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From Certificates to Belief Statements: The CPS and the Limits of Forum Bar Intervention
Rebecca Niblock
Last week a Coroner’s Inquest ruled that the children of Neil Shepherd and Sharon Wood had been unlawfully killed whilst on a 2006 holiday in a Thomas Cook hotel in Corfu, and that Thomas Cook had breached its duty of care towards the family. Christi, 7 and Bobby, 6 died from carbon monoxide poisoning that leaked into their bungalow from a faulty boiler. Their father and his second wife were also hospitalised.
No-one could fail to be moved by the accounts given in “Dying Without Dignity” the report on the end of life care just published by the Parliamentary and Health Service Ombudsman. It is a sad reflection of the very patchy nature of the NHS. In some cases, it seems, end of life care epitomises the dehumanisation of health care. The emphasis on process rather than compassion is very clear from the case studies. In one of them, Mrs N is quoted and her complaint is familiar.
The British Medical Journal and the Academy of Medical Royal Colleges have announced a major initiative “Choosing Wisely” aimed at stopping unnecessary tests and treatments. This is to counter a perceived pressure on the medical profession to “do something” at each consultation. There have been calls for medicines for mild raised blood pressure, anti-depressants for mild depression and unnecessary blood tests to be looked at carefully. The Academy is also urging patients to ask their doctors whether there are simpler, safer options. Professor Dame Sue Bailey is the Chair of the Academy of Royal Colleges and is leading this call to arms.
Rebecca Niblock
Jemma Brimblecombe
Charles Richardson
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