Today’s Keogh report into avoidable deaths and mis
management on a huge scale in the health system was awful. The partisan debate in the House was particularly
unedifying even by the low standards of Westminster. But there’s something weirdly British about
the situation. The public seem almost
helpless in the face of institutional and political failure. The way the British system works citizens (more
correctly ‘subjects’) lack support from the third leg of the stool in an
advanced democracy – the courts, independent of the party system.
We don’t seem to have rights in law to enforce against government
that let us down. In this particular
case bureaucratic failure led to deaths – the most extreme form of institutional
failure. There is notionally the
corporate manslaughter and corporate homicide act 2007 that cuts through the
old concept of crown immunity, allowing NHS bodies to be prosecuted. But for arcane legal reasons the act itself
doesn’t work – lawyers still struggle with identifying who was responsible
within a large organisation – they have only made one case stick so far against
a small business.
An effective CMCHA could be a powerful weapon cutting across
a lot of the crap talked about accountability.
The CMCHA is usually seen alongside the much lampooned Health and Safety
legislation – and that too could be beefed up. The reams of management legislation around public services
could also give a limited number of rights in law to the citizen/subject/customer to
enforce in the courts against the state.
Most recently, the weakening of judicial review, itself never quite the fierce
beast it was talked up to be goes in the opposite direction.
A group of us in London's Kings Cross have sought action against TfL for failing to act in a timely or effective fashion when in receipt of warnings about a dangerous junction, at which a person later died. We have gone down the corporate manslaughter route, but people keep telling us that we are wasting our time.
There’s a challenge here for all parties as they think about
their 2015 manifestos – are they serious about standing up for citizens? Then
give people the rights one should expect in an advanced democracy and
allow them to seek redress through the courts when public bodies or
corporations kill people.
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