Nico Hines and David Rose of The Times
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Hospital managers could face criminal prosecution for the worst ever recorded outbreaks of the superbug Clostridium difficile which killed at least 90 patients.
Police have launched an investigation into the infection of more than 1,100 Kent hospital patients, after a report published today blamed the spread of the disease on appalling hygiene standards.
The Health and Safety Executive and police officers are reviewing mismanagement by bosses at Kent and Sussex, Pembury and Maidstone hospitals to consider if it constituted a criminal act.
Inadequate staffing levels, dirty wards and too much focus on cost-cutting and government targets contributed to two serious outbreaks of C difficile in as many years at Maidstone and Tunbridge Wells NHS Trust, an investigation by the Healthcare Commission found.
Alan Johnson, the Health Secretary, dismissed the mitigating factors cited by the report
“It’s a scandal. It’s awful,” he said rejecting the notion that Whitehall targets were responsible for the outbreaks.
“To suggest that in this particular incident, this reflects what’s happening in the NHS across the country is absolutely wrong,” he told the BBC. “There are nurses and clinicians across the country who have dealt with the targets. . . but kept the highest safety standards.”
Rose Gibb, the chief executive of the trust, left her job on Friday by mutual agreement with the board. Campaigners today demanded to know how much she was paid after stepping down.
The trust has refused to disclose the size of her settlement. Geoff Martin, of campaign group Health Emergency, said: “I have heard from Maidstone NHS staff this morning that chief executive Rose Gibb is rumoured to have received a massive pay-off from the trust.
“If it’s true, we have a right to know how much taxpayers’ money is involved and it would fuel the scandal even more if it turns out that senior managers have walked away from this carnage with their pockets stuffed with NHS cash.”
The commission found “significant failings” in infection control at three hospitals run by the trust between April 2004 and September last year, including unwashed bedpans, a lack of isolation units, beds being spaced far less than the recommended 3.6 metres apart to stop the spread of infection and nurses telling some patients with diarrhoea to “go in their beds”. Pictures taken as recently as February disclosed continuing hygiene concerns.
The failure to contain and treat infections at all levels contributed to 1,176 patients being infected with the bug at Kent and Sussex Hospital, Pembury Hospital and Maidstone Hospital, Kent, the watchdog said.
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Things aren't much better in the States. Last year I was hospitalized in a private hospital with a life threatening incident. The conditions were deplorable...my bathroom was filthy with urine and feces all over it, the nursing staff was unresponsive to my lack of bowel control and let me lay in my own mess sometimes for over an hour at a time. (Despite my very real pleas for help, they later chastised me for creating a disturbance!) Thank goodness that a friend of mine raised holy hell and they finally straightened up their hygiene and their bedside manners.
Edward Reinhardt, Tampa, USA/Florida
Re the comments of Peter in South Molton, I contracted this bug at the end of 2004 in a Canadian hospital. Unfortunately hospitals do not want to keep patients with this bug in their facilities. I was in my early 60s when I contracted C Diff, and it takes a long, long time to recover from. A patient can be rid of the infection according to tests, but the intestinal system takes many months to recover from it and sadly, the elderly often do not recover. They just do not have the fortitude. My own experience was almost a year of suffering, (with 6 days in hospital) and my present condition, almost three years later is still not as before. However, I am thankful to be alive and yes ... hospitals everywhere need to step up their infection control and the general public needs to be aware of the importance of all doctors and nurses washing their hands from patient to patient. The responsibility lies with everyone that enters a hospital's doors.
Anne, Ontario,
If this had been a private hospital it would have been closed down, but because it belongs to the state nothing happens, everyone gets a big payoff, and goes onto the next well paid job where they can practice their incompetence at our expense. I cannot understand what the doctors and consultants were doing allowing this sort of thing to go on - did they have no eyes? What kind of nurses did they employ?
Why can the people of this country not have a modern efficient health service as do those in other developed countries in the EU? Why, for obscure ideological reasons must we have a North Korean system of healthcare imposed on us? We don't see people in France and Germany rolling around dying in the gutters bleating about inequality of access? What knowledge of health matters can an ex-postman have? I wouldn't want the architect down the road to run the healkth service, and similarly have no wish to see Alan Johnson running it.
Peter, Cambridge, Cambridge,
Everyone is entitled to their own opinion,. however i fail to see how the responsibility of cleanliness can be solely on the chief executive. Hundreds of people visit hospitals on a daily basis, increasing the risk of infections, it is not the responsibility of the chief executive to ensure that EVERY person in a hospital is following basic hygiene rules. All a chief exec can do is emphasize the importance of it, they can not possibly be everywhere at once making sure people are washing their hands at every opportunity.
I think people should look into the facts rather than throwing accusations!
Emily , Kent,
Sadly, today the NHS is run for the benefit of its employee's and not the patients.
We employ nurses with totally useless BA(Hons) degrees, who believe it is beneath their dignity to become involved with the patients: additionally, they are overpaid for what they actually do - which is precious little. Furthermore, a case arose recently in our local hospital where a 'specialist' agency nurse was paid £1000.00 for a single 8 hour shift during the Christmas period.
What we really need if matters are to improve are REAL nurses, NOT face-painted prima-donnas!
Desmond, Barnstaple, Devon
Charges should be brought from the Chief Executive down to Senior management level. More than 90 people lost their lives as a result of managerial incompetence.
Weversend, Harrogate,
This is appaling. But it is also what happens when you let people schooled in management lingo and spin running hospitals. Let doctors run hospitals - and to hell with the bean counters and lawyers who have turned the setup into a mess.
Then - let hospitals hire and train their own cleaning staff, pay them decently and let them work with the epidemiologists. Give them the time to clean the premises properly each day and forget about stop-watch targets.
It has been done before - and it worked.
And finally: Ban the use of anti-biotics as a growth enhancer in the agricultural sector.
Victor, Berlin, Germany
It appears necessary to take action against hospital managers as the current situation must be addressed and it likely that the possibility of criminal prosecution will stop such neglect of basic hygiene on the wards
Dr Howard Bloom, Charlwood Surrey,
It is obvious that breaches of contracts have occurred throughout the NHS, from the lowly student nurse to the Trust Director. Perhaps a few jail sentences or being struck off for dereliction of duty and taking money (salaries) under false pretenses might perk them up a bit.
My mother, an ex nurse was appalled by ward standards when she went in for a routine op recently. It was only when I mentioned in a loud voice that Sister could hear that I knew a good solicitor for suing the hospital that standards suddenly improved.
Finn, Aberdeen,
edmund i do agree with your comments apart from the option of (b) we do pay for it through taxation unfortunatly it's the privatisation that has involved the over allocation of needless managers and pen pushers who do nothing but produce graphs and charts to try and validate there existance.
Get rid of the cash gobbling managers and get bacl to the number one priority? Patient care...
K. Weddell, Edinburgh, UK
I hope that Rose Gibb is prevented from enjoying her immoral pay-off by enjoying a substantial period of imprisonment.
Howard, Milton Keynes, UK
Why are people surprised? - around 30,000 people a year die unnecessarily in our hospitals every year now. That's why I wrote my book "Who cares?" to try and warn the public about the catastrophe hapening due to mismanagement in almost all of our hospitals.
Author: "Who cares?"
amanda steane, bedworth, coventry
When I was a child, during and shortly after WWII, if people wanted to set a standard by which they judged that a house was immaculately clean, they said: "It's like a hospital."
It appears that times have changed, and the ideal of cleanliness is not what it was. But since the survival of all of us, through a reliable health service, depends in part on putting this right, we must (a) demand it and (b) be prepared to pay for it through taxation.
Edmund Burke, Kingston upon Thames, England
I'm amazed at the coverage which excuses the behaviour of carers and cleaners on the basis that they were not trained properly and were not told that ensuring people had clean toilet facilities and were given bed pans in time was a priority. Has the world gone mad? it is never right to treat people this way. In the private sector you could lose your job for this type of behaviour and definitely the hospital would not be running in a competitive market . However it is deemed acceptable in the state system and we make excuses for people telling people that they can lie in their own urine and faeces.
Gillian, Stocksfield, Northumberland
Follow the Dutch example and you will see this bug almost disapear. But it costs, so spending in the proper places is paramount. More wards more staff... problem solved.
drew phillips, hudds, w/yorks
Surely the responsibility for this lies with the government? For the last ten years they have told us again and again of their achievements in health, and here we are the end result is vulnerable people being forced to suffer in this way. Multi-billion mismanagement of taxpayers money!
Trefor, Bracknell, Berks
My partners elderly mother caught C-Diff in Bristol Hospital and was then told she was clear, to get her out of hospital and into a private nursing home, where it was immediately confirmed that she was stiff suffering from the superbug. She died two weeks later. Basically I call this manslaughter, as she was slung out of hospital to die privately in some rip-off private nursing home.
This is going on all the time across the country and is tantamount to mass manslaughter and must be stopped. It's outrageous, in the extreme and from what I can gather has been happening for at least two years and as many as 40,000 people have died like this.
Peter Tytler, South Molton, Devon
This is absolutely appalling, what sort of people allow this to happen, even the most junior staff member could prevent this, or do they live in similar conditions.
The NHS have people checking people, then more checkers in the Health commissions checking them. Why does someone put a STOP to all the 'it wasn't me syndrom' and treat people as they would like to be treated.
Alan Johnson - show some of that Northern Background of yours - and tell these managers what you want and make them accountable when things don't happen.
Bryn Proctor, Wakefield, UK
This bug is rampant in all hospitals.
I recently visited my mother in hospital where she had an operation on her right femur. When I saw her it was obvious that she had contracted some bug and had acute diarrhoea. Despite washing my hands after visiting her, I contracted this bug and spent most of my time either in bed or in the bathroom. On contacting the hospital and reporting I had contracted the bug in hospital they were in self-denial .
Louis Blanc, Liverpool, UK
Alan Johnson - Minister - said this morning to John Humphries that all patients would in future be screened for MRSA on entry to hospital.
I say:
Why not screen all NHS staff?
the answer :
So many of them are carriers that the result of screening would be that the NHS would not be able to function if they were sent home.
N Reed, Truro, UK
This situation is absolutely scandalous. I was booked to have surgery next month. But I was utterly appalled by the lack of basic hygine when I visited the hospital (in a suburb of London) where the operation was due to be carried out. I have now made arrangements to have the procedure done at a hospital in Belgium instead. The quality of healthcare and hospital hygene over there is first class. It makes the NHS hospital look like something out of the Crimean War by comparison. My op is covered by the NHS on a reciprocal agreement with Belgium. I would urge anyone in a similar situation as me to do the same.
Joe, East London, UK
I can't imagine a more shameful dereliction of duty than telling a sick person to "go in their bed". It does not make the slightest difference if it is easier for the nurses. Patients are first and foremost human beings and have the right to maintain some privacy and personal pride however sick they are.
Rosie, Upminster,