the toilet every 15 to 20 minutes throughout the day or night." Framing the issues being seen on the frontline are the ongoing discussions around reclassification. Earlier this year, the government announced it would look into the possibility of making ketamine a Class A drug, which would carry greater penalties for making and selling it. Dr Caroline Copeland is a senior lecturer in pharmacology and toxicology at King's College London and also the director of the National Programme on Substance Use Mortality. For her, this debate is nuanced and needs to go beyond criminalisation. "I think that instead of necessarily focusing on the punitive measures, which is what comes with the reclassification, we need to be thinking more about how we can actually spend that time and money towards helping the people who are using ketamine and education programmes to stop people starting to use ketamine in the first place," she said. Dr Copeland also thinks reclassification needs to be a process that takes into account the wider context, because this is a drug that is commonplace and being used casually by many, without significant health consequences. She added: "Since ketamine was last reclassified from C to B, the landscape of its use has changed somewhat. "There's much more recreational use in a younger demographic. So we need to do a comprehensive assessment of its harms to determine whether it warrants escalating to being a Class A substance." However, for those whose lives have been changed by casual use spiralling into addiction, solutions are needed urgently. I can still remember Jo Moore's words as she walked me out of Birchwood on my first day of filming this story. She sees this as an issue that needs tackling, with a national framework to bring systems together. "We're really trying to fight, because we see the damage," she says. "I've looked after heroin addicts and after 20 years of them using heroin, they don't have anything related to the harm that we've got now for the ketamine users, only after a very short time. "And I think that's what's been so shocking about seeing these ketamine users come through. They can use ketamine for 10 months, two years, and have life-changing injuries. "That's why we're fighting for this. I think that we have all been very slow to react as a nation to these health concerns." Anyone feeling emotionally distressed or suicidal can call Samaritans for help on 116 123 or email jo@ in the UK. In the US, call the Samaritans branch in your area or 1 (800) 273-TALK.
