P - Why It Will Happen Again
posted: Tuesday November 11,
Although the appalling death of Baby P is not
strictly the kind of case that NHSBlog would normally comment on,
it does serve as yet another tragic example of the way in which
large public organisations are so prone to get it horribly wrong
- time after time after time.
Without going deeply into the publicly available
reports, both official and unofficial, of just what went wrong,
it is quite clear that Haringey’s Children and Young People’s
Service, along with other involved agencies (the local Primary Care
Trust, local hospital, Specialist Child Health Service, police,
schools etc.) and the individuals handling the case failed to adequately
protect Baby P.
It is difficult to look at such gross organisational
and individual failure to either recognise what was going on, or
to act swiftly and firmly on the available evidence, without becoming
emotional to the point of demanding that everyone involved
should be held accountable and made an example of. Let's not go
The truth is however, that exacerbated by the
very complexity of the interaction between the multiple agencies
tasked with protecting baby P, and the cultures endemic within them,
the system allowed baby P's death.
Between October 2006 and August 2007, a multitude
of agencies and individuals were repeatedly confronted with situations
and evidence that to any normally aware person should have prompted
the most intense scrutiny of the home circumstances of Baby P. There
can be no excuses. Professionals failed and a child died needlessly
and in the most horrible circumstances.
Once again, political correctness triumphed over
But should we be surprised that this event occurred?
Absolutely not. It will continue to happen.
NHSBlog (not specifically this article) is a small
attempt to point out how organisational failure within the NHS militates
against common sense. There is no reason to believe that
other publically-funded and largely unaccountable organisations
are better equipped to deal with the problems with which they are
Until common sense is valued by government and
the public organisations we all fund, things will not improve.
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