Healthcare scandals and the failings of doctors: Do official inquiries hold the profession to account?

Mannion, Russell, Davies, Huw, Powell, Martin, Blenkinsopp, John, Millar, Ross, McHale, Jean and Snowden, Nick (2019) Healthcare scandals and the failings of doctors: Do official inquiries hold the profession to account? Journal of Health Organisation and Management, 33 (2). pp. 221-240. ISSN 1477-7266

[img]
Preview
Text (Final published version)
JHOM-04-2018-0126.pdf - Published Version
Available under License Creative Commons Attribution 4.0.

Download (257kB) | Preview
[img]
Preview
Text (Advance online version)
JHOM622836.pdf - Published Version
Available under License Creative Commons Attribution 4.0.

Download (209kB) | Preview
Official URL: http://doi.org/10.1108/JHOM-04-2018-0126

Abstract

Purpose – The purpose of this paper is to explore whether official inquiries are an effective method for holding the medical profession to account for failings in the quality and safety of care.
Design/methodology/approach – Through a review of the theoretical literature on professions and documentary analysis of key public inquiry documents and reports in the UK National Health Service (NHS) the authors examine how the misconduct of doctors can be understood using the metaphor of professional wrongdoing as a product of bad apples, bad barrels or bad cellars.
Findings – The wrongdoing literature tends to present an uncritical assumption of increasing sophistication in analysis, as the focus moves from bad apples (individuals) to bad barrels (organisations) and more latterly to bad cellars (the wider system). This evolution in thinking about wrongdoing is also visible in public inquiries, as analysis and recommendations increasingly tend to emphasise cultural and systematic issues. Yet, while organisational and systemic factors are undoubtedly important, there is a need to keep in sight the role of individuals, for two key reasons. First, there is growing evidence that a small number of doctors may be disproportionately responsible for large numbers of complaints and concerns. Second, there is a risk that the role of individual professionals in drawing attention to wrongdoing is being neglected.
Originality/value – To the best of the authors’ knowledge this is the first theoretical and empirical study specifically exploring the role of NHS inquiries in holding the medical profession to account for failings in professional practice.

Item Type: Article
Uncontrolled Keywords: Sociology, Doctors, Medical professions, Safety, Quality
Subjects: L900 Others in Social studies
Department: Faculties > Business and Law > Newcastle Business School > Business and Management
Depositing User: Becky Skoyles
Date Deposited: 14 Feb 2019 08:50
Last Modified: 11 Oct 2019 08:16
URI: http://nrl.northumbria.ac.uk/id/eprint/37981

Actions (login required)

View Item View Item

Downloads

Downloads per month over past year

View more statistics


Policies: NRL Policies | NRL University Deposit Policy | NRL Deposit Licence