Thoughts and Conclusions

Most people who have suffered from poor government service actions just want the truth out; admissions of failures; learning points taken for fast-tracked change; and open apology. They do not want further hassle.

Unfortunately the systemic failings geared toward denial of fact and rejection of blame, means that the same problems occur, again and again; where learning and understanding of failures experienced first-hand by the victims, is sidelined. No actions are taken: the ‘professionals’ who let you down remain in-post.

More people are likely to be harmed, maimed or die – and this story is borne out by so many failures which are coming to light -it seems- almost weekly.

Many people in the UK are still shocked by new revelations of ghastly systemic failures in government departments and bodies. Perhaps failings in the NHS and other Care services touch a special chord in our hearts . Yet the NHS is let down by its management, its monitors, its regulators,  and some workers who are only there for the ride; carried by those earnest and honest enough to put in the day’s  work they are compensated-for — and yes, they do exist!

I am not shocked by these new revelations any longer.

It is the sad state of a dysfunctional system which ‘justifies’ to itself that only about 2% of people who complain about it are actually worth listening-to. The rest can go hang: they were wrong.

I know how my son died and this haunts me daily – and nightly. I know that people who take their own lives make choices based on their experiences and perceived options. I still do not know why proper help was withheld (for over 5 years?); or why it was presented in such a way that it was totally ineffective -actually counter-productive- in being communicated to help with my son’s choices.

Remember “Trust me; I’m a doctor”? How hollow that now sounds. Trust now has to be hard earned, for me, and only actions count.

After my son’s death one so-called specialist told me it was sometimes “difficult” knowing how to treat mental health illnesses.

Like ‘surprise, surprise’. It was his job, and it was now 2009, and he still couldn’t apply simple procedures and methods worked out years before to approach very scared people who needed their help, but were not able to appreciate that fact.

Do nothing was still an option, apparently.