I have raised concerns about the way that death data has been used to terrorise from the start. Reviews underway this week seem to be highlighting concerns that many of us have shared since March 20.But I want to make one thing very clear…
My colleagues in death planning care have seen more loss than ever before. The data is not relevant to them. What is- that death from many causes in hospitals and at home has been relentless for 2 years.They have been the difference in this disaster as I always knew they would be
Many of them have been taunted with “where are all the bodies then?” The dead are in their careful care. We do not fully understand the debt that we owe them but trust me when is say it’s huge. @AAPTTweets@TheEPS1
They were one of the first areas of society to ready:
When an area is about to flood responders use “placebo sandbags”. Bags of sand that are dropped off to filter out a bit of the waste from the water and slow the deluge by about 10 mins. So why drop them off? Because it keeps the about-to-be-flooded briefly quiet and makes….
it LOOK like the responders are doing something to help. First thing that elected local politicians will often demand is a show of delivering the bags. A soggy cloth mask or a poorly fitting surgical mask makes limited difference to infection control but is a comforting placebo
Delivery of placebo by state can also be used to justify all sorts of inaction. What really makes difference in flood is long term infrastructure and societal investment - like what would have made some diff to our pandemic experience- long term investment in NHS and social care
Before hospitals sort out appt or op backlogs, the most critical issue to tackle - urgently - is their toxic annual leave debt. They have been cancelling leave for months and this is one of the biggest errors made in disaster response.
Unless urgently addressed it will be a major factor in death and serious harm to both staff and patients. It also renders all other well-being or trauma focussed interventions meaningless.
I have always been shocked by the number of HR departments who seem to think there is an indefinite “disaster waiver” buried deep in law. That a judge in an employment tribunal or patient negligence case will throw the case out because it was “hero time”. There isn’t.
I was just having acupuncture on my cocyx and had to lie on my front without speaking. And the practitioner started to talk about how she had read there were people out there who planned for the aftermath of disaster, and how odd would that be, to actually DO that…
And it went on for so long about how mad it was that if I tell her the truth I will look like I am taking the mickey or I will embarrass her and she is holding nine needles and will hate me…
So now I have to invent a different job in time for my next appointment… feel free to send ideas.
1.Many of the agencies involved in the responses to Salisbury,Grenfell and Manchester were well briefed on what was soon expected to be law – the Hillsborough law. It was considered best practice and its principles were applied to the aftermath. Here is what I learned. A brief🧵
2. The Duty of Candour did have an important and focussing effect on public bodies. Agencies created their own charters and made much of signing them.They were firm with legal teams that they wanted to adhere to them.
3. Duty of Candour does not apply to private sector who are often involved in both causation and response. The private sector make up the majority of the firms under scrutiny at Grenfell. The Met at Grenfell relied heavily on private sector contractors in the response...
Disasters are inherently political. They are the culmination of multiple political failings. There are alway entanglements with other scandals and murky dealings. To find a clean advocate, who can ask the most difficult of questions, will be the toughest aspect of this law
The aftermath of Grenfell in some ways operated as a real-life test for this proposed law but has struggled. Advised by Hillsborough campaigners the public bodies involved signed up to various "Duty of Candour" statements. But no such reqt could be placed on the private sector
A short 🧵on Data and Disasters: 1. This pandemic has been all about data and data dashboards and numbers and exponentials. What do you do with that if you are a disaster recoverer? Well firstly you watch your colleagues providing it,they are often the source of the numbers 1/10
2. This can be exhausting and something responders can resent. Most incident inquiries have central government's incessant need for numbers as a key distraction in the response. Hovewer this time its mainly useful and this has been one of our most finely calibrated disasters ever
3. They provide them so they are rarely a surprise. Instead responders/ recoverers look at numbers for what they mean tomorrow - impact assessments of what will be needed and also whether they are taking us anywhere near overwhelm in which case we get ready to ask for more